Obstruction of flow in biological or prosthetic vascular grafts.
The degree to which BLOOD VESSELS are not blocked or obstructed.
The vein which drains the foot and leg.
Homopolymer of tetrafluoroethylene. Nonflammable, tough, inert plastic tubing or sheeting; used to line vessels, insulate, protect or lubricate apparatus; also as filter, coating for surgical implants or as prosthetic material. Synonyms: Fluoroflex; Fluoroplast; Ftoroplast; Halon; Polyfene; PTFE; Tetron.
Pathological processes which result in the partial or complete obstruction of ARTERIES. They are characterized by greatly reduced or absence of blood flow through these vessels. They are also known as arterial insufficiency.
Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.
The survival of a graft in a host, the factors responsible for the survival and the changes occurring within the graft during growth in the host.
The vessels carrying blood away from the capillary beds.
The removal of a limb or other appendage or outgrowth of the body. (Dorland, 28th ed)
A hypoperfusion of the BLOOD through an organ or tissue caused by a PATHOLOGIC CONSTRICTION or obstruction of its BLOOD VESSELS, or an absence of BLOOD CIRCULATION.
The continuation of the femoral artery coursing through the popliteal fossa; it divides into the anterior and posterior tibial arteries.
Surgical insertion of BLOOD VESSEL PROSTHESES, or transplanted BLOOD VESSELS, or other biological material to repair injured or diseased blood vessels.
Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.
The main artery of the thigh, a continuation of the external iliac artery.
Operative procedures for the treatment of vascular disorders.
The inferior part of the lower extremity between the KNEE and the ANKLE.
The vein formed by the union of the anterior and posterior tibial veins; it courses through the popliteal space and becomes the femoral vein.
Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.
Polyester polymers formed from terephthalic acid or its esters and ethylene glycol. They can be formed into tapes, films or pulled into fibers that are pressed into meshes or woven into fabrics.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
The anterior and posterior arteries created at the bifurcation of the popliteal artery. The anterior tibial artery begins at the lower border of the popliteus muscle and lies along the tibia at the distal part of the leg to surface superficially anterior to the ankle joint. Its branches are distributed throughout the leg, ankle, and foot. The posterior tibial artery begins at the lower border of the popliteus muscle, lies behind the tibia in the lower part of its course, and is found situated between the medial malleolus and the medial process of the calcaneal tuberosity. Its branches are distributed throughout the leg and foot.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
The tunnel in the lower anterior ABDOMINAL WALL through which the SPERMATIC CORD, in the male; ROUND LIGAMENT, in the female; nerves; and vessels pass. Its internal end is at the deep inguinal ring and its external end is at the superficial inguinal ring.
The vein accompanying the femoral artery in the same sheath; it is a continuation of the popliteal vein and becomes the external iliac vein.
The region of the lower limb in animals, extending from the gluteal region to the FOOT, and including the BUTTOCKS; HIP; and LEG.
Complete blockage of blood flow through one of the CORONARY ARTERIES, usually from CORONARY ATHEROSCLEROSIS.
A complication of INTERNAL MAMMARY-CORONARY ARTERY ANASTOMOSIS whereby an occlusion or stenosis of the proximal SUBCLAVIAN ARTERY causes a reversal of the blood flow away from the CORONARY CIRCULATION, through the grafted INTERNAL MAMMARY ARTERY (internal thoracic artery), and back to the distal subclavian distribution.
Elements of limited time intervals, contributing to particular results or situations.
An alternative to amputation in patients with neoplasms, ischemia, fractures, and other limb-threatening conditions. Generally, sophisticated surgical procedures such as vascular surgery and reconstruction are used to salvage diseased limbs.
Use of a balloon CATHETER to block the flow of blood through an artery or vein.
Blockage of the RETINAL VEIN. Those at high risk for this condition include patients with HYPERTENSION; DIABETES MELLITUS; ATHEROSCLEROSIS; and other CARDIOVASCULAR DISEASES.
Formation and development of a thrombus or blood clot in the blood vessel.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Sudden ISCHEMIA in the RETINA due to blocked blood flow through the CENTRAL RETINAL ARTERY or its branches leading to sudden complete or partial loss of vision, respectively, in the eye.
Pathological processes involving any one of the BLOOD VESSELS in the vasculature outside the HEART.
A symptom complex characterized by pain and weakness in SKELETAL MUSCLE group associated with exercise, such as leg pain and weakness brought on by walking. Such muscle limpness disappears after a brief rest and is often relates to arterial STENOSIS; muscle ISCHEMIA; and accumulation of LACTATE.
Ultrasonography applying the Doppler effect combined with real-time imaging. The real-time image is created by rapid movement of the ultrasound beam. A powerful advantage of this technique is the ability to estimate the velocity of flow from the Doppler shift frequency.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
The prototypical analgesic used in the treatment of mild to moderate pain. It has anti-inflammatory and antipyretic properties and acts as an inhibitor of cyclooxygenase which results in the inhibition of the biosynthesis of prostaglandins. Aspirin also inhibits platelet aggregation and is used in the prevention of arterial and venous thrombosis. (From Martindale, The Extra Pharmacopoeia, 30th ed, p5)
I'm sorry for any confusion, but the term "Maryland" is not a recognized medical term with a specific definition in the medical field. It refers to a state in the United States. If you have any questions about a medical condition or treatment, I would be happy to try and help answer those!
The relationship of all the components of the masticatory system in normal function. It has special reference to the position and contact of the maxillary and mandibular teeth for the highest efficiency during the excursive movements of the jaw that are essential for mastication. (From Jablonski, Dictionary of Dentistry, 1992, p556, p472)
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Radiography of the vascular system of the heart muscle after injection of a contrast medium.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
Fibrinolysin or agents that convert plasminogen to FIBRINOLYSIN.
System established by the World Health Organization and the International Committee on Thrombosis and Hemostasis for monitoring and reporting blood coagulation tests. Under this system, results are standardized using the International Sensitivity Index for the particular test reagent/instrument combination used.
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The vessels carrying blood away from the heart.
NECROSIS occurring in the MIDDLE CEREBRAL ARTERY distribution system which brings blood to the entire lateral aspects of each CEREBRAL HEMISPHERE. Clinical signs include impaired cognition; APHASIA; AGRAPHIA; weak and numbness in the face and arms, contralaterally or bilaterally depending on the infarction.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
**I must clarify that there is no recognized or established medical term or definition for 'Texas.' However, if you're asking for a possible humorous play on words using the term 'Texas' in a medical context, here it is:**
Localized reduction of blood flow to brain tissue due to arterial obstruction or systemic hypoperfusion. This frequently occurs in conjunction with brain hypoxia (HYPOXIA, BRAIN). Prolonged ischemia is associated with BRAIN INFARCTION.
Agents that prevent clotting.
Maintenance of blood flow to an organ despite obstruction of a principal vessel. Blood flow is maintained through small vessels.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
Obstruction of the flow in the SPLANCHNIC CIRCULATION by ATHEROSCLEROSIS; EMBOLISM; THROMBOSIS; STENOSIS; TRAUMA; and compression or intrinsic pressure from adjacent tumors. Rare causes are drugs, intestinal parasites, and vascular immunoinflammatory diseases such as PERIARTERITIS NODOSA and THROMBOANGIITIS OBLITERANS. (From Juergens et al., Peripheral Vascular Diseases, 5th ed, pp295-6)
The act of constricting.
The transference of a kidney from one human or animal to another.
Branch of the common carotid artery which supplies the anterior part of the brain, the eye and its appendages, the forehead and nose.
Contact between opposing teeth during a person's habitual bite.
Methods used to temporarily or permanently block the flow of BODY FLUIDS through various ducts and tubules throughout the body, including BLOOD VESSELS and LYMPHATIC VESSELS such as by THERAPEUTIC EMBOLIZATION or LIGATION.
The condition of an anatomical structure's being constricted beyond normal dimensions.
Radiography of the vascular system of the brain after injection of a contrast medium.
The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065)
The formation of an area of NECROSIS in the CEREBRUM caused by an insufficiency of arterial or venous blood flow. Infarcts of the cerebrum are generally classified by hemisphere (i.e., left vs. right), lobe (e.g., frontal lobe infarction), arterial distribution (e.g., INFARCTION, ANTERIOR CEREBRAL ARTERY), and etiology (e.g., embolic infarction).
A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.
The arterial blood vessels supplying the CEREBRUM.
Radiography of blood vessels after injection of a contrast medium.
A form of ischemia-reperfusion injury occurring in the early period following transplantation. Significant pathophysiological changes in MITOCHONDRIA are the main cause of the dysfunction. It is most often seen in the transplanted lung, liver, or kidney and can lead to GRAFT REJECTION.
Pathological conditions of intracranial ARTERIES supplying the CEREBRUM. These diseases often are due to abnormalities or pathological processes in the ANTERIOR CEREBRAL ARTERY; MIDDLE CEREBRAL ARTERY; and POSTERIOR CEREBRAL ARTERY.
The circulation of blood through the BLOOD VESSELS of the BRAIN.
Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.
Either of two large arteries originating from the abdominal aorta; they supply blood to the pelvis, abdominal wall and legs.
Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.
Restoration of blood supply to tissue which is ischemic due to decrease in normal blood supply. The decrease may result from any source including atherosclerotic obstruction, narrowing of the artery, or surgical clamping. It is primarily a procedure for treating infarction or other ischemia, by enabling viable ischemic tissue to recover, thus limiting further necrosis. However, it is thought that reperfusion can itself further damage the ischemic tissue, causing REPERFUSION INJURY.
The transference of a part of or an entire liver from one human or animal to another.
Brief reversible episodes of focal, nonconvulsive ischemic dysfunction of the brain having a duration of less than 24 hours, and usually less than one hour, caused by transient thrombotic or embolic blood vessel occlusion or stenosis. Events may be classified by arterial distribution, temporal pattern, or etiology (e.g., embolic vs. thrombotic). (From Adams et al., Principles of Neurology, 6th ed, pp814-6)
Surgical shunt allowing direct passage of blood from an artery to a vein. (From Dorland, 28th ed)
Organs, tissues, or cells taken from the body for grafting into another area of the same body or into another individual.
The plan and delineation of prostheses in general or a specific prosthesis.
Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins.
The flow of BLOOD through or around an organ or region of the body.
Pathological conditions involving the CAROTID ARTERIES, including the common, internal, and external carotid arteries. ATHEROSCLEROSIS and TRAUMA are relatively frequent causes of carotid artery pathology.
Blood clot formation in any part of the CAROTID ARTERIES. This may produce CAROTID STENOSIS or occlusion of the vessel, leading to TRANSIENT ISCHEMIC ATTACK; CEREBRAL INFARCTION; or AMAUROSIS FUGAX.
The circulation of blood through the CORONARY VESSELS of the HEART.
Adverse functional, metabolic, or structural changes in ischemic tissues resulting from the restoration of blood flow to the tissue (REPERFUSION), including swelling; HEMORRHAGE; NECROSIS; and damage from FREE RADICALS. The most common instance is MYOCARDIAL REPERFUSION INJURY.
The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.
The veins and arteries of the HEART.
A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.
Dental occlusion in which the occlusal contact of the teeth on the working side of the jaw is accompanied by the harmonious contact of the teeth on the opposite (balancing) side. (From Jablonski, Dictionary of Dentistry, 1992, p556)
The aorta from the DIAPHRAGM to the bifurcation into the right and left common iliac arteries.
An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels.
The clinical entity characterized by anorexia, diarrhea, loss of hair, leukopenia, thrombocytopenia, growth retardation, and eventual death brought about by the GRAFT VS HOST REACTION.
Surgical removal of an obstructing clot or foreign material from a blood vessel at the point of its formation. Removal of a clot arising from a distant site is called EMBOLECTOMY.
NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).
Abnormal outpouching in the wall of intracranial blood vessels. Most common are the saccular (berry) aneurysms located at branch points in CIRCLE OF WILLIS at the base of the brain. Vessel rupture results in SUBARACHNOID HEMORRHAGE or INTRACRANIAL HEMORRHAGES. Giant aneurysms (>2.5 cm in diameter) may compress adjacent structures, including the OCULOMOTOR NERVE. (From Adams et al., Principles of Neurology, 6th ed, p841)
Use of a balloon catheter for dilation of an occluded artery. It is used in treatment of arterial occlusive diseases, including renal artery stenosis and arterial occlusions in the leg. For the specific technique of BALLOON DILATION in coronary arteries, ANGIOPLASTY, BALLOON, CORONARY is available.
Microsurgical revascularization to improve intracranial circulation. It usually involves joining the extracranial circulation to the intracranial circulation but may include extracranial revascularization (e.g., subclavian-vertebral artery bypass, subclavian-external carotid artery bypass). It is performed by joining two arteries (direct anastomosis or use of graft) or by free autologous transplantation of highly vascularized tissue to the surface of the brain.
Narrowing or stricture of any part of the CAROTID ARTERIES, most often due to atherosclerotic plaque formation. Ulcerations may form in atherosclerotic plaques and induce THROMBUS formation. Platelet or cholesterol emboli may arise from stenotic carotid lesions and induce a TRANSIENT ISCHEMIC ATTACK; CEREBROVASCULAR ACCIDENT; or temporary blindness (AMAUROSIS FUGAX). (From Adams et al., Principles of Neurology, 6th ed, pp 822-3)
Localized or diffuse reduction in blood flow through the vertebrobasilar arterial system, which supplies the BRAIN STEM; CEREBELLUM; OCCIPITAL LOBE; medial TEMPORAL LOBE; and THALAMUS. Characteristic clinical features include SYNCOPE; lightheadedness; visual disturbances; and VERTIGO. BRAIN STEM INFARCTIONS or other BRAIN INFARCTION may be associated.
A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)
Application of a ligature to tie a vessel or strangulate a part.
Non-invasive method of vascular imaging and determination of internal anatomy without injection of contrast media or radiation exposure. The technique is used especially in CEREBRAL ANGIOGRAPHY as well as for studies of other vascular structures.
Non-cadaveric providers of organs for transplant to related or non-related recipients.
An occlusion resulting in overstrain and injury to teeth, periodontal tissue, or other oral structures.
A method of delineating blood vessels by subtracting a tissue background image from an image of tissue plus intravascular contrast material that attenuates the X-ray photons. The background image is determined from a digitized image taken a few moments before injection of the contrast material. The resulting angiogram is a high-contrast image of the vessel. This subtraction technique allows extraction of a high-intensity signal from the superimposed background information. The image is thus the result of the differential absorption of X-rays by different tissues.
Disease having a short and relatively severe course.
The return of a sign, symptom, or disease after a remission.
Transplantation of an individual's own tissue from one site to another site.
Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.
Agents that suppress immune function by one of several mechanisms of action. Classical cytotoxic immunosuppressants act by inhibiting DNA synthesis. Others may act through activation of T-CELLS or by inhibiting the activation of HELPER CELLS. While immunosuppression has been brought about in the past primarily to prevent rejection of transplanted organs, new applications involving mediation of the effects of INTERLEUKINS and other CYTOKINES are emerging.
The part of CENTRAL NERVOUS SYSTEM that is contained within the skull (CRANIUM). Arising from the NEURAL TUBE, the embryonic brain is comprised of three major parts including PROSENCEPHALON (the forebrain); MESENCEPHALON (the midbrain); and RHOMBENCEPHALON (the hindbrain). The developed brain consists of CEREBRUM; CEREBELLUM; and other structures in the BRAIN STEM.
Central retinal vein and its tributaries. It runs a short course within the optic nerve and then leaves and empties into the superior ophthalmic vein or cavernous sinus.
Transplantation of tissue typical of one area to a different recipient site. The tissue may be autologous, heterologous, or homologous.
The largest of the cerebral arteries. It trifurcates into temporal, frontal, and parietal branches supplying blood to most of the parenchyma of these lobes in the CEREBRAL CORTEX. These are the areas involved in motor, sensory, and speech activities.
An abnormal balloon- or sac-like dilatation in the wall of the ABDOMINAL AORTA which gives rise to the visceral, the parietal, and the terminal (iliac) branches below the aortic hiatus at the diaphragm.
Radiographic visualization of the aorta and its branches by injection of contrast media, using percutaneous puncture or catheterization procedures.
Infections resulting from the implantation of prosthetic devices. The infections may be acquired from intraoperative contamination (early) or hematogenously acquired from other sites (late).
A dead body, usually a human body.
Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.
The procedure of removing TISSUES, organs, or specimens from DONORS for reuse, such as TRANSPLANTATION.
A strain of albino rat used widely for experimental purposes because of its calmness and ease of handling. It was developed by the Sprague-Dawley Animal Company.
Biocompatible materials usually used in dental and bone implants that enhance biologic fixation, thereby increasing the bond strength between the coated material and bone, and minimize possible biological effects that may result from the implant itself.
The transference of a heart from one human or animal to another.
Any of various animals that constitute the family Suidae and comprise stout-bodied, short-legged omnivorous mammals with thick skin, usually covered with coarse bristles, a rather long mobile snout, and small tail. Included are the genera Babyrousa, Phacochoerus (wart hogs), and Sus, the latter containing the domestic pig (see SUS SCROFA).
Use of infusions of FIBRINOLYTIC AGENTS to destroy or dissolve thrombi in blood vessels or bypass grafts.
A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION).
Either of the two principal arteries on both sides of the neck that supply blood to the head and neck; each divides into two branches, the internal carotid artery and the external carotid artery.
Dilation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply.
PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS.
Transference of fetal tissue between individuals of the same species or between individuals of different species.
Pathological outpouching or sac-like dilatation in the wall of any blood vessel (ARTERIES or VEINS) or the heart (HEART ANEURYSM). It indicates a thin and weakened area in the wall which may later rupture. Aneurysms are classified by location, etiology, or other characteristics.
Methods of creating machines and devices.
An increase in the number of cells in a tissue or organ without tumor formation. It differs from HYPERTROPHY, which is an increase in bulk without an increase in the number of cells.
Non-human animals, selected because of specific characteristics, for use in experimental research, teaching, or testing.
The process by which organs are kept viable outside of the organism from which they were removed (i.e., kept from decay by means of a chemical agent, cooling, or a fluid substitute that mimics the natural state within the organism).
Damage to the MYOCARDIUM resulting from MYOCARDIAL REPERFUSION (restoration of blood flow to ischemic areas of the HEART.) Reperfusion takes place when there is spontaneous thrombolysis, THROMBOLYTIC THERAPY, collateral flow from other coronary vascular beds, or reversal of vasospasm.
Material, usually gauze or absorbent cotton, used to cover and protect wounds, to seal them from contact with air or bacteria. (From Dorland, 27th ed)
A strain of albino rat developed at the Wistar Institute that has spread widely at other institutions. This has markedly diluted the original strain.
Drugs intended to prevent damage to the brain or spinal cord from ischemia, stroke, convulsions, or trauma. Some must be administered before the event, but others may be effective for some time after. They act by a variety of mechanisms, but often directly or indirectly minimize the damage produced by endogenous excitatory amino acids.
Pathological processes involving any part of the AORTA.
The first branch of the SUBCLAVIAN ARTERY with distribution to muscles of the NECK; VERTEBRAE; SPINAL CORD; CEREBELLUM; and interior of the CEREBRUM.
Increased intracellular or extracellular fluid in brain tissue. Cytotoxic brain edema (swelling due to increased intracellular fluid) is indicative of a disturbance in cell metabolism, and is commonly associated with hypoxic or ischemic injuries (see HYPOXIA, BRAIN). An increase in extracellular fluid may be caused by increased brain capillary permeability (vasogenic edema), an osmotic gradient, local blockages in interstitial fluid pathways, or by obstruction of CSF flow (e.g., obstructive HYDROCEPHALUS). (From Childs Nerv Syst 1992 Sep; 8(6):301-6)
Generally, restoration of blood supply to heart tissue which is ischemic due to decrease in normal blood supply. The decrease may result from any source including atherosclerotic obstruction, narrowing of the artery, or surgical clamping. Reperfusion can be induced to treat ischemia. Methods include chemical dissolution of an occluding thrombus, administration of vasodilator drugs, angioplasty, catheterization, and artery bypass graft surgery. However, it is thought that reperfusion can itself further damage the ischemic tissue, causing MYOCARDIAL REPERFUSION INJURY.
The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
The presence of an increased amount of blood in a body part or an organ leading to congestion or engorgement of blood vessels. Hyperemia can be due to increase of blood flow into the area (active or arterial), or due to obstruction of outflow of blood from the area (passive or venous).
Branch of the common carotid artery which supplies the exterior of the head, the face, and the greater part of the neck.
The induction of prolonged survival and growth of allografts of either tumors or normal tissues which would ordinarily be rejected. It may be induced passively by introducing graft-specific antibodies from previously immunized donors, which bind to the graft's surface antigens, masking them from recognition by T-cells; or actively by prior immunization of the recipient with graft antigens which evoke specific antibodies and form antigen-antibody complexes which bind to the antigen receptor sites of the T-cells and block their cytotoxic activity.
A spectrum of pathological conditions of impaired blood flow in the brain. They can involve vessels (ARTERIES or VEINS) in the CEREBRUM, the CEREBELLUM, and the BRAIN STEM. Major categories include INTRACRANIAL ARTERIOVENOUS MALFORMATIONS; BRAIN ISCHEMIA; CEREBRAL HEMORRHAGE; and others.
Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.
Part of the arm in humans and primates extending from the ELBOW to the WRIST.
Inbred C57BL mice are a strain of laboratory mice that have been produced by many generations of brother-sister matings, resulting in a high degree of genetic uniformity and homozygosity, making them widely used for biomedical research, including studies on genetics, immunology, cancer, and neuroscience.
The innermost layer of an artery or vein, made up of one layer of endothelial cells and supported by an internal elastic lamina.
A proteolytic enzyme in the serine protease family found in many tissues which converts PLASMINOGEN to FIBRINOLYSIN. It has fibrin-binding activity and is immunologically different from UROKINASE-TYPE PLASMINOGEN ACTIVATOR. The primary sequence, composed of 527 amino acids, is identical in both the naturally occurring and synthetic proteases.
The continuation of the subclavian artery; it distributes over the upper limb, axilla, chest and shoulder.
A technique in which tissue is rendered resistant to the deleterious effects of prolonged ISCHEMIA and REPERFUSION by prior exposure to brief, repeated periods of vascular occlusion. (Am J Physiol 1995 May;268(5 Pt 2):H2063-7, Abstract)
Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.
Partial or total replacement of all layers of a central portion of the cornea.
Exposure of myocardial tissue to brief, repeated periods of vascular occlusion in order to render the myocardium resistant to the deleterious effects of ISCHEMIA or REPERFUSION. The period of pre-exposure and the number of times the tissue is exposed to ischemia and reperfusion vary, the average being 3 to 5 minutes.
The transference of pancreatic islets within an individual, between individuals of the same species, or between individuals of different species.
A genus of the subfamily CERCOPITHECINAE, family CERCOPITHECIDAE, consisting of five named species: PAPIO URSINUS (chacma baboon), PAPIO CYNOCEPHALUS (yellow baboon), PAPIO PAPIO (western baboon), PAPIO ANUBIS (or olive baboon), and PAPIO HAMADRYAS (hamadryas baboon). Members of the Papio genus inhabit open woodland, savannahs, grassland, and rocky hill country. Some authors consider MANDRILLUS a subgenus of Papio.
The species Oryctolagus cuniculus, in the family Leporidae, order LAGOMORPHA. Rabbits are born in burrows, furless, and with eyes and ears closed. In contrast with HARES, rabbits have 22 chromosome pairs.
The direct continuation of the brachial trunk, originating at the bifurcation of the brachial artery opposite the neck of the radius. Its branches may be divided into three groups corresponding to the three regions in which the vessel is situated, the forearm, wrist, and hand.
Visualization of a vascular system after intravenous injection of a fluorescein solution. The images may be photographed or televised. It is used especially in studying the retinal and uveal vasculature.
Delivery of drugs into an artery.
The muscle tissue of the HEART. It is composed of striated, involuntary muscle cells (MYOCYTES, CARDIAC) connected to form the contractile pump to generate blood flow.
The tearing or bursting of the weakened wall of the aneurysmal sac, usually heralded by sudden worsening pain. The great danger of a ruptured aneurysm is the large amount of blood spilling into the surrounding tissues and cavities, causing HEMORRHAGIC SHOCK.
An immunological attack mounted by a graft against the host because of tissue incompatibility when immunologically competent cells are transplanted to an immunologically incompetent host; the resulting clinical picture is that of GRAFT VS HOST DISEASE.
Embolism or thrombosis involving blood vessels which supply intracranial structures. Emboli may originate from extracranial or intracranial sources. Thrombosis may occur in arterial or venous structures.
Pathological processes involving any of the BLOOD VESSELS in the cardiac or peripheral circulation. They include diseases of ARTERIES; VEINS; and rest of the vasculature system in the body.
'Rats, Inbred Lew' is a strain of laboratory rat that is widely used in biomedical research, known for its consistent genetic background and susceptibility to certain diseases, which makes it an ideal model for studying the genetic basis of complex traits and disease processes.
Artificial substitutes for body parts, and materials inserted into tissue for functional, cosmetic, or therapeutic purposes. Prostheses can be functional, as in the case of artificial arms and legs, or cosmetic, as in the case of an artificial eye. Implants, all surgically inserted or grafted into the body, tend to be used therapeutically. IMPLANTS, EXPERIMENTAL is available for those used experimentally.
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
A mixture of metallic elements or compounds with other metallic or metalloid elements in varying proportions.
Transplantation between genetically identical individuals, i.e., members of the same species with identical histocompatibility antigens, such as monozygotic twins, members of the same inbred strain, or members of a hybrid population produced by crossing certain inbred strains.
A nonspecific term referring to impaired vision. Major subcategories include stimulus deprivation-induced amblyopia and toxic amblyopia. Stimulus deprivation-induced amblyopia is a developmental disorder of the visual cortex. A discrepancy between visual information received by the visual cortex from each eye results in abnormal cortical development. STRABISMUS and REFRACTIVE ERRORS may cause this condition. Toxic amblyopia is a disorder of the OPTIC NERVE which is associated with ALCOHOLISM, tobacco SMOKING, and other toxins and as an adverse effect of the use of some medications.
Blocking of a blood vessel by an embolus which can be a blood clot or other undissolved material in the blood stream.
The artery formed by the union of the right and left vertebral arteries; it runs from the lower to the upper border of the pons, where it bifurcates into the two posterior cerebral arteries.
A general term for the complex phenomena involved in allo- and xenograft rejection by a host and graft vs host reaction. Although the reactions involved in transplantation immunology are primarily thymus-dependent phenomena of cellular immunity, humoral factors also play a part in late rejection.
Recording of change in the size of a part as modified by the circulation in it.
The inferior and superior venae cavae.
Not an aneurysm but a well-defined collection of blood and CONNECTIVE TISSUE outside the wall of a blood vessel or the heart. It is the containment of a ruptured blood vessel or heart, such as sealing a rupture of the left ventricle. False aneurysm is formed by organized THROMBUS and HEMATOMA in surrounding tissue.
Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.
The largest of three bones that make up each half of the pelvic girdle.
Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.
Tissue NECROSIS in any area of the brain, including the CEREBRAL HEMISPHERES, the CEREBELLUM, and the BRAIN STEM. Brain infarction is the result of a cascade of events initiated by inadequate blood flow through the brain that is followed by HYPOXIA and HYPOGLYCEMIA in brain tissue. Damage may be temporary, permanent, selective or pan-necrosis.
Veins which drain the liver.
Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking.
Surgical excision, performed under general anesthesia, of the atheromatous tunica intima of an artery. When reconstruction of an artery is performed as an endovascular procedure through a catheter, it is called ATHERECTOMY.
A subfamily of the Muridae consisting of several genera including Gerbillus, Rhombomys, Tatera, Meriones, and Psammomys.
Transference of brain tissue, either from a fetus or from a born individual, between individuals of the same species or between individuals of different species.
Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles, mammary gland and the axillary aspect of the chest wall.
Surgical removal of an obstructing clot or foreign material which has been transported from a distant vessel by the bloodstream. Removal of a clot at its original site is called THROMBECTOMY.
Clarity or sharpness of OCULAR VISION or the ability of the eye to see fine details. Visual acuity depends on the functions of RETINA, neuronal transmission, and the interpretative ability of the brain. Normal visual acuity is expressed as 20/20 indicating that one can see at 20 feet what should normally be seen at that distance. Visual acuity can also be influenced by brightness, color, and contrast.
A polygonal anastomosis at the base of the brain formed by the internal carotid (CAROTID ARTERY, INTERNAL), proximal parts of the anterior, middle, and posterior cerebral arteries (ANTERIOR CEREBRAL ARTERY; MIDDLE CEREBRAL ARTERY; POSTERIOR CEREBRAL ARTERY), the anterior communicating artery and the posterior communicating arteries.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
A clinically significant reduction in blood supply to the BRAIN STEM and CEREBELLUM (i.e., VERTEBROBASILAR INSUFFICIENCY) resulting from reversal of blood flow through the VERTEBRAL ARTERY from occlusion or stenosis of the proximal subclavian or brachiocephalic artery. Common symptoms include VERTIGO; SYNCOPE; and INTERMITTENT CLAUDICATION of the involved upper extremity. Subclavian steal may also occur in asymptomatic individuals. (From J Cardiovasc Surg 1994;35(1):11-4; Acta Neurol Scand 1994;90(3):174-8)
Formation or presence of a blood clot (THROMBUS) in a blood vessel within the SKULL. Intracranial thrombosis can lead to thrombotic occlusions and BRAIN INFARCTION. The majority of the thrombotic occlusions are associated with ATHEROSCLEROSIS.
Summarizing techniques used to describe the pattern of mortality and survival in populations. These methods can be applied to the study not only of death, but also of any defined endpoint such as the onset of disease or the occurrence of disease complications.

Detection of Chlamydia pneumoniae but not cytomegalovirus in occluded saphenous vein coronary artery bypass grafts. (1/1270)

BACKGROUND: A causal relation between atherosclerosis and chronic infection with Chlamydia pneumoniae and/or cytomegalovirus (CMV) has been suggested. Whether the unresolved problem of venous coronary artery bypass graft occlusion is related to infection with C pneumoniae and/or CMV has not been addressed. METHODS AND RESUTLS: Thirty-eight occluded coronary artery vein grafts and 20 native saphenous veins were examined. Detection of C pneumoniae DNA was performed by use of nested polymerase chain reaction (PCR). Homogenisates from the specimen were cultured for identification of viable C pneumoniae. Both conventional PCR and quantitative PCR for detection of CMV DNA were applied. Differential pathological changes (degree of inflammation, smooth muscle cell proliferation [MIB-1]) were determined and correlated to the detection of both microorganisms. C pneumoniae DNA could be detected in 25% of occluded vein grafts. Viable C pneumoniae was recovered from 16% of occluded vein grafts. Except for 1 native saphenous vein, all control vessels were negative for both C pneumoniae detection and culture. All pathological and control specimens were negative for CMV DNA detection. Pathological changes did not correlate with C pneumoniae detection. CONCLUSIONS: Occluded aorto-coronary venous grafts harbor C pneumoniae but not CMV. The detection of C pneumoniae in occluded vein grafts warrants further investigation.  (+info)

Right atrial bypass grafting for central venous obstruction associated with dialysis access: another treatment option. (2/1270)

PURPOSE: Central venous obstruction is a common problem in patients with chronic renal failure who undergo maintenance hemodialysis. We studied the use of right atrial bypass grafting in nine cases of central venous obstruction associated with upper extremity venous hypertension. To better understand the options for managing this condition, we discuss the roles of surgery and percutaneous transluminal angioplasty with stent placement. METHODS: All patients had previously undergone placement of bilateral temporary subclavian vein dialysis catheters. Severe arm swelling, graft thrombosis, or graft malfunction developed because of central venous stenosis or obstruction in the absence of alternative access sites. A large-diameter (10 to 16 mm) externally reinforced polytetrafluoroethylene (GoreTex) graft was used to bypass the obstructed vein and was anastomosed to the right atrial appendage. This technique was used to bypass six lesions in the subclavian vein, two lesions at the innominate vein/superior vena caval junction, and one lesion in the distal axillary vein. RESULTS: All patients except one had significant resolution of symptoms without operative mortality. Bypass grafts remained patent, allowing the arteriovenous grafts to provide functional access for 1.5 to 52 months (mean, 15.4 months) after surgery. CONCLUSION: Because no mortality directly resulted from the procedure and the morbidity rate was acceptable, this bypass grafting technique was adequate in maintaining the dialysis access needed by these patients. Because of the magnitude of the procedure, we recommend it only for the occasional patient in whom all other access sites are exhausted and in whom percutaneous dilation and/or stenting has failed.  (+info)

Factors influencing the development of vein-graft stenosis and their significance for clinical management. (3/1270)

OBJECTIVES: To assess the influence of clinical and graft factors on the development of stenotic lesions. In addition the implications of any significant correlation for duplex surveillance schedules or surgical bypass techniques was examined. PATIENTS AND METHODS: In a prospective three centre study, preoperative and peroperative data on 300 infrainguinal autologous vein grafts was analysed. All grafts were monitored by a strict duplex surveillance program and all received an angiogram in the first postoperative year. A revision was only performed if there was evidence of a stenosis of 70% diameter reduction or greater on the angiogram. RESULTS: The minimum graft diameter was the only factor correlated significantly with the development of a significant graft stenosis (PSV-ratio > or = 2.5) during follow-up (p = 0.002). Factors that correlated with the development of event-causing graft stenosis, associated with revision or occlusion, were minimal graft diameter (p = 0.001), the use of a venovenous anastomosis (p = 0.005) and length of the graft (p = 0.025). Multivariate regression analysis revealed that the minimal graft diameter was the only independent factor that significantly correlated with an event-causing graft stenosis (p = 0.009). The stenosis-free rates for grafts with a minimal diameter < 3.5 mm, between 3.5-4.5 and > or = 4.5 mm were 40%, 58% and 75%, respectively (p = < 0.05). Composite vein and arm-vein grafts with minimal diameters > or = 3.5 mm were compared with grafts which consisted of a single uninterrupted greater saphenous vein with a minimal diameter of < 3.5 mm. One-year secondary patency rates in these categories were of 94% and 76%, respectively (p = 0.03). CONCLUSIONS: A minimal graft diameter < 3.5 mm was the only factor that significantly correlated with the development of a graft-stenosis. However, veins with larger diameters may still develop stenotic lesions. Composite vein and arm-vein grafts should be used rather than uninterrupted small caliber saphenous veins.  (+info)

Frame dislocation of body middle rings in endovascular stent tube grafts. (4/1270)

OBJECTIVES: To understand the cause, and propose a mechanism for frame dislocation in endovascular grafts. MATERIALS AND METHODS: Five tube grafts were explanted due to secondary distal leakage 15-21 months after operation. One bifurcated graft was removed during emergency operation after aortic rupture caused by secondary leakage. A second bifurcated graft was harvested from a patient with thrombotic occlusion of one limb, who died after transurethral prostatic resection. The inside of the grafts were examined endoscopically. The stent was inspected after removal of the fabric, broken ligatures were counted and examined by scanning electron microscopy. The fabric strength was tested by probe puncture. RESULTS: We found 17-44% of the stent ligatures of the body middle rings to be loose. The knots were intact. Degradation of the polyester textile was not observed. CONCLUSIONS: Continuous movements in the grafted aorta and blood pressure impose permanent stress to the stent frame and the polyester fabric resulting in morphological changes in the body middle ring of grafts. The clinical implications of the suture breakages are unknown although they may be related to distal secondary leakage in tube grafts.  (+info)

Relationship of femorodistal bypass patency to clinical outcome. Iloprost Bypass International Study Group. (5/1270)

OBJECTIVE: To investigate the relationship between bypass patency, limb survival and clinical symptoms after femorodistal bypass procedures. DESIGN: Multicentre, prospectively planned 12-month postoperative follow-up. PATIENTS AND METHODS: Five hundred and seventeen patients undergoing femorodistal bypass surgery for severe ischaemia. Clinical symptoms, bypass patency were recorded at regular intervals up to 12 months postoperatively. RESULTS: Complete follow-up data was obtained on 498 patients (96%). Fifty-six (17%) of the 341 patients with patent bypasses had either rest pain or ulcers or had undergone major amputation at 12 months. Of the 167 patients with an occluded bypass, 22 patients (13%) had improved clinical symptoms and a total of 59 patients (35%) had avoided major amputation at 12 months. The clinical outcome for patients classified preoperatively as Fontaine stage IV was significantly worse than for those in stage III preoperatively despite similar bypass patency rates. CONCLUSIONS: There is a fair correlation between technical and clinical outcome after femorodistal bypass surgery at 12 months, but there are significant numbers of patients with occluded bypasses who have a good clinical outcome and of patients with patent bypasses who have a poor clinical outcome. The reporting of symptoms in addition to bypass patency would aid the interpretation of surgical results.  (+info)

Lipoprotein(a) and coronary thrombosis and restenosis after stent placement. (6/1270)

OBJECTIVES: The objective of this prospective study was to evaluate the relation between high lipoprotein(a) levels and thrombotic and restenotic events after coronary stent implantation. BACKGROUND: Lipoprotein(a) may promote atherogenesis, coronary thrombosis and restenosis after balloon angioplasty, but the clinical significance remains unclear. METHODS: The study included 2,223 consecutive patients with successful coronary stent placement. According to the serum level of lipoprotein(a), patients were divided in two groups: 457 patients of the highest quintile formed the high lipoprotein(a) group, and 1,766 patients of the lower four quintiles formed the low lipoprotein(a) group. Primary end points were the incidence of angiographic restenosis at six months and the event-free survival at one year. Secondary end point was the incidence of angiographic stent occlusion. RESULTS: Early stent occlusion occurred in four of the 457 patients (0.9%) with high and 37 of the 1,766 patients (2.1%) with low lipoprotein(a) levels, odds ratio of 0.41 (95% confidence interval, 0.15 to 1.16). Angiographic restenosis occurred in 173 of the 523 lesions (33.2%) in the high lipoprotein(a) group and 636 of the 1,943 lesions (32.7%) in the low lipoprotein(a) group, odds ratio of 1.02 (0.83 to 1.25). The probability of event-free survival was 73.0% in the high lipoprotein(a) group and 74.8% in the low lipoprotein(a) group (p = 0.45). On the basis of the findings in the low lipoprotein(a) group, the power of this study to detect a 25% increase in the incidence of restenosis and adverse events in the group with elevated lipoprotein(a) was 90% and 75%, respectively. CONCLUSIONS: Elevated lipoprotein(a) levels did not influence the one-year clinical and angiographic outcome after stent placement. Thrombotic events and measures of restenosis were not adversely affected by the presence of high lipoprotein(a) levels.  (+info)

Prospective study of health related quality of life before and after coronary artery bypass grafting: outcome at five years. (7/1270)

OBJECTIVE: To determine the long term health related quality of life of coronary artery bypass graft patients, to look at changes between one and five years after surgery, and to examine the ability of preoperative variables to predict longer term outcome. DESIGN: Nottingham health profile (NHP) was used to assess patients at five years compared to results obtained at one year. PATIENTS: 100 male patients aged < 60 years at time of surgery; 77 had three vessel disease and 84 received three or more saphenous vein grafts. RESULTS: In comparing the five year results with those at one year, lower mean scores, indicating slight improvements, were seen in the NHP dimensions of pain, sleep, social isolation, and emotional reactions, whereas signs of deterioration were noted in the physical mobility and energy scores. Chest pain was experienced by 34 of 84 patients at five years compared with 17 of 89 patients at one year. The proportion of patients who were unrestricted in their activities ranged from 61-70% at five years compared with 82-88% at one year. Absence of dyspnoea before surgery, indicating relatively good left ventricular function, was a predictor of good outcome at both one and five years. CONCLUSIONS: Evidence of deterioration in physical function is compatible with expected decline in graft patency; specific rather than generic measures were most sensitive to this change.  (+info)

Coronary artery stenting in unstable angina pectoris: a comparison with stable angina pectoris. (8/1270)

OBJECTIVE: To compare early complication rates in unselected cases of coronary artery stenting in patients with stable v unstable angina. SETTING: Tertiary referral centre. PATIENTS: 390 patients with stable angina pectoris (SAP) and 306 with unstable angina (UAP). Patients treated for acute myocardial infarction (primary angioplasty) or cardiogenic shock were excluded. INTERVENTIONS: 268 coronary stents were attempted in 211 patients (30.3%). Stents used included AVE (63%), Freedom (14%), NIR (7%), Palmaz-Schatz (5%), JO (5%), and Multilink (4%). Intravascular ultrasound was not used in any of the cases. All stented patients were treated with ticlopidine and aspirin together with periprocedural unfractionated heparin. RESULTS: 123 stents were successfully deployed in 99 SAP patients v 132 stents in 103 UAP patients. Failed deployment occurred with nine stents in SAP patients, v four in UAP patients (NS). Stent thrombosis occurred in four SAP patients and 11 UAP patients. Multivariate analysis showed no relation between stent thrombosis and clinical presentation (SAP v UAP), age, sex, target vessel, stent length, or make of stent. Stent thrombosis was associated with small vessel size (p < 0.001) and bailout stenting (p = 0.01) compared with elective stenting and stenting for suboptimal PTCA, with strong trends toward smaller stent diameter (p = 0.052) and number of stents deployed (p = 0.06). Most stent thromboses occurred in vessels < 3 mm diameter. CONCLUSIONS: Coronary artery stenting in unstable angina is safe in vessels >/= 3 mm diameter, with comparable initial success and stent thrombosis rates to stenting in stable angina.  (+info)

Graft occlusion in the context of vascular surgery refers to the complete or partial blockage of a blood vessel that has been surgically replaced or repaired with a graft. The graft can be made from either synthetic materials or autologous tissue (taken from another part of the patient's body).

Graft occlusion can occur due to various reasons, including:

1. Thrombosis: Formation of a blood clot within the graft, which can obstruct blood flow.
2. Intimal hyperplasia: Overgrowth of the inner lining (intima) of the graft or the adjacent native vessel, causing narrowing of the lumen and reducing blood flow.
3. Atherosclerosis: Deposition of cholesterol and other substances in the walls of the graft, leading to hardening and narrowing of the vessel.
4. Infection: Bacterial or fungal infection of the graft can cause inflammation, weakening, and ultimately occlusion of the graft.
5. Mechanical factors: Kinking, twisting, or compression of the graft can lead to obstruction of blood flow.

Graft occlusion is a significant complication following vascular surgery, as it can result in reduced perfusion to downstream tissues and organs, leading to ischemia (lack of oxygen supply) and potential tissue damage or loss.

Vascular patency is a term used in medicine to describe the state of a blood vessel (such as an artery or vein) being open, unobstructed, and allowing for the normal flow of blood. It is an important concept in the treatment and management of various cardiovascular conditions, such as peripheral artery disease, coronary artery disease, and deep vein thrombosis.

Maintaining vascular patency can help prevent serious complications like tissue damage, organ dysfunction, or even death. This may involve medical interventions such as administering blood-thinning medications to prevent clots, performing procedures to remove blockages, or using devices like stents to keep vessels open. Regular monitoring of vascular patency is also crucial for evaluating the effectiveness of treatments and adjusting care plans accordingly.

The saphenous vein is a term used in anatomical description to refer to the great or small saphenous veins, which are superficial veins located in the lower extremities of the human body.

The great saphenous vein (GSV) is the longest vein in the body and originates from the medial aspect of the foot, ascending along the medial side of the leg and thigh, and drains into the femoral vein at the saphenofemoral junction, located in the upper third of the thigh.

The small saphenous vein (SSV) is a shorter vein that originates from the lateral aspect of the foot, ascends along the posterior calf, and drains into the popliteal vein at the saphenopopliteal junction, located in the popliteal fossa.

These veins are often used as conduits for coronary artery bypass grafting (CABG) surgery due to their consistent anatomy and length.

Polytetrafluoroethylene (PTFE) is not inherently a medical term, but it is a chemical compound with significant uses in the medical field. Medically, PTFE is often referred to by its brand name, Teflon. It is a synthetic fluoropolymer used in various medical applications due to its unique properties such as high resistance to heat, electrical and chemical interaction, and exceptional non-reactivity with body tissues.

PTFE can be found in medical devices like catheters, where it reduces friction, making insertion easier and minimizing trauma. It is also used in orthopedic and dental implants, drug delivery systems, and sutures due to its biocompatibility and non-adhesive nature.

Arterial occlusive diseases are medical conditions characterized by the blockage or narrowing of the arteries, which can lead to a reduction in blood flow to various parts of the body. This reduction in blood flow can cause tissue damage and may result in serious complications such as tissue death (gangrene), organ dysfunction, or even death.

The most common cause of arterial occlusive diseases is atherosclerosis, which is the buildup of plaque made up of fat, cholesterol, calcium, and other substances in the inner lining of the artery walls. Over time, this plaque can harden and narrow the arteries, restricting blood flow. Other causes of arterial occlusive diseases include blood clots, emboli (tiny particles that travel through the bloodstream and lodge in smaller vessels), inflammation, trauma, and certain inherited conditions.

Symptoms of arterial occlusive diseases depend on the location and severity of the blockage. Common symptoms include:

* Pain, cramping, or fatigue in the affected limb, often triggered by exercise and relieved by rest (claudication)
* Numbness, tingling, or weakness in the affected limb
* Coldness or discoloration of the skin in the affected area
* Slow-healing sores or wounds on the toes, feet, or legs
* Erectile dysfunction in men

Treatment for arterial occlusive diseases may include lifestyle changes such as quitting smoking, exercising regularly, and eating a healthy diet. Medications to lower cholesterol, control blood pressure, prevent blood clots, or manage pain may also be prescribed. In severe cases, surgical procedures such as angioplasty, stenting, or bypass surgery may be necessary to restore blood flow.

A blood vessel prosthesis is a medical device that is used as a substitute for a damaged or diseased natural blood vessel. It is typically made of synthetic materials such as polyester, Dacron, or ePTFE (expanded polytetrafluoroethylene) and is designed to mimic the function of a native blood vessel by allowing the flow of blood through it.

Blood vessel prostheses are used in various surgical procedures, including coronary artery bypass grafting, peripheral arterial reconstruction, and the creation of arteriovenous fistulas for dialysis access. The choice of material and size of the prosthesis depends on several factors, such as the location and diameter of the vessel being replaced, the patient's age and overall health status, and the surgeon's preference.

It is important to note that while blood vessel prostheses can be effective in restoring blood flow, they may also carry risks such as infection, thrombosis (blood clot formation), and graft failure over time. Therefore, careful patient selection, surgical technique, and postoperative management are crucial for the success of these procedures.

Graft survival, in medical terms, refers to the success of a transplanted tissue or organ in continuing to function and integrate with the recipient's body over time. It is the opposite of graft rejection, which occurs when the recipient's immune system recognizes the transplanted tissue as foreign and attacks it, leading to its failure.

Graft survival depends on various factors, including the compatibility between the donor and recipient, the type and location of the graft, the use of immunosuppressive drugs to prevent rejection, and the overall health of the recipient. A successful graft survival implies that the transplanted tissue or organ has been accepted by the recipient's body and is functioning properly, providing the necessary physiological support for the recipient's survival and improved quality of life.

Veins are blood vessels that carry deoxygenated blood from the tissues back to the heart. They have a lower pressure than arteries and contain valves to prevent the backflow of blood. Veins have a thin, flexible wall with a larger lumen compared to arteries, allowing them to accommodate more blood volume. The color of veins is often blue or green due to the absorption characteristics of light and the reduced oxygen content in the blood they carry.

Amputation is defined as the surgical removal of all or part of a limb or extremity such as an arm, leg, foot, hand, toe, or finger. This procedure is typically performed to remove damaged or dead tissue due to various reasons like severe injury, infection, tumors, or chronic conditions that impair circulation, such as diabetes or peripheral arterial disease. The goal of amputation is to alleviate pain, prevent further complications, and improve the patient's quality of life. Following the surgery, patients may require rehabilitation and prosthetic devices to help them adapt to their new physical condition.

Ischemia is the medical term used to describe a lack of blood flow to a part of the body, often due to blocked or narrowed blood vessels. This can lead to a shortage of oxygen and nutrients in the tissues, which can cause them to become damaged or die. Ischemia can affect many different parts of the body, including the heart, brain, legs, and intestines. Symptoms of ischemia depend on the location and severity of the blockage, but they may include pain, cramping, numbness, weakness, or coldness in the affected area. In severe cases, ischemia can lead to tissue death (gangrene) or organ failure. Treatment for ischemia typically involves addressing the underlying cause of the blocked blood flow, such as through medication, surgery, or lifestyle changes.

The popliteal artery is the continuation of the femoral artery that passes through the popliteal fossa, which is the area behind the knee. It is the major blood vessel that supplies oxygenated blood to the lower leg and foot. The popliteal artery divides into the anterior tibial artery and the tibioperoneal trunk at the lower border of the popliteus muscle. Any damage or blockage to this artery can result in serious health complications, including reduced blood flow to the leg and foot, which may lead to pain, cramping, numbness, or even tissue death (gangrene) if left untreated.

Vascular grafting is a surgical procedure where a vascular graft, which can be either a natural or synthetic tube, is used to replace or bypass a damaged or diseased portion of a blood vessel. The goal of this procedure is to restore normal blood flow to the affected area, thereby preventing tissue damage or necrosis due to insufficient oxygen and nutrient supply.

The vascular graft can be sourced from various locations in the body, such as the saphenous vein in the leg, or it can be made of synthetic materials like polytetrafluoroethylene (PTFE) or Dacron. The choice of graft depends on several factors, including the size and location of the damaged vessel, the patient's overall health, and the surgeon's preference.

Vascular grafting is commonly performed to treat conditions such as atherosclerosis, peripheral artery disease, aneurysms, and vasculitis. This procedure carries risks such as bleeding, infection, graft failure, and potential complications related to anesthesia. However, with proper postoperative care and follow-up, vascular grafting can significantly improve the patient's quality of life and overall prognosis.

Blood vessel prosthesis implantation is a surgical procedure in which an artificial blood vessel, also known as a vascular graft or prosthetic graft, is inserted into the body to replace a damaged or diseased native blood vessel. The prosthetic graft can be made from various materials such as Dacron (polyester), PTFE (polytetrafluoroethylene), or bovine/human tissue.

The implantation of a blood vessel prosthesis is typically performed to treat conditions that cause narrowing or blockage of the blood vessels, such as atherosclerosis, aneurysms, or traumatic injuries. The procedure may be used to bypass blocked arteries in the legs (peripheral artery disease), heart (coronary artery bypass surgery), or neck (carotid endarterectomy). It can also be used to replace damaged veins for hemodialysis access in patients with kidney failure.

The success of blood vessel prosthesis implantation depends on various factors, including the patient's overall health, the location and extent of the vascular disease, and the type of graft material used. Possible complications include infection, bleeding, graft thrombosis (clotting), and graft failure, which may require further surgical intervention or endovascular treatments.

The femoral artery is the major blood vessel that supplies oxygenated blood to the lower extremity of the human body. It is a continuation of the external iliac artery and becomes the popliteal artery as it passes through the adductor hiatus in the adductor magnus muscle of the thigh.

The femoral artery is located in the femoral triangle, which is bound by the sartorius muscle anteriorly, the adductor longus muscle medially, and the biceps femoris muscle posteriorly. It can be easily palpated in the groin region, making it a common site for taking blood samples, measuring blood pressure, and performing surgical procedures such as femoral artery catheterization and bypass grafting.

The femoral artery gives off several branches that supply blood to the lower limb, including the deep femoral artery, the superficial femoral artery, and the profunda femoris artery. These branches provide blood to the muscles, bones, skin, and other tissues of the leg, ankle, and foot.

Vascular surgical procedures are operations that are performed to treat conditions and diseases related to the vascular system, which includes the arteries, veins, and capillaries. These procedures can be invasive or minimally invasive and are often used to treat conditions such as peripheral artery disease, carotid artery stenosis, aortic aneurysms, and venous insufficiency.

Some examples of vascular surgical procedures include:

* Endarterectomy: a procedure to remove plaque buildup from the inside of an artery
* Bypass surgery: creating a new path for blood to flow around a blocked or narrowed artery
* Angioplasty and stenting: using a balloon to open a narrowed artery and placing a stent to keep it open
* Aneurysm repair: surgically repairing an aneurysm, a weakened area in the wall of an artery that has bulged out and filled with blood
* Embolectomy: removing a blood clot from a blood vessel
* Thrombectomy: removing a blood clot from a vein

These procedures are typically performed by vascular surgeons, who are trained in the diagnosis and treatment of vascular diseases.

In medical terms, the leg refers to the lower portion of the human body that extends from the knee down to the foot. It includes the thigh (femur), lower leg (tibia and fibula), foot, and ankle. The leg is primarily responsible for supporting the body's weight and enabling movements such as standing, walking, running, and jumping.

The leg contains several important structures, including bones, muscles, tendons, ligaments, blood vessels, nerves, and joints. These structures work together to provide stability, support, and mobility to the lower extremity. Common medical conditions that can affect the leg include fractures, sprains, strains, infections, peripheral artery disease, and neurological disorders.

The popliteal vein is the continuation of the tibial and fibular (or anterior and posterior tibial) veins, forming in the lower leg's back portion or popliteal fossa. It carries blood from the leg towards the heart. The popliteal vein is located deep within the body and is accompanied by the popliteal artery, which supplies oxygenated blood to the lower leg. This venous structure is a crucial part of the venous system in the lower extremities and is often assessed during physical examinations for signs of venous insufficiency or deep vein thrombosis (DVT).

Coronary artery bypass surgery, also known as coronary artery bypass grafting (CABG), is a surgical procedure used to improve blood flow to the heart in patients with severe coronary artery disease. This condition occurs when the coronary arteries, which supply oxygen-rich blood to the heart muscle, become narrowed or blocked due to the buildup of fatty deposits, called plaques.

During CABG surgery, a healthy blood vessel from another part of the body is grafted, or attached, to the coronary artery, creating a new pathway for oxygen-rich blood to flow around the blocked or narrowed portion of the artery and reach the heart muscle. This bypass helps to restore normal blood flow and reduce the risk of angina (chest pain), shortness of breath, and other symptoms associated with coronary artery disease.

There are different types of CABG surgery, including traditional on-pump CABG, off-pump CABG, and minimally invasive CABG. The choice of procedure depends on various factors, such as the patient's overall health, the number and location of blocked arteries, and the presence of other medical conditions.

It is important to note that while CABG surgery can significantly improve symptoms and quality of life in patients with severe coronary artery disease, it does not cure the underlying condition. Lifestyle modifications, such as regular exercise, a healthy diet, smoking cessation, and medication therapy, are essential for long-term management and prevention of further progression of the disease.

I'm sorry for any confusion, but "Polyethylene Terephthalates" is not a medical term. It is a type of polymer used in the manufacturing of various products, such as plastic bottles and textile fibers. Medically, you might encounter the abbreviation "PET" or "PET scan," which stands for "Positron Emission Tomography." A PET scan is a type of medical imaging that provides detailed pictures of the body's interior. If you have any medical terms you would like defined, I'd be happy to help!

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

The tibial arteries are three major arteries that supply blood to the lower leg and foot. They are branches of the popliteal artery, which is a continuation of the femoral artery. The three tibial arteries are:

1. Anterior tibial artery: This artery runs down the front of the leg and supplies blood to the muscles in the anterior compartment of the leg, as well as to the foot. It becomes the dorsalis pedis artery as it approaches the ankle.
2. Posterior tibial artery: This artery runs down the back of the leg and supplies blood to the muscles in the posterior compartment of the leg. It then branches into the fibular (peroneal) artery and the medial and lateral plantar arteries, which supply blood to the foot.
3. Fibular (peroneal) artery: This artery runs down the outside of the leg and supplies blood to the muscles in the lateral compartment of the leg. It also provides branches that anastomose with the anterior and posterior tibial arteries, forming a network of vessels that helps ensure adequate blood flow to the foot.

Together, these arteries play a critical role in providing oxygenated blood and nutrients to the lower leg and foot, helping to maintain their health and function.

A reoperation is a surgical procedure that is performed again on a patient who has already undergone a previous operation for the same or related condition. Reoperations may be required due to various reasons, such as inadequate initial treatment, disease recurrence, infection, or complications from the first surgery. The nature and complexity of a reoperation can vary widely depending on the specific circumstances, but it often carries higher risks and potential complications compared to the original operation.

Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:

1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.

Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.

The inguinal canal is a narrow passage in the lower abdominal wall. In males, it allows for the spermatic cord and blood vessels to travel from the abdomen to the scrotum. In females, it provides a pathway for the round ligament of the uterus to pass through. The inguinal canal is located in the groin region, and an inguinal hernia occurs when a portion of the intestine protrudes through this canal.

The femoral vein is the large vein that runs through the thigh and carries oxygen-depleted blood from the lower limbs back to the heart. It is located in the femoral triangle, along with the femoral artery and nerve. The femoral vein begins at the knee as the popliteal vein, which then joins with the deep vein of the thigh to form the femoral vein. As it moves up the leg, it is joined by several other veins, including the great saphenous vein, before it becomes the external iliac vein at the inguinal ligament in the groin.

The term "lower extremity" is used in the medical field to refer to the portion of the human body that includes the structures below the hip joint. This includes the thigh, lower leg, ankle, and foot. The lower extremities are responsible for weight-bearing and locomotion, allowing individuals to stand, walk, run, and jump. They contain many important structures such as bones, muscles, tendons, ligaments, nerves, and blood vessels.

Coronary occlusion is the medical term used to describe a complete blockage in one or more of the coronary arteries, which supply oxygenated blood to the heart muscle. This blockage is usually caused by the buildup of fatty deposits, called plaques, inside the artery walls, a condition known as atherosclerosis. Over time, these plaques can rupture, leading to the formation of blood clots that completely obstruct the flow of blood through the coronary artery.

Coronary occlusion can lead to serious complications, such as a heart attack (myocardial infarction), angina (chest pain), or even sudden cardiac death, depending on the severity and duration of the blockage. Immediate medical attention is required in case of coronary occlusion to restore blood flow to the affected areas of the heart and prevent further damage. Treatment options may include medications, minimally invasive procedures like angioplasty and stenting, or surgical interventions such as coronary artery bypass grafting (CABG).

Coronary-subclavian steal syndrome is a rare condition that occurs when there is narrowing or blockage in the subclavian artery, which supplies blood to the arm. This reduced blood flow can cause the vertebral artery, which branches off from the subclavian artery and supplies blood to the brain, to reverse its flow and "steal" blood from the vertebral artery on the opposite side of the body in order to supply blood to the affected arm.

When this occurs, it can result in insufficient blood flow to the brain, which can cause symptoms such as dizziness, lightheadedness, syncope (fainting), and even transient ischemic attacks (TIAs) or strokes. The syndrome is more commonly seen in older individuals with atherosclerosis, hypertension, or diabetes, and in those who have undergone coronary artery bypass graft surgery using the internal mammary artery as the conduit.

Diagnosis of coronary-subclavian steal syndrome typically involves imaging studies such as duplex ultrasound, computed tomography angiography (CTA), or magnetic resonance angiography (MRA) to visualize the blood flow in the affected vessels. Treatment may involve surgical or endovascular procedures to restore normal blood flow to the arm and brain.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

Limb salvage is a medical term used to describe the surgical procedures and treatments aimed at preserving and restoring the functionality of a severely injured or diseased limb, rather than amputating it. The goal of limb salvage is to improve the patient's quality of life by maintaining their mobility, independence, and overall well-being.

Limb salvage may involve various surgical techniques such as vascular reconstruction, bone realignment, muscle flap coverage, and external fixation. These procedures aim to restore blood flow, stabilize bones, cover exposed tissues, and prevent infection. Additionally, adjuvant therapies like hyperbaric oxygen treatment, physical therapy, and pain management may be employed to support the healing process and improve functional outcomes.

Limb salvage is typically considered when a limb is threatened by conditions such as severe trauma, tumors, infections, or peripheral arterial disease. The decision to pursue limb salvage over amputation depends on factors like the patient's overall health, age, and personal preferences, as well as the extent of the injury or disease, potential for recovery, and likelihood of successful rehabilitation.

Balloon occlusion is a medical procedure that involves the use of a small, deflated balloon at the end of a catheter, which can be inserted into a blood vessel or other tubular structure in the body. Once the balloon is in position, it is inflated with a fluid or gas to create a blockage or obstruction in the vessel. This can be used for various medical purposes, such as:

1. Controlling bleeding: By inflating the balloon in a blood vessel, doctors can temporarily stop the flow of blood to a specific area, allowing them to treat injuries or abnormalities that are causing excessive bleeding.
2. Vessel narrowing or blockage assessment: Balloon occlusion can be used to assess the severity of narrowing or blockages in blood vessels. By inflating the balloon and measuring the pressure differences upstream and downstream, doctors can determine the extent of the obstruction and plan appropriate treatment.
3. Embolization therapy: In some cases, balloon occlusion is used to deliver embolic agents (such as coils, particles, or glue) that block off blood flow to specific areas. This can be useful in treating conditions like tumors, arteriovenous malformations, or aneurysms.
4. Temporary vessel occlusion during surgery: During certain surgical procedures, it may be necessary to temporarily stop the flow of blood to a specific area. Balloon occlusion can be used to achieve this quickly and safely.
5. Assisting in the placement of stents or other devices: Balloon occlusion can help position and deploy stents or other medical devices by providing temporary support or blocking off blood flow during the procedure.

It is important to note that balloon occlusion procedures carry potential risks, such as vessel injury, infection, or embolism (the blockage of a blood vessel by a clot or foreign material). These risks should be carefully weighed against the benefits when considering this type of treatment.

Retinal vein occlusion (RVO) is a medical condition that occurs when one of the retinal veins, which drains blood from the retina, becomes blocked by a blood clot or atherosclerotic plaque. This blockage can cause hemorrhages, fluid accumulation, and damage to the retinal tissue, leading to vision loss.

There are two types of RVO: branch retinal vein occlusion (BRVO) and central retinal vein occlusion (CRVO). BRVO affects a smaller branch retinal vein, while CRVO affects the main retinal vein. CRVO is generally associated with more severe vision loss than BRVO.

Risk factors for RVO include hypertension, diabetes, high cholesterol levels, smoking, and glaucoma. Age is also a significant risk factor, as RVO becomes more common with increasing age. Treatment options for RVO may include controlling underlying medical conditions, laser therapy, intravitreal injections of anti-VEGF agents or steroids, and surgery in some cases.

Thrombosis is the formation of a blood clot (thrombus) inside a blood vessel, obstructing the flow of blood through the circulatory system. When a clot forms in an artery, it can cut off the supply of oxygen and nutrients to the tissues served by that artery, leading to damage or tissue death. If a thrombus forms in the heart, it can cause a heart attack. If a thrombus breaks off and travels through the bloodstream, it can lodge in a smaller vessel, causing blockage and potentially leading to damage in the organ that the vessel supplies. This is known as an embolism.

Thrombosis can occur due to various factors such as injury to the blood vessel wall, abnormalities in blood flow, or changes in the composition of the blood. Certain medical conditions, medications, and lifestyle factors can increase the risk of thrombosis. Treatment typically involves anticoagulant or thrombolytic therapy to dissolve or prevent further growth of the clot, as well as addressing any underlying causes.

Follow-up studies are a type of longitudinal research that involve repeated observations or measurements of the same variables over a period of time, in order to understand their long-term effects or outcomes. In medical context, follow-up studies are often used to evaluate the safety and efficacy of medical treatments, interventions, or procedures.

In a typical follow-up study, a group of individuals (called a cohort) who have received a particular treatment or intervention are identified and then followed over time through periodic assessments or data collection. The data collected may include information on clinical outcomes, adverse events, changes in symptoms or functional status, and other relevant measures.

The results of follow-up studies can provide important insights into the long-term benefits and risks of medical interventions, as well as help to identify factors that may influence treatment effectiveness or patient outcomes. However, it is important to note that follow-up studies can be subject to various biases and limitations, such as loss to follow-up, recall bias, and changes in clinical practice over time, which must be carefully considered when interpreting the results.

Retinal artery occlusion (RAO) is a medical condition characterized by the blockage or obstruction of the retinal artery, which supplies oxygenated blood to the retina. This blockage typically occurs due to embolism (a small clot or debris that travels to the retinal artery), thrombosis (blood clot formation in the artery), or vasculitis (inflammation of the blood vessels).

There are two types of retinal artery occlusions:

1. Central Retinal Artery Occlusion (CRAO): This type occurs when the main retinal artery is obstructed, affecting the entire inner layer of the retina. It can lead to severe and sudden vision loss in the affected eye.
2. Branch Retinal Artery Occlusion (BRAO): This type affects a branch of the retinal artery, causing visual field loss in the corresponding area. Although it is less severe than CRAO, it can still result in noticeable vision impairment.

Immediate medical attention is crucial for both types of RAO to improve the chances of recovery and minimize potential damage to the eye and vision. Treatment options may include medications, laser therapy, or surgery, depending on the underlying cause and the severity of the condition.

Peripheral Vascular Diseases (PVD) refer to a group of medical conditions that affect the blood vessels outside of the heart and brain. These diseases are characterized by a narrowing or blockage of the peripheral arteries, which can lead to reduced blood flow to the limbs, particularly the legs.

The primary cause of PVD is atherosclerosis, a buildup of fats, cholesterol, and other substances in and on the walls of the arteries, forming plaques that restrict blood flow. Other risk factors include smoking, diabetes, hypertension, high cholesterol levels, and a family history of vascular disease.

Symptoms of PVD can vary depending on the severity of the condition but may include leg pain or cramping during exercise (claudication), numbness or tingling in the legs, coldness or discoloration of the feet, sores or wounds that heal slowly or not at all, and in severe cases, gangrene.

PVD can increase the risk of heart attack and stroke, so it is essential to diagnose and treat the condition as early as possible. Treatment options include lifestyle changes such as quitting smoking, exercising regularly, and maintaining a healthy diet, medications to control symptoms and reduce the risk of complications, and surgical procedures such as angioplasty or bypass surgery to restore blood flow.

Intermittent claudication is a medical condition characterized by pain or cramping in the legs, usually in the calf muscles, that occurs during exercise or walking and is relieved by rest. This symptom is caused by insufficient blood flow to the working muscles due to peripheral artery disease (PAD), a narrowing or blockage of the arteries in the limbs. As the individual walks, the muscle demands for oxygen and nutrients increase, but the restricted blood supply cannot meet these demands, leading to ischemia (lack of oxygen) and pain. The pain typically subsides after a few minutes of rest, as the muscle's demand for oxygen decreases, allowing the limited blood flow to compensate. Regular exercise and medications may help improve symptoms and reduce the risk of complications associated with PAD.

Ultrasonography, Doppler, and Duplex are diagnostic medical techniques that use sound waves to create images of internal body structures and assess their function. Here are the definitions for each:

1. Ultrasonography: Also known as ultrasound, this is a non-invasive imaging technique that uses high-frequency sound waves to produce images of internal organs and tissues. A small handheld device called a transducer is placed on the skin surface, which emits and receives sound waves. The returning echoes are then processed to create real-time visual images of the internal structures.
2. Doppler: This is a type of ultrasound that measures the velocity and direction of blood flow in the body by analyzing the frequency shift of the reflected sound waves. It can be used to assess blood flow in various parts of the body, such as the heart, arteries, and veins.
3. Duplex: Duplex ultrasonography is a combination of both gray-scale ultrasound and Doppler ultrasound. It provides detailed images of internal structures, as well as information about blood flow velocity and direction. This technique is often used to evaluate conditions such as deep vein thrombosis, carotid artery stenosis, and peripheral arterial disease.

In summary, ultrasonography is a diagnostic imaging technique that uses sound waves to create images of internal structures, Doppler is a type of ultrasound that measures blood flow velocity and direction, and duplex is a combination of both techniques that provides detailed images and information about blood flow.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

A stent is a small mesh tube that's used to treat narrow or weak arteries. Arteries are blood vessels that carry blood away from your heart to other parts of your body. A stent is placed in an artery as part of a procedure called angioplasty. Angioplasty restores blood flow through narrowed or blocked arteries by inflating a tiny balloon inside the blocked artery to widen it.

The stent is then inserted into the widened artery to keep it open. The stent is usually made of metal, but some are coated with medication that is slowly and continuously released to help prevent the formation of scar tissue in the artery. This can reduce the chance of the artery narrowing again.

Stents are also used in other parts of the body, such as the neck (carotid artery) and kidneys (renal artery), to help maintain blood flow and prevent blockages. They can also be used in the urinary system to treat conditions like ureteropelvic junction obstruction or narrowing of the urethra.

Aspirin is the common name for acetylsalicylic acid, which is a medication used to relieve pain, reduce inflammation, and lower fever. It works by inhibiting the activity of an enzyme called cyclooxygenase (COX), which is involved in the production of prostaglandins, hormone-like substances that cause inflammation and pain. Aspirin also has an antiplatelet effect, which means it can help prevent blood clots from forming. This makes it useful for preventing heart attacks and strokes.

Aspirin is available over-the-counter in various forms, including tablets, capsules, and chewable tablets. It is also available in prescription strengths for certain medical conditions. As with any medication, aspirin should be taken as directed by a healthcare provider, and its use should be avoided in children and teenagers with viral infections due to the risk of Reye's syndrome, a rare but serious condition that can affect the liver and brain.

I'm sorry for any confusion, but "Maryland" is a proper noun and does not have a medical definition. It is a state located in the Mid-Atlantic region of the United States. However, if you are referring to a specific medical term or concept that includes "Maryland," could you please provide more context? I'll do my best to help with accurate information based on the provided context.

Dental occlusion refers to the alignment and contact between the upper and lower teeth when the jaws are closed. It is the relationship between the maxillary (upper) and mandibular (lower) teeth when they approach each other, as occurs during chewing or biting.

A proper dental occlusion, also known as a balanced occlusion, ensures that the teeth and jaw joints function harmoniously, reducing the risk of tooth wear, damage, and temporomandibular disorders (TMD). Malocclusion, on the other hand, refers to improper alignment or contact between the upper and lower teeth, which may require orthodontic treatment or dental restorations to correct.

Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.

Coronary angiography is a medical procedure that uses X-ray imaging to visualize the coronary arteries, which supply blood to the heart muscle. During the procedure, a thin, flexible catheter is inserted into an artery in the arm or groin and threaded through the blood vessels to the heart. A contrast dye is then injected through the catheter, and X-ray images are taken as the dye flows through the coronary arteries. These images can help doctors diagnose and treat various heart conditions, such as blockages or narrowing of the arteries, that can lead to chest pain or heart attacks. It is also known as coronary arteriography or cardiac catheterization.

X-ray computed tomography (CT or CAT scan) is a medical imaging method that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional (tomographic) images (virtual "slices") of the body. These cross-sectional images can then be used to display detailed internal views of organs, bones, and soft tissues in the body.

The term "computed tomography" is used instead of "CT scan" or "CAT scan" because the machines take a series of X-ray measurements from different angles around the body and then use a computer to process these data to create detailed images of internal structures within the body.

CT scanning is a noninvasive, painless medical test that helps physicians diagnose and treat medical conditions. CT imaging provides detailed information about many types of tissue including lung, bone, soft tissue and blood vessels. CT examinations can be performed on every part of the body for a variety of reasons including diagnosis, surgical planning, and monitoring of therapeutic responses.

In computed tomography (CT), an X-ray source and detector rotate around the patient, measuring the X-ray attenuation at many different angles. A computer uses this data to construct a cross-sectional image by the process of reconstruction. This technique is called "tomography". The term "computed" refers to the use of a computer to reconstruct the images.

CT has become an important tool in medical imaging and diagnosis, allowing radiologists and other physicians to view detailed internal images of the body. It can help identify many different medical conditions including cancer, heart disease, lung nodules, liver tumors, and internal injuries from trauma. CT is also commonly used for guiding biopsies and other minimally invasive procedures.

In summary, X-ray computed tomography (CT or CAT scan) is a medical imaging technique that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional images of the body. It provides detailed internal views of organs, bones, and soft tissues in the body, allowing physicians to diagnose and treat medical conditions.

Fibrinolytic agents are medications that dissolve or break down blood clots by activating plasminogen, which is converted into plasmin. Plasmin is a proteolytic enzyme that degrades fibrin, the structural protein in blood clots. Fibrinolytic agents are used medically to treat conditions such as acute ischemic stroke, deep vein thrombosis, pulmonary embolism, and myocardial infarction (heart attack) by restoring blood flow in occluded vessels. Examples of fibrinolytic agents include alteplase, reteplase, and tenecteplase. It is important to note that these medications carry a risk of bleeding complications and should be administered with caution.

The International Normalized Ratio (INR) is a standardized measurement of the prothrombin time (PT), which is the time it takes for blood to clot. The INR is used to monitor and regulate the effects of anticoagulant medications, such as warfarin, that affect the blood's ability to clot.

The INR is calculated by dividing the patient's PT by a control value (the PT of normal, healthy blood), raised to the power of a sensitivity factor called the International Sensitivity Index (ISI). The ISI is specific to the thromboplastin reagent used in the PT assay.

The INR provides a consistent and comparable way to monitor anticoagulation therapy across different laboratories, regardless of the thromboplastin reagent used. This helps ensure that patients receive appropriate doses of anticoagulant medications and reduces the risk of bleeding or clotting complications.

In general, an INR range of 2.0 to 3.0 is recommended for most people taking anticoagulants for conditions such as atrial fibrillation, deep vein thrombosis, or pulmonary embolism. However, the target INR range may vary depending on individual patient factors and medical indications.

I'm not aware of any medical definition for the term "Boston." It is a city in the state of Massachusetts, USA, and is widely known for its cultural institutions, such as Boston Symphony Orchestra, Boston Ballet, and The Museum of Fine Arts. Additionally, it is home to many renowned medical institutions, including Massachusetts General Hospital, Brigham and Women's Hospital, and Dana-Farber Cancer Institute. However, "Boston" does not have a specific meaning or definition in the medical field.

Arteries are blood vessels that carry oxygenated blood away from the heart to the rest of the body. They have thick, muscular walls that can withstand the high pressure of blood being pumped out of the heart. Arteries branch off into smaller vessels called arterioles, which further divide into a vast network of tiny capillaries where the exchange of oxygen, nutrients, and waste occurs between the blood and the body's cells. After passing through the capillary network, deoxygenated blood collects in venules, then merges into veins, which return the blood back to the heart.

Middle Cerebral Artery (MCA) infarction is a type of ischemic stroke that occurs when there is an obstruction in the blood supply to the middle cerebral artery, which is one of the major blood vessels that supplies oxygenated blood to the brain. The MCA supplies blood to a large portion of the brain, including the motor and sensory cortex, parts of the temporal and parietal lobes, and the basal ganglia.

An infarction is the death of tissue due to the lack of blood supply, which can lead to damage or loss of function in the affected areas of the brain. Symptoms of MCA infarction may include weakness or numbness on one side of the body, difficulty speaking or understanding speech, vision problems, and altered levels of consciousness.

MCA infarctions can be caused by various factors, including embolism (a blood clot that travels to the brain from another part of the body), thrombosis (a blood clot that forms in the MCA itself), or stenosis (narrowing of the artery due to atherosclerosis or other conditions). Treatment for MCA infarction may include medications to dissolve blood clots, surgery to remove the obstruction, or rehabilitation to help regain lost function.

Medical Definition:

"Risk factors" are any attribute, characteristic or exposure of an individual that increases the likelihood of developing a disease or injury. They can be divided into modifiable and non-modifiable risk factors. Modifiable risk factors are those that can be changed through lifestyle choices or medical treatment, while non-modifiable risk factors are inherent traits such as age, gender, or genetic predisposition. Examples of modifiable risk factors include smoking, alcohol consumption, physical inactivity, and unhealthy diet, while non-modifiable risk factors include age, sex, and family history. It is important to note that having a risk factor does not guarantee that a person will develop the disease, but rather indicates an increased susceptibility.

I'm not aware of any medical definition for the term "Texas." It is primarily used as the name of a state in the United States, located in the southern region. If you're referring to a specific medical term or concept that I might not be aware of, please provide more context or clarify your question.

If you meant to ask for an explanation of a medical condition named 'Texas', it is likely a typo or a misunderstanding, as there is no widely recognized medical condition associated with the name 'Texas'.

Brain ischemia is the medical term used to describe a reduction or interruption of blood flow to the brain, leading to a lack of oxygen and glucose delivery to brain tissue. This can result in brain damage or death of brain cells, known as infarction. Brain ischemia can be caused by various conditions such as thrombosis (blood clot formation), embolism (obstruction of a blood vessel by a foreign material), or hypoperfusion (reduced blood flow). The severity and duration of the ischemia determine the extent of brain damage. Symptoms can range from mild, such as transient ischemic attacks (TIAs or "mini-strokes"), to severe, including paralysis, speech difficulties, loss of consciousness, and even death. Immediate medical attention is required for proper diagnosis and treatment to prevent further damage and potential long-term complications.

Anticoagulants are a class of medications that work to prevent the formation of blood clots in the body. They do this by inhibiting the coagulation cascade, which is a series of chemical reactions that lead to the formation of a clot. Anticoagulants can be given orally, intravenously, or subcutaneously, depending on the specific drug and the individual patient's needs.

There are several different types of anticoagulants, including:

1. Heparin: This is a naturally occurring anticoagulant that is often used in hospitalized patients who require immediate anticoagulation. It works by activating an enzyme called antithrombin III, which inhibits the formation of clots.
2. Low molecular weight heparin (LMWH): LMWH is a form of heparin that has been broken down into smaller molecules. It has a longer half-life than standard heparin and can be given once or twice daily by subcutaneous injection.
3. Direct oral anticoagulants (DOACs): These are newer oral anticoagulants that work by directly inhibiting specific clotting factors in the coagulation cascade. Examples include apixaban, rivaroxaban, and dabigatran.
4. Vitamin K antagonists: These are older oral anticoagulants that work by inhibiting the action of vitamin K, which is necessary for the formation of clotting factors. Warfarin is an example of a vitamin K antagonist.

Anticoagulants are used to prevent and treat a variety of conditions, including deep vein thrombosis (DVT), pulmonary embolism (PE), atrial fibrillation, and prosthetic heart valve thrombosis. It is important to note that anticoagulants can increase the risk of bleeding, so they must be used with caution and regular monitoring of blood clotting times may be required.

Collateral circulation refers to the alternate blood supply routes that bypass an obstructed or narrowed vessel and reconnect with the main vascular system. These collateral vessels can develop over time as a result of the body's natural adaptation to chronic ischemia (reduced blood flow) caused by various conditions such as atherosclerosis, thromboembolism, or vasculitis.

The development of collateral circulation helps maintain adequate blood flow and oxygenation to affected tissues, minimizing the risk of tissue damage and necrosis. In some cases, well-developed collateral circulations can help compensate for significant blockages in major vessels, reducing symptoms and potentially preventing the need for invasive interventions like revascularization procedures. However, the extent and effectiveness of collateral circulation vary from person to person and depend on factors such as age, overall health status, and the presence of comorbidities.

Risk assessment in the medical context refers to the process of identifying, evaluating, and prioritizing risks to patients, healthcare workers, or the community related to healthcare delivery. It involves determining the likelihood and potential impact of adverse events or hazards, such as infectious diseases, medication errors, or medical devices failures, and implementing measures to mitigate or manage those risks. The goal of risk assessment is to promote safe and high-quality care by identifying areas for improvement and taking action to minimize harm.

Mesenteric vascular occlusion refers to the blockage or obstruction of the blood vessels that supply the intestines, specifically the mesenteric arteries and veins. This condition can result in insufficient blood flow to the intestines, leading to ischemia (inadequate oxygen supply) and potential necrosis (tissue death).

There are two primary types of mesenteric vascular occlusion:

1. Mesenteric arterial occlusion: This occurs when the mesenteric artery, which carries oxygenated blood from the heart to the intestines, becomes blocked. The most common causes include atherosclerosis (plaque buildup in the arteries), embolism (a clot or particle that travels from another part of the body and lodges in the artery), and thrombosis (a blood clot forming directly in the artery).
2. Mesenteric venous occlusion: This happens when the mesenteric vein, which returns deoxygenated blood from the intestines to the heart, becomes obstructed. The most common causes include thrombophlebitis (inflammation and clot formation in the vein), tumors, or abdominal trauma.

Symptoms of mesenteric vascular occlusion may include severe abdominal pain, nausea, vomiting, diarrhea, and bloody stools. Rapid diagnosis and treatment are crucial to prevent intestinal tissue damage and potential life-threatening complications such as sepsis or shock. Treatment options typically involve surgical intervention, anticoagulation therapy, or endovascular procedures to restore blood flow.

In medical terms, constriction refers to the narrowing or tightening of a body part or passageway. This can occur due to various reasons such as spasms of muscles, inflammation, or abnormal growths. It can lead to symptoms like difficulty in breathing, swallowing, or blood flow, depending on where it occurs. For example, constriction of the airways in asthma, constriction of blood vessels in hypertension, or constriction of the esophagus in certain digestive disorders.

Kidney transplantation is a surgical procedure where a healthy kidney from a deceased or living donor is implanted into a patient with end-stage renal disease (ESRD) or permanent kidney failure. The new kidney takes over the functions of filtering waste and excess fluids from the blood, producing urine, and maintaining the body's electrolyte balance.

The transplanted kidney is typically placed in the lower abdomen, with its blood vessels connected to the recipient's iliac artery and vein. The ureter of the new kidney is then attached to the recipient's bladder to ensure proper urine flow. Following the surgery, the patient will require lifelong immunosuppressive therapy to prevent rejection of the transplanted organ by their immune system.

The internal carotid artery is a major blood vessel that supplies oxygenated blood to the brain. It originates from the common carotid artery and passes through the neck, entering the skull via the carotid canal in the temporal bone. Once inside the skull, it branches into several smaller vessels that supply different parts of the brain with blood.

The internal carotid artery is divided into several segments: cervical, petrous, cavernous, clinoid, and supraclinoid. Each segment has distinct clinical significance in terms of potential injury or disease. The most common conditions affecting the internal carotid artery include atherosclerosis, which can lead to stroke or transient ischemic attack (TIA), and dissection, which can cause severe headache, neck pain, and neurological symptoms.

It's important to note that any blockage or damage to the internal carotid artery can have serious consequences, as it can significantly reduce blood flow to the brain and lead to permanent neurological damage or even death. Therefore, regular check-ups and screening tests are recommended for individuals at high risk of developing vascular diseases.

Dental occlusion, centric refers to the alignment and contact of the opposing teeth when the jaw is closed in a neutral position, specifically with the mandible (lower jaw) positioned in maximum intercuspation. This means that all teeth are in full contact with their corresponding teeth in the opposite jaw, and the condyles of the mandible are seated in the most posterior portion of the glenoid fossae (the sockets in the skull where the mandible articulates). Centric occlusion is an important concept in dentistry as it serves as a reference point for establishing proper bite relationships during restorative dental treatment.

Therapeutic occlusion is a dental term that refers to the deliberate and controlled closure of the teeth using various appliances or devices, with the aim of treating or preventing dental or oral conditions. This technique is often used in orthodontics (the branch of dentistry concerned with the correction of teeth and jaw alignment) to influence the growth and development of the jaws, correct bite relationships, or move teeth into more favorable positions.

The appliances used for therapeutic occlusion can be removable or fixed, and they work by altering the way the upper and lower teeth come together when biting or chewing. The duration and frequency of therapeutic occlusions are carefully planned and monitored by dental professionals to ensure optimal treatment outcomes and minimize potential side effects.

Examples of appliances used for therapeutic occlusion include:

1. Bite plates or splints: These are removable devices made of acrylic material that cover some or all of the teeth in one arch, creating a artificial bite relationship when worn. They can be used to relieve pressure on specific teeth, muscles, or joints, or to guide the jaw into a more favorable position.
2. Twin blocks: These are removable appliances made of acrylic material that have two pieces, one for the upper arch and one for the lower arch. They are designed to interlock in a specific way when the jaws close together, encouraging the lower jaw to move forward and correcting an overbite or deep bite.
3. Herbst appliance: This is a fixed appliance that connects the upper and lower molars using telescopic rods or tubes. The appliance limits the movement of the lower jaw, helping to correct an overbite by encouraging the lower jaw to grow forward.
4. Headgear: This is an external appliance worn around the head and connected to a dental device in the mouth. It applies gentle pressure to guide the growth and development of the jaws, typically used to correct an excessive overjet or overbite.

It's important to note that therapeutic occlusion should only be performed under the supervision of a qualified dental professional, as improper use can lead to unwanted side effects or further dental issues.

Pathological constriction refers to an abnormal narrowing or tightening of a body passage or organ, which can interfere with the normal flow of blood, air, or other substances through the area. This constriction can occur due to various reasons such as inflammation, scarring, or abnormal growths, and can affect different parts of the body, including blood vessels, airways, intestines, and ureters. Pathological constriction can lead to a range of symptoms and complications depending on its location and severity, and may require medical intervention to correct.

Cerebral angiography is a medical procedure that involves taking X-ray images of the blood vessels in the brain after injecting a contrast dye into them. This procedure helps doctors to diagnose and treat various conditions affecting the blood vessels in the brain, such as aneurysms, arteriovenous malformations, and stenosis (narrowing of the blood vessels).

During the procedure, a catheter is inserted into an artery in the leg and threaded through the body to the blood vessels in the neck or brain. The contrast dye is then injected through the catheter, and X-ray images are taken to visualize the blood flow through the brain's blood vessels.

Cerebral angiography provides detailed images of the blood vessels in the brain, allowing doctors to identify any abnormalities or blockages that may be causing symptoms or increasing the risk of stroke. Based on the results of the cerebral angiography, doctors can develop a treatment plan to address these issues and prevent further complications.

I believe there might be a misunderstanding in your question. "Dogs" is not a medical term or condition. It is the common name for a domesticated carnivore of the family Canidae, specifically the genus Canis, which includes wolves, foxes, and other extant and extinct species of mammals. Dogs are often kept as pets and companions, and they have been bred in a wide variety of forms and sizes for different purposes, such as hunting, herding, guarding, assisting police and military forces, and providing companionship and emotional support.

If you meant to ask about a specific medical condition or term related to dogs, please provide more context so I can give you an accurate answer.

Cerebral infarction, also known as a "stroke" or "brain attack," is the sudden death of brain cells caused by the interruption of their blood supply. It is most commonly caused by a blockage in one of the blood vessels supplying the brain (an ischemic stroke), but can also result from a hemorrhage in or around the brain (a hemorrhagic stroke).

Ischemic strokes occur when a blood clot or other particle blocks a cerebral artery, cutting off blood flow to a part of the brain. The lack of oxygen and nutrients causes nearby brain cells to die. Hemorrhagic strokes occur when a weakened blood vessel ruptures, causing bleeding within or around the brain. This bleeding can put pressure on surrounding brain tissues, leading to cell death.

Symptoms of cerebral infarction depend on the location and extent of the affected brain tissue but may include sudden weakness or numbness in the face, arm, or leg; difficulty speaking or understanding speech; vision problems; loss of balance or coordination; and severe headache with no known cause. Immediate medical attention is crucial for proper diagnosis and treatment to minimize potential long-term damage or disability.

Therapeutic embolization is a medical procedure that involves intentionally blocking or obstructing blood vessels to stop excessive bleeding or block the flow of blood to a tumor or abnormal tissue. This is typically accomplished by injecting small particles, such as microspheres or coils, into the targeted blood vessel through a catheter, which is inserted into a larger blood vessel and guided to the desired location using imaging techniques like X-ray or CT scanning. The goal of therapeutic embolization is to reduce the size of a tumor, control bleeding, or block off abnormal blood vessels that are causing problems.

Cerebral arteries refer to the blood vessels that supply oxygenated blood to the brain. These arteries branch off from the internal carotid arteries and the vertebral arteries, which combine to form the basilar artery. The major cerebral arteries include:

1. Anterior cerebral artery (ACA): This artery supplies blood to the frontal lobes of the brain, including the motor and sensory cortices responsible for movement and sensation in the lower limbs.
2. Middle cerebral artery (MCA): The MCA is the largest of the cerebral arteries and supplies blood to the lateral surface of the brain, including the temporal, parietal, and frontal lobes. It is responsible for providing blood to areas involved in motor function, sensory perception, speech, memory, and vision.
3. Posterior cerebral artery (PCA): The PCA supplies blood to the occipital lobe, which is responsible for visual processing, as well as parts of the temporal and parietal lobes.
4. Anterior communicating artery (ACoA) and posterior communicating arteries (PComAs): These are small arteries that connect the major cerebral arteries, forming an important circulatory network called the Circle of Willis. The ACoA connects the two ACAs, while the PComAs connect the ICA with the PCA and the basilar artery.

These cerebral arteries play a crucial role in maintaining proper brain function by delivering oxygenated blood to various regions of the brain. Any damage or obstruction to these arteries can lead to serious neurological conditions, such as strokes or transient ischemic attacks (TIAs).

Angiography is a medical procedure in which an x-ray image is taken to visualize the internal structure of blood vessels, arteries, or veins. This is done by injecting a radiopaque contrast agent (dye) into the blood vessel using a thin, flexible catheter. The dye makes the blood vessels visible on an x-ray image, allowing doctors to diagnose and treat various medical conditions such as blockages, narrowing, or malformations of the blood vessels.

There are several types of angiography, including:

* Cardiac angiography (also called coronary angiography) - used to examine the blood vessels of the heart
* Cerebral angiography - used to examine the blood vessels of the brain
* Peripheral angiography - used to examine the blood vessels in the limbs or other parts of the body.

Angiography is typically performed by a radiologist, cardiologist, or vascular surgeon in a hospital setting. It can help diagnose conditions such as coronary artery disease, aneurysms, and peripheral arterial disease, among others.

Primary graft dysfunction (PGD) is a severe complication that can occur after an organ transplant, such as a lung or heart transplant. It refers to the early functional impairment of the grafted organ that is not due to surgical complications, rejection, or recurrence of the original disease.

In the case of lung transplants, PGD is defined as the evidence of poor oxygenation and stiffness in the lungs within the first 72 hours after the transplant. It is typically caused by inflammation, injury to the blood vessels, or other damage to the lung tissue during the transplant procedure or due to pre-existing conditions in the donor organ.

PGD can lead to serious complications, including respiratory failure, and is associated with increased morbidity and mortality after transplantation. Treatment may include supportive care, such as mechanical ventilation and medications to support lung function, as well as strategies to reduce inflammation and prevent further damage to the grafted organ.

Cerebral arterial diseases refer to conditions that affect the blood vessels supplying the brain. These diseases can result in reduced blood flow, blockages, or bleeding in the brain. The most common cerebral arterial diseases include:

1. Atherosclerosis: A buildup of plaque made up of fat, cholesterol, and other substances in the inner lining of an artery, which can lead to narrowing or blockage of the artery.
2. Embolism: A blood clot or other particle that forms elsewhere in the body and travels to the brain, where it blocks a cerebral artery.
3. Thrombosis: The formation of a blood clot within a cerebral artery.
4. Aneurysm: A weakened area in the wall of an artery that bulges out and can rupture, causing bleeding in the brain.
5. Arteriovenous malformation (AVM): An abnormal tangle of blood vessels in the brain that can cause bleeding or reduced blood flow to surrounding tissue.
6. Vasculitis: Inflammation of the blood vessels in the brain, which can lead to narrowing, blockage, or weakening of the vessel walls.

These conditions can lead to serious complications such as stroke, transient ischemic attack (TIA), or vascular dementia. Treatment options include medications, surgery, and lifestyle changes to manage risk factors.

Cerebrovascular circulation refers to the network of blood vessels that supply oxygenated blood and nutrients to the brain tissue, and remove waste products. It includes the internal carotid arteries, vertebral arteries, circle of Willis, and the intracranial arteries that branch off from them.

The internal carotid arteries and vertebral arteries merge to form the circle of Willis, a polygonal network of vessels located at the base of the brain. The anterior cerebral artery, middle cerebral artery, posterior cerebral artery, and communicating arteries are the major vessels that branch off from the circle of Willis and supply blood to different regions of the brain.

Interruptions or abnormalities in the cerebrovascular circulation can lead to various neurological conditions such as stroke, transient ischemic attack (TIA), and vascular dementia.

Surgical anastomosis is a medical procedure that involves the connection of two tubular structures, such as blood vessels or intestines, to create a continuous passage. This technique is commonly used in various types of surgeries, including vascular, gastrointestinal, and orthopedic procedures.

During a surgical anastomosis, the ends of the two tubular structures are carefully prepared by removing any damaged or diseased tissue. The ends are then aligned and joined together using sutures, staples, or other devices. The connection must be secure and leak-free to ensure proper function and healing.

The success of a surgical anastomosis depends on several factors, including the patient's overall health, the location and condition of the structures being joined, and the skill and experience of the surgeon. Complications such as infection, bleeding, or leakage can occur, which may require additional medical intervention or surgery.

Proper postoperative care is also essential to ensure the success of a surgical anastomosis. This may include monitoring for signs of complications, administering medications to prevent infection and promote healing, and providing adequate nutrition and hydration.

The iliac arteries are major branches of the abdominal aorta, the large artery that carries oxygen-rich blood from the heart to the rest of the body. The iliac arteries divide into two branches, the common iliac arteries, which further bifurcate into the internal and external iliac arteries.

The internal iliac artery supplies blood to the lower abdomen, pelvis, and the reproductive organs, while the external iliac artery provides blood to the lower extremities, including the legs and feet. Together, the iliac arteries play a crucial role in circulating blood throughout the body, ensuring that all tissues and organs receive the oxygen and nutrients they need to function properly.

Animal disease models are specialized animals, typically rodents such as mice or rats, that have been genetically engineered or exposed to certain conditions to develop symptoms and physiological changes similar to those seen in human diseases. These models are used in medical research to study the pathophysiology of diseases, identify potential therapeutic targets, test drug efficacy and safety, and understand disease mechanisms.

The genetic modifications can include knockout or knock-in mutations, transgenic expression of specific genes, or RNA interference techniques. The animals may also be exposed to environmental factors such as chemicals, radiation, or infectious agents to induce the disease state.

Examples of animal disease models include:

1. Mouse models of cancer: Genetically engineered mice that develop various types of tumors, allowing researchers to study cancer initiation, progression, and metastasis.
2. Alzheimer's disease models: Transgenic mice expressing mutant human genes associated with Alzheimer's disease, which exhibit amyloid plaque formation and cognitive decline.
3. Diabetes models: Obese and diabetic mouse strains like the NOD (non-obese diabetic) or db/db mice, used to study the development of type 1 and type 2 diabetes, respectively.
4. Cardiovascular disease models: Atherosclerosis-prone mice, such as ApoE-deficient or LDLR-deficient mice, that develop plaque buildup in their arteries when fed a high-fat diet.
5. Inflammatory bowel disease models: Mice with genetic mutations affecting intestinal barrier function and immune response, such as IL-10 knockout or SAMP1/YitFc mice, which develop colitis.

Animal disease models are essential tools in preclinical research, but it is important to recognize their limitations. Differences between species can affect the translatability of results from animal studies to human patients. Therefore, researchers must carefully consider the choice of model and interpret findings cautiously when applying them to human diseases.

Reperfusion, in medical terms, refers to the restoration of blood flow to tissues or organs that have been deprived of adequate oxygen supply, usually as a result of ischemia (lack of blood flow). This process is often initiated through therapeutic interventions such as thrombolysis (breaking up blood clots), angioplasty (opening narrowed or blocked blood vessels using a balloon or stent), or surgical procedures.

Reperfusion aims to salvage the affected tissues and prevent further damage; however, it can also lead to reperfusion injury. This injury occurs when the return of oxygen-rich blood to previously ischemic tissues results in the overproduction of free radicals and inflammatory mediators, which can cause additional cellular damage and organ dysfunction.

Managing reperfusion injury involves using various strategies such as antioxidants, anti-inflammatory agents, and other protective treatments to minimize its negative impact on the recovering tissues or organs.

Liver transplantation is a surgical procedure in which a diseased or failing liver is replaced with a healthy one from a deceased donor or, less commonly, a portion of a liver from a living donor. The goal of the procedure is to restore normal liver function and improve the patient's overall health and quality of life.

Liver transplantation may be recommended for individuals with end-stage liver disease, acute liver failure, certain genetic liver disorders, or liver cancers that cannot be treated effectively with other therapies. The procedure involves complex surgery to remove the diseased liver and implant the new one, followed by a period of recovery and close medical monitoring to ensure proper function and minimize the risk of complications.

The success of liver transplantation has improved significantly in recent years due to advances in surgical techniques, immunosuppressive medications, and post-transplant care. However, it remains a major operation with significant risks and challenges, including the need for lifelong immunosuppression to prevent rejection of the new liver, as well as potential complications such as infection, bleeding, and organ failure.

A Transient Ischemic Attack (TIA), also known as a "mini-stroke," is a temporary period of symptoms similar to those you'd get if you were having a stroke. A TIA doesn't cause permanent damage and is often caused by a temporary decrease in blood supply to part of your brain, which may last as little as five minutes.

Like an ischemic stroke, a TIA occurs when a clot or debris blocks blood flow to part of your nervous system. However, unlike a stroke, a TIA doesn't leave lasting damage because the blockage is temporary.

Symptoms of a TIA can include sudden onset of weakness, numbness or paralysis in your face, arm or leg, typically on one side of your body. You could also experience slurred or garbled speech, or difficulty understanding others. Other symptoms can include blindness in one or both eyes, dizziness, or a severe headache with no known cause.

Even though TIAs usually last only a few minutes, they are a serious condition and should not be ignored. If you suspect you or someone else is experiencing a TIA, seek immediate medical attention. TIAs can be a warning sign that a full-blown stroke is imminent.

An arteriovenous shunt is a surgically created connection between an artery and a vein. This procedure is typically performed to reroute blood flow or to provide vascular access for various medical treatments. In a surgical setting, the creation of an arteriovenous shunt involves connecting an artery directly to a vein, bypassing the capillary network in between.

There are different types of arteriovenous shunts used for specific medical purposes:

1. Arteriovenous Fistula (AVF): This is a surgical connection created between an artery and a vein, usually in the arm or leg. The procedure involves dissecting both the artery and vein, then suturing them directly together. Over time, the increased blood flow to the vein causes it to dilate and thicken, making it suitable for repeated needle punctures during hemodialysis treatments for patients with kidney failure.
2. Arteriovenous Graft (AVG): An arteriovenous graft is a synthetic tube used to connect an artery and a vein when a direct AVF cannot be created due to insufficient vessel size or poor quality. The graft can be made of various materials, such as polytetrafluoroethylene (PTFE) or Dacron. Grafts are more prone to infection and clotting compared to native AVFs but remain an essential option for patients requiring hemodialysis access.
3. Central Venous Catheter (CVC): A central venous catheter is a flexible tube inserted into a large vein, often in the neck or groin, and advanced towards the heart. CVCs can be used as temporary arteriovenous shunts for patients who require immediate hemodialysis access but do not have time to wait for an AVF or AVG to mature. However, they are associated with higher risks of infection and thrombosis compared to native AVFs and AVGs.

In summary, a surgical arteriovenous shunt is a connection between an artery and a vein established through a medical procedure. The primary purpose of these shunts is to provide vascular access for hemodialysis in patients with end-stage renal disease or to serve as temporary access when native AVFs or AVGs are not feasible.

A transplant is a medical procedure where an organ or tissue is removed from one person (the donor) and placed into another person (the recipient) for the purpose of replacing the recipient's damaged or failing organ or tissue with a healthy functioning one. The transplanted organ or tissue can come from a deceased donor, a living donor who is genetically related to the recipient, or a living donor who is not genetically related to the recipient.

Transplantation is an important medical intervention for many patients with end-stage organ failure or severe tissue damage, and it can significantly improve their quality of life and longevity. However, transplantation is a complex and risky procedure that requires careful matching of donor and recipient, rigorous evaluation and preparation of the recipient, and close monitoring and management of the transplanted organ or tissue to prevent rejection and other complications.

Prosthesis design is a specialized field in medical device technology that involves creating and developing artificial substitutes to replace a missing body part, such as a limb, tooth, eye, or internal organ. The design process typically includes several stages: assessment of the patient's needs, selection of appropriate materials, creation of a prototype, testing and refinement, and final fabrication and fitting of the prosthesis.

The goal of prosthesis design is to create a device that functions as closely as possible to the natural body part it replaces, while also being comfortable, durable, and aesthetically pleasing for the patient. The design process may involve collaboration between medical professionals, engineers, and designers, and may take into account factors such as the patient's age, lifestyle, occupation, and overall health.

Prosthesis design can be highly complex, particularly for advanced devices such as robotic limbs or implantable organs. These devices often require sophisticated sensors, actuators, and control systems to mimic the natural functions of the body part they replace. As a result, prosthesis design is an active area of research and development in the medical field, with ongoing efforts to improve the functionality, comfort, and affordability of these devices for patients.

The jugular veins are a pair of large, superficial veins that carry blood from the head and neck to the heart. They are located in the neck and are easily visible when looking at the side of a person's neck. The external jugular vein runs along the surface of the muscles in the neck, while the internal jugular vein runs within the carotid sheath along with the carotid artery and the vagus nerve.

The jugular veins are important in clinical examinations because they can provide information about a person's cardiovascular function and intracranial pressure. For example, distention of the jugular veins may indicate heart failure or increased intracranial pressure, while decreased venous pulsations may suggest a low blood pressure or shock.

It is important to note that medical conditions such as deep vein thrombosis (DVT) can also affect the jugular veins and can lead to serious complications if not treated promptly.

Regional blood flow (RBF) refers to the rate at which blood flows through a specific region or organ in the body, typically expressed in milliliters per minute per 100 grams of tissue (ml/min/100g). It is an essential physiological parameter that reflects the delivery of oxygen and nutrients to tissues while removing waste products. RBF can be affected by various factors such as metabolic demands, neural regulation, hormonal influences, and changes in blood pressure or vascular resistance. Measuring RBF is crucial for understanding organ function, diagnosing diseases, and evaluating the effectiveness of treatments.

Carotid artery diseases refer to conditions that affect the carotid arteries, which are the major blood vessels that supply oxygen-rich blood to the head and neck. The most common type of carotid artery disease is atherosclerosis, which occurs when fatty deposits called plaques build up in the inner lining of the arteries.

These plaques can cause the arteries to narrow or become blocked, reducing blood flow to the brain and increasing the risk of stroke. Other carotid artery diseases include carotid artery dissection, which occurs when there is a tear in the inner lining of the artery, and fibromuscular dysplasia, which is a condition that affects the muscle and tissue in the walls of the artery.

Symptoms of carotid artery disease may include neck pain or pulsations, transient ischemic attacks (TIAs) or "mini-strokes," and strokes. Treatment options for carotid artery disease depend on the severity and type of the condition but may include lifestyle changes, medications, endarterectomy (a surgical procedure to remove plaque from the artery), or angioplasty and stenting (procedures to open blocked arteries using a balloon and stent).

Carotid artery thrombosis is a medical condition characterized by the formation of a blood clot (thrombus) inside the carotid artery, which is one of the major blood vessels that supplies oxygenated blood to the head and neck. This condition can lead to serious complications such as a stroke or transient ischemic attack (TIA), also known as a "mini-stroke," if the clot dislodges and travels to the brain, blocking the flow of blood and oxygen.

Carotid artery thrombosis can result from various factors, including atherosclerosis (the buildup of fats, cholesterol, and other substances in the artery walls), hypertension (high blood pressure), diabetes, smoking, and genetic predisposition. Symptoms may include neck pain or stiffness, weakness or numbness in the face or limbs, difficulty speaking or understanding speech, vision problems, and sudden severe headaches. Diagnosis typically involves imaging tests such as ultrasound, CT angiography, or MRI angiography. Treatment options may include anticoagulant or antiplatelet medications, endovascular procedures to remove the clot, or surgery to clean out the artery (carotid endarterectomy).

Coronary circulation refers to the circulation of blood in the coronary vessels, which supply oxygenated blood to the heart muscle (myocardium) and drain deoxygenated blood from it. The coronary circulation system includes two main coronary arteries - the left main coronary artery and the right coronary artery - that branch off from the aorta just above the aortic valve. These arteries further divide into smaller branches, which supply blood to different regions of the heart muscle.

The left main coronary artery divides into two branches: the left anterior descending (LAD) artery and the left circumflex (LCx) artery. The LAD supplies blood to the front and sides of the heart, while the LCx supplies blood to the back and sides of the heart. The right coronary artery supplies blood to the lower part of the heart, including the right ventricle and the bottom portion of the left ventricle.

The veins that drain the heart muscle include the great cardiac vein, the middle cardiac vein, and the small cardiac vein, which merge to form the coronary sinus. The coronary sinus empties into the right atrium, allowing deoxygenated blood to enter the right side of the heart and be pumped to the lungs for oxygenation.

Coronary circulation is essential for maintaining the health and function of the heart muscle, as it provides the necessary oxygen and nutrients required for proper contraction and relaxation of the myocardium. Any disruption or blockage in the coronary circulation system can lead to serious consequences, such as angina, heart attack, or even death.

Reperfusion injury is a complex pathophysiological process that occurs when blood flow is restored to previously ischemic tissues, leading to further tissue damage. This phenomenon can occur in various clinical settings such as myocardial infarction (heart attack), stroke, or peripheral artery disease after an intervention aimed at restoring perfusion.

The restoration of blood flow leads to the generation of reactive oxygen species (ROS) and inflammatory mediators, which can cause oxidative stress, cellular damage, and activation of the immune system. This results in a cascade of events that may lead to microvascular dysfunction, capillary leakage, and tissue edema, further exacerbating the injury.

Reperfusion injury is an important consideration in the management of ischemic events, as interventions aimed at restoring blood flow must be carefully balanced with potential harm from reperfusion injury. Strategies to mitigate reperfusion injury include ischemic preconditioning (exposing the tissue to short periods of ischemia before a prolonged ischemic event), ischemic postconditioning (applying brief periods of ischemia and reperfusion after restoring blood flow), remote ischemic preconditioning (ischemia applied to a distant organ or tissue to protect the target organ), and pharmacological interventions that scavenge ROS, reduce inflammation, or improve microvascular function.

Hemodynamics is the study of how blood flows through the cardiovascular system, including the heart and the vascular network. It examines various factors that affect blood flow, such as blood volume, viscosity, vessel length and diameter, and pressure differences between different parts of the circulatory system. Hemodynamics also considers the impact of various physiological and pathological conditions on these variables, and how they in turn influence the function of vital organs and systems in the body. It is a critical area of study in fields such as cardiology, anesthesiology, and critical care medicine.

Coronary vessels refer to the network of blood vessels that supply oxygenated blood and nutrients to the heart muscle, also known as the myocardium. The two main coronary arteries are the left main coronary artery and the right coronary artery.

The left main coronary artery branches off into the left anterior descending artery (LAD) and the left circumflex artery (LCx). The LAD supplies blood to the front of the heart, while the LCx supplies blood to the side and back of the heart.

The right coronary artery supplies blood to the right lower part of the heart, including the right atrium and ventricle, as well as the back of the heart.

Coronary vessel disease (CVD) occurs when these vessels become narrowed or blocked due to the buildup of plaque, leading to reduced blood flow to the heart muscle. This can result in chest pain, shortness of breath, or a heart attack.

Blood flow velocity is the speed at which blood travels through a specific part of the vascular system. It is typically measured in units of distance per time, such as centimeters per second (cm/s) or meters per second (m/s). Blood flow velocity can be affected by various factors, including cardiac output, vessel diameter, and viscosity of the blood. Measuring blood flow velocity is important in diagnosing and monitoring various medical conditions, such as heart disease, stroke, and peripheral vascular disease.

Dental occlusion, balanced, refers to the ideal alignment and contact between the upper and lower teeth when the jaw is closed. In a balanced occlusion, the forces of bite are distributed evenly across all of the teeth, minimizing the risk of damage or excessive wear. This is often the goal of dental restorations and orthodontic treatment.

The abdominal aorta is the portion of the aorta, which is the largest artery in the body, that runs through the abdomen. It originates from the thoracic aorta at the level of the diaphragm and descends through the abdomen, where it branches off into several smaller arteries that supply blood to the pelvis, legs, and various abdominal organs. The abdominal aorta is typically divided into four segments: the suprarenal, infrarenal, visceral, and parietal portions. Disorders of the abdominal aorta can include aneurysms, atherosclerosis, and dissections, which can have serious consequences if left untreated.

Coronary artery disease, often simply referred to as coronary disease, is a condition in which the blood vessels that supply oxygen-rich blood to the heart become narrowed or blocked due to the buildup of fatty deposits called plaques. This can lead to chest pain (angina), shortness of breath, or in severe cases, a heart attack.

The medical definition of coronary artery disease is:

A condition characterized by the accumulation of atheromatous plaques in the walls of the coronary arteries, leading to decreased blood flow and oxygen supply to the myocardium (heart muscle). This can result in symptoms such as angina pectoris, shortness of breath, or arrhythmias, and may ultimately lead to myocardial infarction (heart attack) or heart failure.

Risk factors for coronary artery disease include age, smoking, high blood pressure, high cholesterol, diabetes, obesity, physical inactivity, and a family history of the condition. Lifestyle changes such as quitting smoking, exercising regularly, eating a healthy diet, and managing stress can help reduce the risk of developing coronary artery disease. Medical treatments may include medications to control blood pressure, cholesterol levels, or irregular heart rhythms, as well as procedures such as angioplasty or bypass surgery to improve blood flow to the heart.

Graft-versus-host disease (GVHD) is a condition that can occur after an allogeneic hematopoietic stem cell transplantation (HSCT), where the donated immune cells (graft) recognize the recipient's tissues (host) as foreign and attack them. This results in inflammation and damage to various organs, particularly the skin, gastrointestinal tract, and liver.

Acute GVHD typically occurs within 100 days of transplantation and is characterized by symptoms such as rash, diarrhea, and liver dysfunction. Chronic GVHD, on the other hand, can occur after 100 days or even years post-transplant and may present with a wider range of symptoms, including dry eyes and mouth, skin changes, lung involvement, and issues with mobility and flexibility in joints.

GVHD is a significant complication following allogeneic HSCT and can have a substantial impact on the patient's quality of life and overall prognosis. Preventative measures, such as immunosuppressive therapy, are often taken to reduce the risk of GVHD, but its management remains a challenge in transplant medicine.

A thrombectomy is a medical procedure that involves the removal of a blood clot (thrombus) from a blood vessel. This is typically performed to restore blood flow in cases where the clot is causing significant blockage, which can lead to serious complications such as tissue damage or organ dysfunction.

During a thrombectomy, a surgeon makes an incision and accesses the affected blood vessel, often with the help of imaging guidance. Specialized tools are then used to extract the clot, after which the blood vessel is usually repaired. Thrombectomies can be performed on various blood vessels throughout the body, including those in the brain, heart, lungs, and limbs.

This procedure may be recommended for patients with deep vein thrombosis (DVT), pulmonary embolism (PE), or certain types of stroke, depending on the specific circumstances and the patient's overall health. It is generally considered when anticoagulation therapy or clot-dissolving medications are not sufficient or appropriate to treat the blood clot.

Myocardial infarction (MI), also known as a heart attack, is a medical condition characterized by the death of a segment of heart muscle (myocardium) due to the interruption of its blood supply. This interruption is most commonly caused by the blockage of a coronary artery by a blood clot formed on the top of an atherosclerotic plaque, which is a buildup of cholesterol and other substances in the inner lining of the artery.

The lack of oxygen and nutrients supply to the heart muscle tissue results in damage or death of the cardiac cells, causing the affected area to become necrotic. The extent and severity of the MI depend on the size of the affected area, the duration of the occlusion, and the presence of collateral circulation.

Symptoms of a myocardial infarction may include chest pain or discomfort, shortness of breath, nausea, lightheadedness, and sweating. Immediate medical attention is necessary to restore blood flow to the affected area and prevent further damage to the heart muscle. Treatment options for MI include medications, such as thrombolytics, antiplatelet agents, and pain relievers, as well as procedures such as percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG).

An intracranial aneurysm is a localized, blood-filled dilation or bulging in the wall of a cerebral artery within the skull (intracranial). These aneurysms typically occur at weak points in the arterial walls, often at branching points where the vessel divides into smaller branches. Over time, the repeated pressure from blood flow can cause the vessel wall to weaken and balloon out, forming a sac-like structure. Intracranial aneurysms can vary in size, ranging from a few millimeters to several centimeters in diameter.

There are three main types of intracranial aneurysms:

1. Saccular (berry) aneurysm: This is the most common type, characterized by a round or oval shape with a narrow neck and a bulging sac. They usually develop at branching points in the arteries due to congenital weaknesses in the vessel wall.
2. Fusiform aneurysm: These aneurysms have a dilated segment along the length of the artery, forming a cigar-shaped or spindle-like structure. They are often caused by atherosclerosis and can affect any part of the cerebral arteries.
3. Dissecting aneurysm: This type occurs when there is a tear in the inner lining (intima) of the artery, allowing blood to flow between the layers of the vessel wall. It can lead to narrowing or complete blockage of the affected artery and may cause subarachnoid hemorrhage if it ruptures.

Intracranial aneurysms can be asymptomatic and discovered incidentally during imaging studies for other conditions. However, when they grow larger or rupture, they can lead to severe complications such as subarachnoid hemorrhage, stroke, or even death. Treatment options include surgical clipping, endovascular coiling, or flow diversion techniques to prevent further growth and potential rupture of the aneurysm.

Angioplasty, balloon refers to a medical procedure used to widen narrowed or obstructed blood vessels, particularly the coronary arteries that supply blood to the heart muscle. This procedure is typically performed using a catheter-based technique, where a thin, flexible tube called a catheter is inserted into an artery, usually through the groin or wrist, and guided to the site of the narrowing or obstruction in the coronary artery.

Once the catheter reaches the affected area, a small balloon attached to the tip of the catheter is inflated, which compresses the plaque against the artery wall and stretches the artery, thereby restoring blood flow. The balloon is then deflated and removed, along with the catheter.

Balloon angioplasty is often combined with the placement of a stent, a small metal mesh tube that helps to keep the artery open and prevent it from narrowing again. This procedure is known as percutaneous coronary intervention (PCI) or coronary angioplasty and stenting.

Overall, balloon angioplasty is a relatively safe and effective treatment for coronary artery disease, although complications such as bleeding, infection, or re-narrowing of the artery can occur in some cases.

Cerebral revascularization is a surgical procedure aimed at restoring blood flow to the brain. This is often performed in cases where there is narrowing or blockage of the cerebral arteries, a condition known as cerebrovascular disease. The most common type of cerebral revascularization is called carotid endarterectomy, which involves removing plaque buildup from the carotid artery in the neck to improve blood flow to the brain. Another type is extracranial-intracranial bypass, where a new connection is created between an external carotid artery and an intracranial artery to bypass a blockage.

Carotid stenosis is a medical condition that refers to the narrowing or constriction of the lumen (inner space) of the carotid artery. The carotid arteries are major blood vessels that supply oxygenated blood to the head and neck. Carotid stenosis usually results from the buildup of plaque, made up of fat, cholesterol, calcium, and other substances, on the inner walls of the artery. This process is called atherosclerosis.

As the plaque accumulates, it causes the artery to narrow, reducing blood flow to the brain. Severe carotid stenosis can increase the risk of stroke, as a clot or debris from the plaque can break off and travel to the brain, blocking a smaller blood vessel and causing tissue damage or death.

Carotid stenosis is typically diagnosed through imaging tests such as ultrasound, CT angiography, or MRI angiography. Treatment options may include lifestyle modifications (such as quitting smoking, controlling blood pressure, and managing cholesterol levels), medications to reduce the risk of clots, or surgical procedures like endarterectomy or stenting to remove or bypass the blockage.

Vertebrobasilar insufficiency (VBI) is a medical condition characterized by inadequate blood flow to the vertebral and basilar arteries, which supply oxygenated blood to the brainstem and cerebellum. These arteries arise from the subclavian arteries and merge to form the basilar artery, which supplies critical structures in the posterior circulation of the brain.

VBI is often caused by atherosclerosis, or the buildup of plaque in the arterial walls, leading to narrowing (stenosis) or occlusion of these vessels. Other causes include embolism, arterial dissection, and vasculitis. The decreased blood flow can result in various neurological symptoms, such as dizziness, vertigo, imbalance, difficulty swallowing, slurred speech, visual disturbances, and even transient ischemic attacks (TIAs) or strokes.

Diagnosis of VBI typically involves a combination of clinical evaluation, imaging studies like MRA or CTA, and sometimes cerebral angiography to assess the extent and location of vascular narrowing or occlusion. Treatment options may include lifestyle modifications, medications to manage risk factors (such as hypertension, diabetes, or high cholesterol), antiplatelet therapy, or surgical interventions like endarterectomy or stenting in severe cases.

A stroke, also known as cerebrovascular accident (CVA), is a serious medical condition that occurs when the blood supply to part of the brain is interrupted or reduced, leading to deprivation of oxygen and nutrients to brain cells. This can result in the death of brain tissue and cause permanent damage or temporary impairment to cognitive functions, speech, memory, movement, and other body functions controlled by the affected area of the brain.

Strokes can be caused by either a blockage in an artery that supplies blood to the brain (ischemic stroke) or the rupture of a blood vessel in the brain (hemorrhagic stroke). A transient ischemic attack (TIA), also known as a "mini-stroke," is a temporary disruption of blood flow to the brain that lasts only a few minutes and does not cause permanent damage.

Symptoms of a stroke may include sudden weakness or numbness in the face, arm, or leg; difficulty speaking or understanding speech; vision problems; loss of balance or coordination; severe headache with no known cause; and confusion or disorientation. Immediate medical attention is crucial for stroke patients to receive appropriate treatment and prevent long-term complications.

Ligation, in the context of medical terminology, refers to the process of tying off a part of the body, usually blood vessels or tissue, with a surgical suture or another device. The goal is to stop the flow of fluids such as blood or other substances within the body. It is commonly used during surgeries to control bleeding or to block the passage of fluids, gases, or solids in various parts of the body.

Magnetic Resonance Angiography (MRA) is a non-invasive medical imaging technique that uses magnetic fields and radio waves to create detailed images of the blood vessels or arteries within the body. It is a type of Magnetic Resonance Imaging (MRI) that focuses specifically on the circulatory system.

MRA can be used to diagnose and evaluate various conditions related to the blood vessels, such as aneurysms, stenosis (narrowing of the vessel), or the presence of plaques or tumors. It can also be used to plan for surgeries or other treatments related to the vascular system. The procedure does not use radiation and is generally considered safe, although people with certain implants like pacemakers may not be able to have an MRA due to safety concerns.

A living donor is a person who voluntarily donates an organ or part of an organ to another person while they are still alive. This can include donations such as a kidney, liver lobe, lung, or portion of the pancreas or intestines. The donor and recipient typically undergo medical evaluation and compatibility testing to ensure the best possible outcome for the transplantation procedure. Living donation is regulated by laws and ethical guidelines to ensure that donors are fully informed and making a voluntary decision.

Dental occlusion, traumatic is a term used to describe an abnormal bite or contact between the upper and lower teeth that results in trauma or injury to the oral structures. This can occur when there is a discrepancy in the alignment of the teeth or jaws, such as an overbite, underbite, or crossbite, which causes excessive force or pressure on certain teeth or tissues.

Traumatic dental occlusion can result in various dental and oral health issues, including tooth wear, fractures, mobility of teeth, gum recession, and temporomandibular joint (TMJ) disorders. It is important to diagnose and treat traumatic dental occlusion early to prevent further damage and alleviate any discomfort or pain. Treatment options may include orthodontic treatment, adjustment of the bite, restoration of damaged teeth, or a combination of these approaches.

Digital subtraction angiography (DSA) is a medical imaging technique used to visualize the blood vessels and blood flow within the body. It combines the use of X-ray technology with digital image processing to produce detailed images of the vascular system.

In DSA, a contrast agent is injected into the patient's bloodstream through a catheter, which is typically inserted into an artery in the leg and guided to the area of interest using fluoroscopy. As the contrast agent flows through the blood vessels, X-ray images are taken at multiple time points.

The digital subtraction process involves taking a baseline image without contrast and then subtracting it from subsequent images taken with contrast. This allows for the removal of background structures and noise, resulting in clearer images of the blood vessels. DSA can be used to diagnose and evaluate various vascular conditions, such as aneurysms, stenosis, and tumors, and can also guide interventional procedures such as angioplasty and stenting.

An acute disease is a medical condition that has a rapid onset, develops quickly, and tends to be short in duration. Acute diseases can range from minor illnesses such as a common cold or flu, to more severe conditions such as pneumonia, meningitis, or a heart attack. These types of diseases often have clear symptoms that are easy to identify, and they may require immediate medical attention or treatment.

Acute diseases are typically caused by an external agent or factor, such as a bacterial or viral infection, a toxin, or an injury. They can also be the result of a sudden worsening of an existing chronic condition. In general, acute diseases are distinct from chronic diseases, which are long-term medical conditions that develop slowly over time and may require ongoing management and treatment.

Examples of acute diseases include:

* Acute bronchitis: a sudden inflammation of the airways in the lungs, often caused by a viral infection.
* Appendicitis: an inflammation of the appendix that can cause severe pain and requires surgical removal.
* Gastroenteritis: an inflammation of the stomach and intestines, often caused by a viral or bacterial infection.
* Migraine headaches: intense headaches that can last for hours or days, and are often accompanied by nausea, vomiting, and sensitivity to light and sound.
* Myocardial infarction (heart attack): a sudden blockage of blood flow to the heart muscle, often caused by a buildup of plaque in the coronary arteries.
* Pneumonia: an infection of the lungs that can cause coughing, chest pain, and difficulty breathing.
* Sinusitis: an inflammation of the sinuses, often caused by a viral or bacterial infection.

It's important to note that while some acute diseases may resolve on their own with rest and supportive care, others may require medical intervention or treatment to prevent complications and promote recovery. If you are experiencing symptoms of an acute disease, it is always best to seek medical attention to ensure proper diagnosis and treatment.

Recurrence, in a medical context, refers to the return of symptoms or signs of a disease after a period of improvement or remission. It indicates that the condition has not been fully eradicated and may require further treatment. Recurrence is often used to describe situations where a disease such as cancer comes back after initial treatment, but it can also apply to other medical conditions. The likelihood of recurrence varies depending on the type of disease and individual patient factors.

Autologous transplantation is a medical procedure where cells, tissues, or organs are removed from a person, stored and then returned back to the same individual at a later time. This is different from allogeneic transplantation where the tissue or organ is obtained from another donor. The term "autologous" is derived from the Greek words "auto" meaning self and "logos" meaning study.

In autologous transplantation, the patient's own cells or tissues are used to replace or repair damaged or diseased ones. This reduces the risk of rejection and eliminates the need for immunosuppressive drugs, which are required in allogeneic transplants to prevent the body from attacking the foreign tissue.

Examples of autologous transplantation include:

* Autologous bone marrow or stem cell transplantation, where stem cells are removed from the patient's blood or bone marrow, stored and then reinfused back into the same individual after high-dose chemotherapy or radiation therapy to treat cancer.
* Autologous skin grafting, where a piece of skin is taken from one part of the body and transplanted to another area on the same person.
* Autologous chondrocyte implantation, where cartilage cells are harvested from the patient's own knee, cultured in a laboratory and then implanted back into the knee to repair damaged cartilage.

Catheterization is a medical procedure in which a catheter (a flexible tube) is inserted into the body to treat various medical conditions or for diagnostic purposes. The specific definition can vary depending on the area of medicine and the particular procedure being discussed. Here are some common types of catheterization:

1. Urinary catheterization: This involves inserting a catheter through the urethra into the bladder to drain urine. It is often performed to manage urinary retention, monitor urine output in critically ill patients, or assist with surgical procedures.
2. Cardiac catheterization: A procedure where a catheter is inserted into a blood vessel, usually in the groin or arm, and guided to the heart. This allows for various diagnostic tests and treatments, such as measuring pressures within the heart chambers, assessing blood flow, or performing angioplasty and stenting of narrowed coronary arteries.
3. Central venous catheterization: A catheter is inserted into a large vein, typically in the neck, chest, or groin, to administer medications, fluids, or nutrition, or to monitor central venous pressure.
4. Peritoneal dialysis catheterization: A catheter is placed into the abdominal cavity for individuals undergoing peritoneal dialysis, a type of kidney replacement therapy.
5. Neurological catheterization: In some cases, a catheter may be inserted into the cerebrospinal fluid space (lumbar puncture) or the brain's ventricular system (ventriculostomy) to diagnose or treat various neurological conditions.

These are just a few examples of catheterization procedures in medicine. The specific definition and purpose will depend on the medical context and the particular organ or body system involved.

Immunosuppressive agents are medications that decrease the activity of the immune system. They are often used to prevent the rejection of transplanted organs and to treat autoimmune diseases, where the immune system mistakenly attacks the body's own tissues. These drugs work by interfering with the immune system's normal responses, which helps to reduce inflammation and damage to tissues. However, because they suppress the immune system, people who take immunosuppressive agents are at increased risk for infections and other complications. Examples of immunosuppressive agents include corticosteroids, azathioprine, cyclophosphamide, mycophenolate mofetil, tacrolimus, and sirolimus.

The brain is the central organ of the nervous system, responsible for receiving and processing sensory information, regulating vital functions, and controlling behavior, movement, and cognition. It is divided into several distinct regions, each with specific functions:

1. Cerebrum: The largest part of the brain, responsible for higher cognitive functions such as thinking, learning, memory, language, and perception. It is divided into two hemispheres, each controlling the opposite side of the body.
2. Cerebellum: Located at the back of the brain, it is responsible for coordinating muscle movements, maintaining balance, and fine-tuning motor skills.
3. Brainstem: Connects the cerebrum and cerebellum to the spinal cord, controlling vital functions such as breathing, heart rate, and blood pressure. It also serves as a relay center for sensory information and motor commands between the brain and the rest of the body.
4. Diencephalon: A region that includes the thalamus (a major sensory relay station) and hypothalamus (regulates hormones, temperature, hunger, thirst, and sleep).
5. Limbic system: A group of structures involved in emotional processing, memory formation, and motivation, including the hippocampus, amygdala, and cingulate gyrus.

The brain is composed of billions of interconnected neurons that communicate through electrical and chemical signals. It is protected by the skull and surrounded by three layers of membranes called meninges, as well as cerebrospinal fluid that provides cushioning and nutrients.

A Retinal Vein is a vessel that carries oxygen-depleted blood away from the retina, a light-sensitive layer at the back of the eye. The retinal veins originate from a network of smaller vessels called venules and ultimately merge to form the central retinal vein, which exits the eye through the optic nerve.

Retinal veins are crucial for maintaining the health and function of the retina, as they facilitate the removal of waste products and help regulate the ocular environment. However, they can also be susceptible to various pathological conditions such as retinal vein occlusions, which can lead to vision loss or damage to the eye.

Heterotopic transplantation is a type of organ or tissue transplant where the graft is placed in a different location from where it normally resides while still maintaining its original site. This is often done to supplement the function of the existing organ rather than replacing it. A common example of heterotopic transplantation is a heart transplant, where the donor's heart is placed in a new location in the recipient's body, while the recipient's own heart remains in place but is typically nonfunctional. This allows for the possibility of returning the function of the recipient's heart if the transplanted organ fails.

In heterotopic kidney transplantation, the donor kidney is placed in a different location, usually in the lower abdomen, while the recipient's own kidneys are left in place. This approach can be beneficial for recipients with poor renal function or other medical conditions that make traditional kidney transplantation too risky.

Heterotopic transplantation is also used in liver transplantation, where a portion of the donor liver is placed in a different location, typically in the recipient's abdomen, while the recipient's own liver remains in place. This approach can be useful for recipients with acute liver failure or other conditions that make traditional liver transplantation too risky.

One advantage of heterotopic transplantation is that it allows for the possibility of returning the function of the recipient's organ if the transplanted organ fails, as well as reducing the risk of rejection and improving overall outcomes for the recipient. However, this approach also has some disadvantages, such as increased complexity of the surgical procedure, potential for complications related to the placement of the graft, and the need for ongoing immunosuppression therapy to prevent rejection.

The Middle Cerebral Artery (MCA) is one of the main blood vessels that supplies oxygenated blood to the brain. It arises from the internal carotid artery and divides into several branches, which supply the lateral surface of the cerebral hemisphere, including the frontal, parietal, and temporal lobes.

The MCA is responsible for providing blood flow to critical areas of the brain, such as the primary motor and sensory cortices, Broca's area (associated with speech production), Wernicke's area (associated with language comprehension), and the visual association cortex.

Damage to the MCA or its branches can result in a variety of neurological deficits, depending on the specific location and extent of the injury. These may include weakness or paralysis on one side of the body, sensory loss, language impairment, and visual field cuts.

An abdominal aortic aneurysm (AAA) is a localized dilatation or bulging of the abdominal aorta, which is the largest artery in the body that supplies oxygenated blood to the trunk and lower extremities. Normally, the diameter of the abdominal aorta measures about 2 centimeters (cm) in adults. However, when the diameter of the aorta exceeds 3 cm, it is considered an aneurysm.

AAA can occur anywhere along the length of the abdominal aorta, but it most commonly occurs below the renal arteries and above the iliac bifurcation. The exact cause of AAA remains unclear, but several risk factors have been identified, including smoking, hypertension, advanced age, male gender, family history, and certain genetic disorders such as Marfan syndrome and Ehlers-Danlos syndrome.

The main concern with AAA is the risk of rupture, which can lead to life-threatening internal bleeding. The larger the aneurysm, the greater the risk of rupture. Symptoms of AAA may include abdominal or back pain, a pulsating mass in the abdomen, or symptoms related to compression of surrounding structures such as the kidneys, ureters, or nerves. However, many AAAs are asymptomatic and are discovered incidentally during imaging studies performed for other reasons.

Diagnosis of AAA typically involves imaging tests such as ultrasound, computed tomography (CT) scan, or magnetic resonance imaging (MRI). Treatment options depend on the size and location of the aneurysm, as well as the patient's overall health status. Small AAAs that are not causing symptoms may be monitored with regular imaging studies to assess for growth. Larger AAAs or those that are growing rapidly may require surgical repair, either through open surgery or endovascular repair using a stent graft.

Aortography is a medical procedure that involves taking X-ray images of the aorta, which is the largest blood vessel in the body. The procedure is usually performed to diagnose or assess various conditions related to the aorta, such as aneurysms, dissections, or blockages.

To perform an aortography, a contrast dye is injected into the aorta through a catheter that is inserted into an artery, typically in the leg or arm. The contrast dye makes the aorta visible on X-ray images, allowing doctors to see its structure and any abnormalities that may be present.

The procedure is usually performed in a hospital or outpatient setting and may require sedation or anesthesia. While aortography can provide valuable diagnostic information, it also carries some risks, such as allergic reactions to the contrast dye, damage to blood vessels, or infection. Therefore, it is typically reserved for situations where other diagnostic tests have been inconclusive or where more invasive treatment may be required.

Prosthesis-related infections, also known as prosthetic joint infections (PJIs), are infections that occur around or within a prosthetic device, such as an artificial joint. These infections can be caused by bacteria, fungi, or other microorganisms and can lead to serious complications if not treated promptly and effectively.

Prosthesis-related infections can occur soon after the implantation of the prosthetic device (early infection) or months or even years later (late infection). Early infections are often caused by bacteria that enter the surgical site during the procedure, while late infections may be caused by hematogenous seeding (i.e., when bacteria from another source spread through the bloodstream and settle in the prosthetic device) or by contamination during a subsequent medical procedure.

Symptoms of prosthesis-related infections can include pain, swelling, redness, warmth, and drainage around the affected area. In some cases, patients may also experience fever, chills, or fatigue. Diagnosis typically involves a combination of clinical evaluation, laboratory tests (such as blood cultures, joint fluid analysis, and tissue biopsy), and imaging studies (such as X-rays, CT scans, or MRI).

Treatment of prosthesis-related infections usually involves a combination of antibiotics and surgical intervention. The specific treatment approach will depend on the type and severity of the infection, as well as the patient's overall health status. In some cases, it may be necessary to remove or replace the affected prosthetic device.

A cadaver is a deceased body that is used for medical research or education. In the field of medicine, cadavers are often used in anatomy lessons, surgical training, and other forms of medical research. The use of cadavers allows medical professionals to gain a deeper understanding of the human body and its various systems without causing harm to living subjects. Cadavers may be donated to medical schools or obtained through other means, such as through consent of the deceased or their next of kin. It is important to handle and treat cadavers with respect and dignity, as they were once living individuals who deserve to be treated with care even in death.

Reconstructive surgical procedures are a type of surgery aimed at restoring the form and function of body parts that are defective or damaged due to various reasons such as congenital abnormalities, trauma, infection, tumors, or disease. These procedures can involve the transfer of tissue from one part of the body to another, manipulation of bones, muscles, and tendons, or use of prosthetic materials to reconstruct the affected area. The goal is to improve both the physical appearance and functionality of the body part, thereby enhancing the patient's quality of life. Examples include breast reconstruction after mastectomy, cleft lip and palate repair, and treatment of severe burns.

Tissue and organ harvesting is the surgical removal of healthy tissues or organs from a living or deceased donor for the purpose of transplantation into another person in need of a transplant. This procedure is performed with great care, adhering to strict medical standards and ethical guidelines, to ensure the safety and well-being of both the donor and the recipient.

In the case of living donors, the harvested tissue or organ is typically removed from a site that can be safely spared, such as a kidney, a portion of the liver, or a segment of the lung. The donor must undergo extensive medical evaluation to ensure they are physically and psychologically suitable for the procedure.

For deceased donors, tissue and organ harvesting is performed in a manner that respects their wishes and those of their family, as well as adheres to legal and ethical requirements. Organs and tissues must be recovered promptly after death to maintain their viability for transplantation.

Tissue and organ harvesting is an essential component of the transplant process, allowing individuals with terminal illnesses or severe injuries to receive life-saving or life-enhancing treatments. It is a complex and highly regulated medical practice that requires specialized training, expertise, and coordination among healthcare professionals, donor families, and recipients.

Sprague-Dawley rats are a strain of albino laboratory rats that are widely used in scientific research. They were first developed by researchers H.H. Sprague and R.C. Dawley in the early 20th century, and have since become one of the most commonly used rat strains in biomedical research due to their relatively large size, ease of handling, and consistent genetic background.

Sprague-Dawley rats are outbred, which means that they are genetically diverse and do not suffer from the same limitations as inbred strains, which can have reduced fertility and increased susceptibility to certain diseases. They are also characterized by their docile nature and low levels of aggression, making them easier to handle and study than some other rat strains.

These rats are used in a wide variety of research areas, including toxicology, pharmacology, nutrition, cancer, and behavioral studies. Because they are genetically diverse, Sprague-Dawley rats can be used to model a range of human diseases and conditions, making them an important tool in the development of new drugs and therapies.

Biocompatible coated materials refer to surfaces or substances that are treated or engineered with a layer or film designed to interact safely and effectively with living tissues or biological systems, without causing harm or adverse reactions. The coating material is typically composed of biomaterials that can withstand the conditions of the specific application while promoting a positive response from the body.

The purpose of these coatings may vary depending on the medical device or application. For example, they might be used to enhance the lubricity and wear resistance of implantable devices, reduce the risk of infection, promote integration with surrounding tissues, control drug release, or prevent the formation of biofilms.

Biocompatible coated materials must undergo rigorous testing and evaluation to ensure their safety and efficacy in various clinical settings. This includes assessing potential cytotoxicity, genotoxicity, sensitization, hemocompatibility, carcinogenicity, and other factors that could impact the body's response to the material.

Examples of biocompatible coating materials include:

1. Hydrogels: Cross-linked networks of hydrophilic polymers that can be used for drug delivery, tissue engineering, or as lubricious coatings on medical devices.
2. Self-assembling monolayers (SAMs): Organosilane or thiol-based molecules that form a stable, well-ordered film on surfaces, which can be further functionalized to promote specific biological interactions.
3. Poly(ethylene glycol) (PEG): A biocompatible polymer often used as a coating material due to its ability to reduce protein adsorption and cell attachment, making it useful for preventing biofouling or thrombosis on medical devices.
4. Bioactive glass: A type of biomaterial composed of silica-based glasses that can stimulate bone growth and healing when used as a coating material in orthopedic or dental applications.
5. Drug-eluting coatings: Biocompatible polymers impregnated with therapeutic agents, designed to release the drug over time to promote healing, prevent infection, or inhibit restenosis in various medical devices.

Heart transplantation is a surgical procedure where a diseased, damaged, or failing heart is removed and replaced with a healthy donor heart. This procedure is usually considered as a last resort for patients with end-stage heart failure or severe coronary artery disease who have not responded to other treatments. The donor heart typically comes from a brain-dead individual whose family has agreed to donate their loved one's organs for transplantation. Heart transplantation is a complex and highly specialized procedure that requires a multidisciplinary team of healthcare professionals, including cardiologists, cardiac surgeons, anesthesiologists, perfusionists, nurses, and other support staff. The success rates for heart transplantation have improved significantly over the past few decades, with many patients experiencing improved quality of life and increased survival rates. However, recipients of heart transplants require lifelong immunosuppressive therapy to prevent rejection of the donor heart, which can increase the risk of infections and other complications.

"Swine" is a common term used to refer to even-toed ungulates of the family Suidae, including domestic pigs and wild boars. However, in a medical context, "swine" often appears in the phrase "swine flu," which is a strain of influenza virus that typically infects pigs but can also cause illness in humans. The 2009 H1N1 pandemic was caused by a new strain of swine-origin influenza A virus, which was commonly referred to as "swine flu." It's important to note that this virus is not transmitted through eating cooked pork products; it spreads from person to person, mainly through respiratory droplets produced when an infected person coughs or sneezes.

Thrombolytic therapy, also known as thrombolysis, is a medical treatment that uses medications called thrombolytics or fibrinolytics to dissolve or break down blood clots (thrombi) in blood vessels. These clots can obstruct the flow of blood to vital organs such as the heart, lungs, or brain, leading to serious conditions like myocardial infarction (heart attack), pulmonary embolism, or ischemic stroke.

The goal of thrombolytic therapy is to restore blood flow as quickly and efficiently as possible to prevent further damage to the affected organ and potentially save lives. Commonly used thrombolytic drugs include alteplase (tPA), reteplase, and tenecteplase. It's essential to administer these medications as soon as possible after the onset of symptoms for optimal treatment outcomes. However, there are risks associated with thrombolytic therapy, such as an increased chance of bleeding complications, which must be carefully weighed against its benefits in each individual case.

Myocardial ischemia is a condition in which the blood supply to the heart muscle (myocardium) is reduced or blocked, leading to insufficient oxygen delivery and potential damage to the heart tissue. This reduction in blood flow typically results from the buildup of fatty deposits, called plaques, in the coronary arteries that supply the heart with oxygen-rich blood. The plaques can rupture or become unstable, causing the formation of blood clots that obstruct the artery and limit blood flow.

Myocardial ischemia may manifest as chest pain (angina pectoris), shortness of breath, fatigue, or irregular heartbeats (arrhythmias). In severe cases, it can lead to myocardial infarction (heart attack) if the oxygen supply is significantly reduced or cut off completely, causing permanent damage or death of the heart muscle. Early diagnosis and treatment of myocardial ischemia are crucial for preventing further complications and improving patient outcomes.

The carotid arteries are a pair of vital blood vessels in the human body that supply oxygenated blood to the head and neck. Each person has two common carotid arteries, one on each side of the neck, which branch off from the aorta, the largest artery in the body.

The right common carotid artery originates from the brachiocephalic trunk, while the left common carotid artery arises directly from the aortic arch. As they ascend through the neck, they split into two main branches: the internal and external carotid arteries.

The internal carotid artery supplies oxygenated blood to the brain, eyes, and other structures within the skull, while the external carotid artery provides blood to the face, scalp, and various regions of the neck.

Maintaining healthy carotid arteries is crucial for overall cardiovascular health and preventing serious conditions like stroke, which can occur when the arteries become narrowed or blocked due to the buildup of plaque or fatty deposits (atherosclerosis). Regular check-ups with healthcare professionals may include monitoring carotid artery health through ultrasound or other imaging techniques.

Coronary balloon angioplasty is a minimally invasive medical procedure used to widen narrowed or obstructed coronary arteries (the blood vessels that supply oxygen-rich blood to the heart muscle) and improve blood flow to the heart. This procedure is typically performed in conjunction with the insertion of a stent, a small mesh tube that helps keep the artery open.

During coronary balloon angioplasty, a thin, flexible catheter with a deflated balloon at its tip is inserted into a blood vessel, usually through a small incision in the groin or arm. The catheter is then guided to the narrowed or obstructed section of the coronary artery. Once in position, the balloon is inflated to compress the plaque against the artery wall and widen the lumen (the inner space) of the artery. This helps restore blood flow to the heart muscle.

The procedure is typically performed under local anesthesia and conscious sedation to minimize discomfort. Coronary balloon angioplasty is a relatively safe and effective treatment for many people with coronary artery disease, although complications such as bleeding, infection, or re-narrowing of the artery (restenosis) can occur in some cases.

Blood pressure is the force exerted by circulating blood on the walls of the blood vessels. It is measured in millimeters of mercury (mmHg) and is given as two figures:

1. Systolic pressure: This is the pressure when the heart pushes blood out into the arteries.
2. Diastolic pressure: This is the pressure when the heart rests between beats, allowing it to fill with blood.

Normal blood pressure for adults is typically around 120/80 mmHg, although this can vary slightly depending on age, sex, and other factors. High blood pressure (hypertension) is generally considered to be a reading of 130/80 mmHg or higher, while low blood pressure (hypotension) is usually defined as a reading below 90/60 mmHg. It's important to note that blood pressure can fluctuate throughout the day and may be affected by factors such as stress, physical activity, and medication use.

Fetal tissue transplantation is a medical procedure that involves the surgical implantation of tissue from developing fetuses into patients for therapeutic purposes. The tissue used in these procedures typically comes from elective abortions, and can include tissues such as neural cells, liver cells, pancreatic islets, and heart valves.

The rationale behind fetal tissue transplantation is that the developing fetus has a high capacity for cell growth and regeneration, making its tissues an attractive source of cells for transplantation. Additionally, because fetal tissue is often less mature than adult tissue, it may be less likely to trigger an immune response in the recipient, reducing the risk of rejection.

Fetal tissue transplantation has been explored as a potential treatment for a variety of conditions, including Parkinson's disease, diabetes, and heart disease. However, the use of fetal tissue in medical research and therapy remains controversial due to ethical concerns surrounding the sourcing of the tissue.

An aneurysm is a localized, balloon-like bulge in the wall of a blood vessel. It occurs when the pressure inside the vessel causes a weakened area to swell and become enlarged. Aneurysms can develop in any blood vessel, but they are most common in arteries at the base of the brain (cerebral aneurysm) and the main artery carrying blood from the heart to the rest of the body (aortic aneurysm).

Aneurysms can be classified as saccular or fusiform, depending on their shape. A saccular aneurysm is a round or oval bulge that projects from the side of a blood vessel, while a fusiform aneurysm is a dilated segment of a blood vessel that is uniform in width and involves all three layers of the arterial wall.

The size and location of an aneurysm can affect its risk of rupture. Generally, larger aneurysms are more likely to rupture than smaller ones. Aneurysms located in areas with high blood pressure or where the vessel branches are also at higher risk of rupture.

Ruptured aneurysms can cause life-threatening bleeding and require immediate medical attention. Symptoms of a ruptured aneurysm may include sudden severe headache, neck stiffness, nausea, vomiting, blurred vision, or loss of consciousness. Unruptured aneurysms may not cause any symptoms and are often discovered during routine imaging tests for other conditions.

Treatment options for aneurysms depend on their size, location, and risk of rupture. Small, unruptured aneurysms may be monitored with regular imaging tests to check for growth or changes. Larger or symptomatic aneurysms may require surgical intervention, such as clipping or coiling, to prevent rupture and reduce the risk of complications.

Equipment design, in the medical context, refers to the process of creating and developing medical equipment and devices, such as surgical instruments, diagnostic machines, or assistive technologies. This process involves several stages, including:

1. Identifying user needs and requirements
2. Concept development and brainstorming
3. Prototyping and testing
4. Design for manufacturing and assembly
5. Safety and regulatory compliance
6. Verification and validation
7. Training and support

The goal of equipment design is to create safe, effective, and efficient medical devices that meet the needs of healthcare providers and patients while complying with relevant regulations and standards. The design process typically involves a multidisciplinary team of engineers, clinicians, designers, and researchers who work together to develop innovative solutions that improve patient care and outcomes.

Hyperplasia is a medical term that refers to an abnormal increase in the number of cells in an organ or tissue, leading to an enlargement of the affected area. It's a response to various stimuli such as hormones, chronic irritation, or inflammation. Hyperplasia can be physiological, like the growth of breast tissue during pregnancy, or pathological, like in the case of benign or malignant tumors. The process is generally reversible if the stimulus is removed. It's important to note that hyperplasia itself is not cancerous, but some forms of hyperplasia can increase the risk of developing cancer over time.

An animal model in medicine refers to the use of non-human animals in experiments to understand, predict, and test responses and effects of various biological and chemical interactions that may also occur in humans. These models are used when studying complex systems or processes that cannot be easily replicated or studied in human subjects, such as genetic manipulation or exposure to harmful substances. The choice of animal model depends on the specific research question being asked and the similarities between the animal's and human's biological and physiological responses. Examples of commonly used animal models include mice, rats, rabbits, guinea pigs, and non-human primates.

Organ preservation is a medical technique used to maintain the viability and functionality of an organ outside the body for a certain period, typically for transplantation purposes. This process involves cooling the organ to slow down its metabolic activity and prevent tissue damage, while using specialized solutions that help preserve the organ's structure and function. Commonly preserved organs include hearts, livers, kidneys, lungs, and pancreases. The goal of organ preservation is to ensure that the transplanted organ remains in optimal condition until it can be successfully implanted into a recipient.

Myocardial reperfusion injury is a pathological process that occurs when blood flow is restored to the heart muscle (myocardium) after a period of ischemia or reduced oxygen supply, such as during a myocardial infarction (heart attack). The restoration of blood flow, although necessary to salvage the dying tissue, can itself cause further damage to the heart muscle. This paradoxical phenomenon is known as myocardial reperfusion injury.

The mechanisms behind myocardial reperfusion injury are complex and involve several processes, including:

1. Oxidative stress: The sudden influx of oxygen into the previously ischemic tissue leads to an overproduction of reactive oxygen species (ROS), which can damage cellular structures, such as proteins, lipids, and DNA.
2. Calcium overload: During reperfusion, there is an increase in calcium influx into the cardiomyocytes (heart muscle cells). This elevated intracellular calcium level can disrupt normal cellular functions, leading to further damage.
3. Inflammation: Reperfusion triggers an immune response, with the recruitment of inflammatory cells, such as neutrophils and monocytes, to the site of injury. These cells release cytokines and other mediators that can exacerbate tissue damage.
4. Mitochondrial dysfunction: The restoration of blood flow can cause mitochondria, the powerhouses of the cell, to malfunction, leading to the release of pro-apoptotic factors and contributing to cell death.
5. Vasoconstriction and microvascular obstruction: During reperfusion, there may be vasoconstriction of the small blood vessels (microvasculature) in the heart, which can further limit blood flow and contribute to tissue damage.

Myocardial reperfusion injury is a significant concern because it can negate some of the benefits of early reperfusion therapy, such as thrombolysis or primary percutaneous coronary intervention (PCI), used to treat acute myocardial infarction. Strategies to minimize myocardial reperfusion injury are an area of active research and include pharmacological interventions, ischemic preconditioning, and remote ischemic conditioning.

Occlusive dressings are specialized bandages or coverings that form a barrier over the skin, preventing air and moisture from passing through. They are designed to create a moist environment that promotes healing by increasing local blood flow, reducing wound desiccation, and encouraging the growth of new tissue. Occlusive dressings can also help to minimize pain, scarring, and the risk of infection in wounds. These dressings are often used for dry, necrotic, or hard-to-heal wounds, such as pressure ulcers, diabetic foot ulcers, and burns. It is important to monitor the wound closely while using occlusive dressings, as they can sometimes lead to skin irritation or maceration if left in place for too long.

"Wistar rats" are a strain of albino rats that are widely used in laboratory research. They were developed at the Wistar Institute in Philadelphia, USA, and were first introduced in 1906. Wistar rats are outbred, which means that they are genetically diverse and do not have a fixed set of genetic characteristics like inbred strains.

Wistar rats are commonly used as animal models in biomedical research because of their size, ease of handling, and relatively low cost. They are used in a wide range of research areas, including toxicology, pharmacology, nutrition, cancer, cardiovascular disease, and behavioral studies. Wistar rats are also used in safety testing of drugs, medical devices, and other products.

Wistar rats are typically larger than many other rat strains, with males weighing between 500-700 grams and females weighing between 250-350 grams. They have a lifespan of approximately 2-3 years. Wistar rats are also known for their docile and friendly nature, making them easy to handle and work with in the laboratory setting.

Neuroprotective agents are substances that protect neurons or nerve cells from damage, degeneration, or death caused by various factors such as trauma, inflammation, oxidative stress, or excitotoxicity. These agents work through different mechanisms, including reducing the production of free radicals, inhibiting the release of glutamate (a neurotransmitter that can cause cell damage in high concentrations), promoting the growth and survival of neurons, and preventing apoptosis (programmed cell death). Neuroprotective agents have been studied for their potential to treat various neurological disorders, including stroke, traumatic brain injury, Parkinson's disease, Alzheimer's disease, and multiple sclerosis. However, more research is needed to fully understand their mechanisms of action and to develop effective therapies.

Aortic diseases refer to conditions that affect the aorta, which is the largest and main artery in the body. The aorta carries oxygenated blood from the heart to the rest of the body. Aortic diseases can weaken or damage the aorta, leading to various complications. Here are some common aortic diseases with their medical definitions:

1. Aortic aneurysm: A localized dilation or bulging of the aortic wall, which can occur in any part of the aorta but is most commonly found in the abdominal aorta (abdominal aortic aneurysm) or the thoracic aorta (thoracic aortic aneurysm). Aneurysms can increase the risk of rupture, leading to life-threatening bleeding.
2. Aortic dissection: A separation of the layers of the aortic wall due to a tear in the inner lining, allowing blood to flow between the layers and potentially cause the aorta to rupture. This is a medical emergency that requires immediate treatment.
3. Aortic stenosis: A narrowing of the aortic valve opening, which restricts blood flow from the heart to the aorta. This can lead to shortness of breath, chest pain, and other symptoms. Severe aortic stenosis may require surgical or transcatheter intervention to replace or repair the aortic valve.
4. Aortic regurgitation: Also known as aortic insufficiency, this condition occurs when the aortic valve does not close properly, allowing blood to leak back into the heart. This can lead to symptoms such as fatigue, shortness of breath, and palpitations. Treatment may include medication or surgical repair or replacement of the aortic valve.
5. Aortitis: Inflammation of the aorta, which can be caused by various conditions such as infections, autoimmune diseases, or vasculitides. Aortitis can lead to aneurysms, dissections, or stenosis and may require medical treatment with immunosuppressive drugs or surgical intervention.
6. Marfan syndrome: A genetic disorder that affects the connective tissue, including the aorta. People with Marfan syndrome are at risk of developing aortic aneurysms and dissections, and may require close monitoring and prophylactic surgery to prevent complications.

The vertebral artery is a major blood vessel that supplies oxygenated blood to the brain and upper spinal cord. It arises from the subclavian artery, then ascends through the transverse processes of several cervical vertebrae before entering the skull through the foramen magnum. Inside the skull, it joins with the opposite vertebral artery to form the basilar artery, which supplies blood to the brainstem and cerebellum. The vertebral artery also gives off several important branches that supply blood to various regions of the brainstem and upper spinal cord.

Brain edema is a medical condition characterized by the abnormal accumulation of fluid in the brain, leading to an increase in intracranial pressure. This can result from various causes, such as traumatic brain injury, stroke, infection, brain tumors, or inflammation. The swelling of the brain can compress vital structures, impair blood flow, and cause neurological symptoms, which may range from mild headaches to severe cognitive impairment, seizures, coma, or even death if not treated promptly and effectively.

Myocardial reperfusion is the restoration of blood flow to the heart muscle (myocardium), usually after a period of ischemia or reduced oxygen supply, such as during a myocardial infarction (heart attack). This can be achieved through various medical interventions, including thrombolytic therapy, percutaneous coronary intervention (PCI), or coronary artery bypass surgery (CABG). The goal of myocardial reperfusion is to salvage the jeopardized myocardium, preserve cardiac function, and reduce the risk of complications like heart failure or arrhythmias. However, it's important to note that while reperfusion is crucial for treating ischemic heart disease, it can also lead to additional injury to the heart muscle, known as reperfusion injury.

The inferior vena cava (IVC) is the largest vein in the human body that carries deoxygenated blood from the lower extremities, pelvis, and abdomen to the right atrium of the heart. It is formed by the union of the left and right common iliac veins at the level of the fifth lumbar vertebra. The inferior vena cava is a retroperitoneal structure, meaning it lies behind the peritoneum, the lining that covers the abdominal cavity. It ascends through the posterior abdominal wall and passes through the central tendon of the diaphragm to enter the thoracic cavity.

The inferior vena cava is composed of three parts:

1. The infrarenal portion, which lies below the renal veins
2. The renal portion, which receives blood from the renal veins
3. The suprahepatic portion, which lies above the liver and receives blood from the hepatic veins before draining into the right atrium of the heart.

The inferior vena cava plays a crucial role in maintaining venous return to the heart and contributing to cardiovascular function.

A feasibility study is a preliminary investigation or analysis conducted to determine the viability of a proposed project, program, or product. In the medical field, feasibility studies are often conducted before implementing new treatments, procedures, equipment, or facilities. These studies help to assess the practicality and effectiveness of the proposed intervention, as well as its potential benefits and risks.

Feasibility studies in healthcare typically involve several steps:

1. Problem identification: Clearly define the problem that the proposed project, program, or product aims to address.
2. Objectives setting: Establish specific, measurable, achievable, relevant, and time-bound (SMART) objectives for the study.
3. Literature review: Conduct a thorough review of existing research and best practices related to the proposed intervention.
4. Methodology development: Design a methodology for data collection and analysis that will help answer the research questions and achieve the study's objectives.
5. Resource assessment: Evaluate the availability and adequacy of resources, including personnel, time, and finances, required to carry out the proposed intervention.
6. Risk assessment: Identify potential risks and challenges associated with the implementation of the proposed intervention and develop strategies to mitigate them.
7. Cost-benefit analysis: Estimate the costs and benefits of the proposed intervention, including direct and indirect costs, as well as short-term and long-term benefits.
8. Stakeholder engagement: Engage relevant stakeholders, such as patients, healthcare providers, administrators, and policymakers, to gather their input and support for the proposed intervention.
9. Decision-making: Based on the findings of the feasibility study, make an informed decision about whether or not to proceed with the proposed project, program, or product.

Feasibility studies are essential in healthcare as they help ensure that resources are allocated efficiently and effectively, and that interventions are evidence-based, safe, and beneficial for patients.

Hyperemia is a medical term that refers to an increased flow or accumulation of blood in certain capillaries or vessels within an organ or tissue, resulting in its redness and warmth. This can occur due to various reasons such as physical exertion, emotional excitement, local injury, or specific medical conditions.

There are two types of hyperemia: active and passive. Active hyperemia is a physiological response where the blood flow increases as a result of the metabolic demands of the organ or tissue. For example, during exercise, muscles require more oxygen and nutrients, leading to an increase in blood flow. Passive hyperemia, on the other hand, occurs when there is a blockage in the venous outflow, causing the blood to accumulate in the affected area. This can result from conditions like thrombosis or vasoconstriction.

It's important to note that while hyperemia itself is not a disease, it can be a symptom of various underlying medical conditions and should be evaluated by a healthcare professional if it persists or is accompanied by other symptoms.

The external carotid artery is a major blood vessel in the neck that supplies oxygenated blood to the structures of the head and neck, excluding the brain. It originates from the common carotid artery at the level of the upper border of the thyroid cartilage, then divides into several branches that supply various regions of the head and neck, including the face, scalp, ears, and neck muscles.

The external carotid artery has eight branches:

1. Superior thyroid artery: Supplies blood to the thyroid gland, larynx, and surrounding muscles.
2. Ascending pharyngeal artery: Supplies blood to the pharynx, palate, and meninges of the brain.
3. Lingual artery: Supplies blood to the tongue and floor of the mouth.
4. Facial artery: Supplies blood to the face, nose, lips, and palate.
5. Occipital artery: Supplies blood to the scalp and muscles of the neck.
6. Posterior auricular artery: Supplies blood to the ear and surrounding muscles.
7. Maxillary artery: Supplies blood to the lower face, nasal cavity, palate, and meninges of the brain.
8. Superficial temporal artery: Supplies blood to the scalp, face, and temporomandibular joint.

The external carotid artery is an essential structure for maintaining adequate blood flow to the head and neck, and any damage or blockage can lead to serious medical conditions such as stroke or tissue necrosis.

Immunologic graft enhancement refers to the manipulation of the immune system to increase the acceptance and survival of a transplanted tissue or organ (graft) in the recipient's body. This is achieved by suppressing the immune response that recognizes and attacks the graft as foreign, thereby reducing the risk of rejection.

Various strategies can be used for immunologic graft enhancement, including:

1. Immunosuppressive therapy: The use of medications to inhibit the activity of the immune system and prevent it from attacking the graft. Commonly used drugs include corticosteroids, calcineurin inhibitors, antiproliferative agents, and monoclonal antibodies.
2. Induction therapy: The administration of high doses of immunosuppressive drugs before or immediately after transplantation to suppress the initial immune response and reduce the risk of early rejection.
3. Tolerance induction: The manipulation of the recipient's immune system to promote tolerance to the graft, allowing for long-term acceptance without the need for ongoing immunosuppression. This can be achieved through various methods, such as costimulatory blockade, regulatory T cell therapy, or mixed chimerism.
4. Desensitization: The reduction of antibodies against the graft in sensitized recipients, who have previously been exposed to foreign antigens and developed an immune response. This can be achieved through various methods, such as plasmapheresis, intravenous immunoglobulin therapy, or protein A immunoabsorption.

It is important to note that while these strategies can enhance graft survival and reduce the risk of rejection, they also increase the risk of infection and malignancy due to the suppression of the immune system. Therefore, careful monitoring and management of the recipient's immune status is essential for successful transplantation outcomes.

Cerebrovascular disorders are a group of medical conditions that affect the blood vessels of the brain. These disorders can be caused by narrowing, blockage, or rupture of the blood vessels, leading to decreased blood flow and oxygen supply to the brain. The most common types of cerebrovascular disorders include:

1. Stroke: A stroke occurs when a blood vessel in the brain becomes blocked or bursts, causing a lack of oxygen and nutrients to reach brain cells. This can lead to permanent damage or death of brain tissue.
2. Transient ischemic attack (TIA): Also known as a "mini-stroke," a TIA occurs when blood flow to the brain is temporarily blocked, often by a blood clot. Symptoms may last only a few minutes to a few hours and typically resolve on their own. However, a TIA is a serious warning sign that a full-blown stroke may occur in the future.
3. Aneurysm: An aneurysm is a weakened or bulging area in the wall of a blood vessel. If left untreated, an aneurysm can rupture and cause bleeding in the brain.
4. Arteriovenous malformation (AVM): An AVM is a tangled mass of abnormal blood vessels that connect arteries and veins. This can lead to bleeding in the brain or stroke.
5. Carotid stenosis: Carotid stenosis occurs when the carotid arteries, which supply blood to the brain, become narrowed or blocked due to plaque buildup. This can increase the risk of stroke.
6. Vertebrobasilar insufficiency: This condition occurs when the vertebral and basilar arteries, which supply blood to the back of the brain, become narrowed or blocked. This can lead to symptoms such as dizziness, vertigo, and difficulty swallowing.

Cerebrovascular disorders are a leading cause of disability and death worldwide. Risk factors for these conditions include age, high blood pressure, smoking, diabetes, high cholesterol, and family history. Treatment may involve medications, surgery, or lifestyle changes to reduce the risk of further complications.

A surgical flap is a specialized type of surgical procedure where a section of living tissue (including skin, fat, muscle, and/or blood vessels) is lifted from its original site and moved to another location, while still maintaining a blood supply through its attached pedicle. This technique allows the surgeon to cover and reconstruct defects or wounds that cannot be closed easily with simple suturing or stapling.

Surgical flaps can be classified based on their vascularity, type of tissue involved, or method of transfer. The choice of using a specific type of surgical flap depends on the location and size of the defect, the patient's overall health, and the surgeon's expertise. Some common types of surgical flaps include:

1. Random-pattern flaps: These flaps are based on random blood vessels within the tissue and are typically used for smaller defects in areas with good vascularity, such as the face or scalp.
2. Axial pattern flaps: These flaps are designed based on a known major blood vessel and its branches, allowing them to cover larger defects or reach distant sites. Examples include the radial forearm flap and the anterolateral thigh flap.
3. Local flaps: These flaps involve tissue adjacent to the wound and can be further classified into advancement, rotation, transposition, and interpolation flaps based on their movement and orientation.
4. Distant flaps: These flaps are harvested from a distant site and then transferred to the defect after being tunneled beneath the skin or through a separate incision. Examples include the groin flap and the latissimus dorsi flap.
5. Free flaps: In these flaps, the tissue is completely detached from its original blood supply and then reattached at the new site using microvascular surgical techniques. This allows for greater flexibility in terms of reach and placement but requires specialized expertise and equipment.

Surgical flaps play a crucial role in reconstructive surgery, helping to restore form and function after trauma, tumor removal, or other conditions that result in tissue loss.

The forearm is the region of the upper limb between the elbow and the wrist. It consists of two bones, the radius and ulna, which are located side by side and run parallel to each other. The forearm is responsible for movements such as flexion, extension, supination, and pronation of the hand and wrist.

C57BL/6 (C57 Black 6) is an inbred strain of laboratory mouse that is widely used in biomedical research. The term "inbred" refers to a strain of animals where matings have been carried out between siblings or other closely related individuals for many generations, resulting in a population that is highly homozygous at most genetic loci.

The C57BL/6 strain was established in 1920 by crossing a female mouse from the dilute brown (DBA) strain with a male mouse from the black strain. The resulting offspring were then interbred for many generations to create the inbred C57BL/6 strain.

C57BL/6 mice are known for their robust health, longevity, and ease of handling, making them a popular choice for researchers. They have been used in a wide range of biomedical research areas, including studies of cancer, immunology, neuroscience, cardiovascular disease, and metabolism.

One of the most notable features of the C57BL/6 strain is its sensitivity to certain genetic modifications, such as the introduction of mutations that lead to obesity or impaired glucose tolerance. This has made it a valuable tool for studying the genetic basis of complex diseases and traits.

Overall, the C57BL/6 inbred mouse strain is an important model organism in biomedical research, providing a valuable resource for understanding the genetic and molecular mechanisms underlying human health and disease.

Tunica intima, also known as the intima layer, is the innermost layer of a blood vessel, including arteries and veins. It is in direct contact with the flowing blood and is composed of simple squamous endothelial cells that form a continuous, non-keratinized, stratified epithelium. These cells play a crucial role in maintaining vascular homeostasis by regulating the passage of molecules and immune cells between the blood and the vessel wall, as well as contributing to the maintenance of blood fluidity and preventing coagulation.

The tunica intima is supported by a thin layer of connective tissue called the basement membrane, which provides structural stability and anchorage for the endothelial cells. Beneath the basement membrane lies a loose network of elastic fibers and collagen, known as the internal elastic lamina, that separates the tunica intima from the middle layer, or tunica media.

In summary, the tunica intima is the innermost layer of blood vessels, primarily composed of endothelial cells and a basement membrane, which regulates various functions to maintain vascular homeostasis.

Tissue Plasminogen Activator (tPA) is a thrombolytic enzyme, which means it dissolves blood clots. It is naturally produced by the endothelial cells that line the interior surface of blood vessels. tPA activates plasminogen, a zymogen, to convert it into plasmin, a protease that breaks down fibrin, the structural protein in blood clots. This enzyme is used medically as a thrombolytic drug under various brand names, such as Activase and Alteplase, to treat conditions like acute ischemic stroke, pulmonary embolism, and deep vein thrombosis by dissolving the clots and restoring blood flow.

The axillary artery is a major blood vessel in the upper limb. It is the continuation of the subclavian artery and begins at the lateral border of the first rib, where it becomes the brachial artery. The axillary artery supplies oxygenated blood to the upper extremity, chest wall, and breast.

The axillary artery is divided into three parts based on the surrounding structures:

1. First part: From its origin at the lateral border of the first rib to the medial border of the pectoralis minor muscle. It lies deep to the clavicle and is covered by the scalene muscles, the anterior and middle scalene being the most important. The branches arising from this portion are the superior thoracic artery and the thyrocervical trunk.
2. Second part: Behind the pectoralis minor muscle. The branches arising from this portion are the lateral thoracic artery and the subscapular artery.
3. Third part: After leaving the lower border of the pectoralis minor muscle, it becomes the brachial artery. The branches arising from this portion are the anterior circumflex humeral artery and the posterior circumflex humeral artery.

The axillary artery is a common site for surgical interventions such as angioplasty and stenting to treat peripheral arterial disease, as well as for bypass grafting in cases of severe atherosclerosis or occlusion.

Ischemic preconditioning is a phenomenon in which brief, non-lethal episodes of ischemia (restriction or interruption of blood supply to an organ or tissue) render the tissue more resistant to subsequent prolonged ischemia and reperfusion injury. This adaptive response involves a complex series of cellular and molecular changes that protect the myocardium, brain, kidney, or other organs from ischemic damage. The underlying mechanisms include the activation of various signaling pathways, such as adenosine, opioid, and kinase pathways, which lead to the production of protective factors and the modulation of cellular responses to ischemia and reperfusion injury. Ischemic preconditioning has been extensively studied in the context of cardiovascular medicine, where it has been shown to reduce infarct size and improve cardiac function after myocardial infarction. However, this protective phenomenon has also been observed in other organs and systems, including the brain, kidney, liver, and skeletal muscle.

The subclavian artery is a major blood vessel that supplies the upper limb and important structures in the neck and head. It arises from the brachiocephalic trunk (in the case of the right subclavian artery) or directly from the aortic arch (in the case of the left subclavian artery).

The subclavian artery has several branches, including:

1. The vertebral artery, which supplies blood to the brainstem and cerebellum.
2. The internal thoracic artery (also known as the mammary artery), which supplies blood to the chest wall, breast, and anterior mediastinum.
3. The thyrocervical trunk, which gives rise to several branches that supply the neck, including the inferior thyroid artery, the suprascapular artery, and the transverse cervical artery.
4. The costocervical trunk, which supplies blood to the neck and upper back, including the posterior chest wall and the lower neck muscles.

The subclavian artery is a critical vessel in maintaining adequate blood flow to the upper limb, and any blockage or damage to this vessel can lead to significant morbidity, including arm pain, numbness, weakness, or even loss of function.

Penetrating keratoplasty (PK) is a type of corneal transplant surgery where the entire thickness of the host's damaged or diseased cornea is removed and replaced with a similar full-thickness portion of a healthy donor's cornea. The procedure aims to restore visual function, alleviate pain, and improve the structural integrity of the eye. It is typically performed for conditions such as severe keratoconus, corneal scarring, or corneal ulcers that cannot be treated with other, less invasive methods. Following the surgery, patients may require extended recovery time and rigorous postoperative care to minimize the risk of complications and ensure optimal visual outcomes.

Ischemic preconditioning, myocardial is a phenomenon in cardiac physiology where the heart muscle (myocardium) is made more resistant to the damaging effects of a prolonged period of reduced blood flow (ischemia) or oxygen deprivation (hypoxia), followed by reperfusion (restoration of blood flow). This resistance is developed through a series of brief, controlled episodes of ischemia and reperfusion, which act as "preconditioning" stimuli, protecting the myocardium from subsequent more severe ischemic events. The adaptive responses triggered during preconditioning include the activation of various protective signaling pathways, release of protective factors, and modulation of cellular metabolism, ultimately leading to reduced infarct size, improved contractile function, and attenuated reperfusion injury in the myocardium.

Islets of Langerhans transplantation is a surgical procedure that involves the transplantation of isolated islets from a deceased donor's pancreas into another person with type 1 diabetes. The islets of Langerhans are clusters of cells within the pancreas that produce hormones, including insulin, which regulates blood sugar levels.

In type 1 diabetes, the body's immune system mistakenly attacks and destroys these insulin-producing cells, leading to high blood sugar levels. Islet transplantation aims to replace the damaged islets with healthy ones from a donor, allowing the recipient's body to produce and regulate its own insulin again.

The procedure involves extracting the islets from the donor pancreas and infusing them into the recipient's liver through a small incision in the abdomen. Once inside the liver, the islets can sense glucose levels in the bloodstream and release insulin as needed to maintain normal blood sugar levels.

Islet transplantation has shown promising results in improving blood sugar control and reducing the risk of severe hypoglycemia (low blood sugar) in people with type 1 diabetes. However, it requires long-term immunosuppressive therapy to prevent rejection of the transplanted islets, which can have side effects and increase the risk of infections.

"Papio" is a term used in the field of primatology, specifically for a genus of Old World monkeys known as baboons. It's not typically used in human or medical contexts. Baboons are large monkeys with robust bodies and distinctive dog-like faces. They are native to various parts of Africa and are known for their complex social structures and behaviors.

I believe there may be some confusion in your question. "Rabbits" is a common name used to refer to the Lagomorpha species, particularly members of the family Leporidae. They are small mammals known for their long ears, strong legs, and quick reproduction.

However, if you're referring to "rabbits" in a medical context, there is a term called "rabbit syndrome," which is a rare movement disorder characterized by repetitive, involuntary movements of the fingers, resembling those of a rabbit chewing. It is also known as "finger-chewing chorea." This condition is usually associated with certain medications, particularly antipsychotics, and typically resolves when the medication is stopped or adjusted.

The radial artery is a key blood vessel in the human body, specifically a part of the peripheral arterial system. Originating from the brachial artery in the upper arm, the radial artery travels down the arm and crosses over the wrist, where it can be palpated easily. It then continues into the hand, dividing into several branches to supply blood to the hand's tissues and digits.

The radial artery is often used for taking pulse readings due to its easy accessibility at the wrist. Additionally, in medical procedures such as coronary angiography or bypass surgery, the radial artery can be utilized as a site for catheter insertion. This allows healthcare professionals to examine the heart's blood vessels and assess cardiovascular health.

Fluorescein angiography is a medical diagnostic procedure used in ophthalmology to examine the blood flow in the retina and choroid, which are the inner layers of the eye. This test involves injecting a fluorescent dye, Fluorescein, into a patient's arm vein. As the dye reaches the blood vessels in the eye, a specialized camera takes rapid sequences of photographs to capture the dye's circulation through the retina and choroid.

The images produced by fluorescein angiography can help doctors identify any damage to the blood vessels, leakage, or abnormal growth of new blood vessels. This information is crucial in diagnosing and managing various eye conditions such as age-related macular degeneration, diabetic retinopathy, retinal vein occlusions, and inflammatory eye diseases.

It's important to note that while fluorescein angiography is a valuable diagnostic tool, it does carry some risks, including temporary side effects like nausea, vomiting, or allergic reactions to the dye. In rare cases, severe adverse reactions can occur, so patients should discuss these potential risks with their healthcare provider before undergoing the procedure.

Intra-arterial injection is a type of medical procedure where a medication or contrast agent is delivered directly into an artery. This technique is used for various therapeutic and diagnostic purposes.

For instance, intra-arterial chemotherapy may be used to deliver cancer drugs directly to the site of a tumor, while intra-arterial thrombolysis involves the administration of clot-busting medications to treat arterial blockages caused by blood clots. Intra-arterial injections are also used in diagnostic imaging procedures such as angiography, where a contrast agent is injected into an artery to visualize the blood vessels and identify any abnormalities.

It's important to note that intra-arterial injections require precise placement of the needle or catheter into the artery, and are typically performed by trained medical professionals using specialized equipment.

The myocardium is the middle layer of the heart wall, composed of specialized cardiac muscle cells that are responsible for pumping blood throughout the body. It forms the thickest part of the heart wall and is divided into two sections: the left ventricle, which pumps oxygenated blood to the rest of the body, and the right ventricle, which pumps deoxygenated blood to the lungs.

The myocardium contains several types of cells, including cardiac muscle fibers, connective tissue, nerves, and blood vessels. The muscle fibers are arranged in a highly organized pattern that allows them to contract in a coordinated manner, generating the force necessary to pump blood through the heart and circulatory system.

Damage to the myocardium can occur due to various factors such as ischemia (reduced blood flow), infection, inflammation, or genetic disorders. This damage can lead to several cardiac conditions, including heart failure, arrhythmias, and cardiomyopathy.

A ruptured aneurysm is a serious medical condition that occurs when the wall of an artery or a blood vessel weakens and bulges out, forming an aneurysm, which then bursts, causing bleeding into the surrounding tissue. This can lead to internal hemorrhage, organ damage, and even death, depending on the location and severity of the rupture.

Ruptured aneurysms are often caused by factors such as high blood pressure, smoking, aging, and genetic predisposition. They can occur in any part of the body but are most common in the aorta (the largest artery in the body) and the cerebral arteries (in the brain).

Symptoms of a ruptured aneurysm may include sudden and severe pain, weakness or paralysis, difficulty breathing, confusion, loss of consciousness, and shock. Immediate medical attention is required to prevent further complications and increase the chances of survival. Treatment options for a ruptured aneurysm may include surgery, endovascular repair, or medication to manage symptoms and prevent further bleeding.

A "Graft versus Host Reaction" (GVHR) is a condition that can occur after an organ or bone marrow transplant, where the immune cells in the graft (transplanted tissue) recognize and attack the recipient's (host's) tissues as foreign. This reaction occurs because the donor's immune cells (graft) are able to recognize the host's cells as different from their own due to differences in proteins called human leukocyte antigens (HLAs).

The GVHR can affect various organs, including the skin, liver, gastrointestinal tract, and lungs. Symptoms may include rash, diarrhea, jaundice, and respiratory distress. The severity of the reaction can vary widely, from mild to life-threatening.

To prevent or reduce the risk of GVHR, immunosuppressive drugs are often given to the recipient before and after transplantation to suppress their immune system and prevent it from attacking the graft. Despite these measures, GVHR can still occur in some cases, particularly when there is a significant mismatch between the donor and recipient HLAs.

1. Intracranial Embolism: This is a medical condition that occurs when a blood clot or other particle (embolus) formed elsewhere in the body, travels through the bloodstream and lodges itself in the intracranial blood vessels, blocking the flow of blood to a part of the brain. This can lead to various neurological symptoms such as weakness, numbness, speech difficulties, or even loss of consciousness, depending on the severity and location of the blockage.

2. Intracranial Thrombosis: This is a medical condition that occurs when a blood clot (thrombus) forms within the intracranial blood vessels. The clot can partially or completely obstruct the flow of blood, leading to various symptoms such as headache, confusion, seizures, or neurological deficits, depending on the severity and location of the thrombosis. Intracranial thrombosis can occur due to various factors including atherosclerosis, hypertension, diabetes, and other medical conditions that increase the risk of blood clot formation.

Vascular diseases are medical conditions that affect the circulatory system, specifically the blood vessels (arteries, veins, and capillaries). These diseases can include conditions such as:

1. Atherosclerosis: The buildup of fats, cholesterol, and other substances in and on the walls of the arteries, which can restrict blood flow.
2. Peripheral Artery Disease (PAD): A condition caused by atherosclerosis where there is narrowing or blockage of the peripheral arteries, most commonly in the legs. This can lead to pain, numbness, and cramping.
3. Coronary Artery Disease (CAD): Atherosclerosis of the coronary arteries that supply blood to the heart muscle. This can lead to chest pain, shortness of breath, or a heart attack.
4. Carotid Artery Disease: Atherosclerosis of the carotid arteries in the neck that supply blood to the brain. This can increase the risk of stroke.
5. Cerebrovascular Disease: Conditions that affect blood flow to the brain, including stroke and transient ischemic attack (TIA or "mini-stroke").
6. Aneurysm: A weakened area in the wall of a blood vessel that causes it to bulge outward and potentially rupture.
7. Deep Vein Thrombosis (DVT): A blood clot that forms in the deep veins, usually in the legs, which can cause pain, swelling, and increased risk of pulmonary embolism if the clot travels to the lungs.
8. Varicose Veins: Swollen, twisted, and often painful veins that have filled with an abnormal collection of blood, usually appearing in the legs.
9. Vasculitis: Inflammation of the blood vessels, which can cause damage and narrowing, leading to reduced blood flow.
10. Raynaud's Phenomenon: A condition where the small arteries that supply blood to the skin become narrowed, causing decreased blood flow, typically in response to cold temperatures or stress.

These are just a few examples of vascular conditions that fall under the umbrella term "cerebrovascular disease." Early diagnosis and treatment can significantly improve outcomes for many of these conditions.

I'm happy to help! "Rats, Inbred Lew" is a specific strain of laboratory rats that have been inbred for research purposes. The "Lew" part of the name refers to the location where they were first developed, the Lewis Institute in Lake Bluff, Illinois, USA.

Inbreeding is a process of mating closely related individuals over many generations to create a genetically homogeneous population. This results in a high degree of genetic similarity among members of the strain, making them ideal for use as experimental models because any differences observed between individuals are more likely to be due to the experimental manipulation rather than genetic variation.

Inbred Lew rats have been widely used in biomedical research, particularly in studies related to hypertension and cardiovascular disease. They exhibit a number of unique characteristics that make them useful for these types of studies, including their susceptibility to developing high blood pressure when fed a high-salt diet or given certain drugs.

It's important to note that while inbred strains like Lew rats can be very useful tools for researchers, they are not perfect models for human disease. Because they have been bred in a controlled environment and selected for specific traits, they may not respond to experimental manipulations in the same way that humans or other animals would. Therefore, it's important to interpret findings from these studies with caution and consider multiple lines of evidence before drawing any firm conclusions.

Prostheses: Artificial substitutes or replacements for missing body parts, such as limbs, eyes, or teeth. They are designed to restore the function, appearance, or mobility of the lost part. Prosthetic devices can be categorized into several types, including:

1. External prostheses: Devices that are attached to the outside of the body, like artificial arms, legs, hands, and feet. These may be further classified into:
a. Cosmetic or aesthetic prostheses: Primarily designed to improve the appearance of the affected area.
b. Functional prostheses: Designed to help restore the functionality and mobility of the lost limb.
2. Internal prostheses: Implanted artificial parts that replace missing internal organs, bones, or tissues, such as heart valves, hip joints, or intraocular lenses.

Implants: Medical devices or substances that are intentionally placed inside the body to replace or support a missing or damaged biological structure, deliver medication, monitor physiological functions, or enhance bodily functions. Examples of implants include:

1. Orthopedic implants: Devices used to replace or reinforce damaged bones, joints, or cartilage, such as knee or hip replacements.
2. Cardiovascular implants: Devices that help support or regulate heart function, like pacemakers, defibrillators, and artificial heart valves.
3. Dental implants: Artificial tooth roots that are placed into the jawbone to support dental prostheses, such as crowns, bridges, or dentures.
4. Neurological implants: Devices used to stimulate nerves, brain structures, or spinal cord tissues to treat various neurological conditions, like deep brain stimulators for Parkinson's disease or cochlear implants for hearing loss.
5. Ophthalmic implants: Artificial lenses that are placed inside the eye to replace a damaged or removed natural lens, such as intraocular lenses used in cataract surgery.

A chronic disease is a long-term medical condition that often progresses slowly over a period of years and requires ongoing management and care. These diseases are typically not fully curable, but symptoms can be managed to improve quality of life. Common chronic diseases include heart disease, stroke, cancer, diabetes, arthritis, and COPD (chronic obstructive pulmonary disease). They are often associated with advanced age, although they can also affect children and younger adults. Chronic diseases can have significant impacts on individuals' physical, emotional, and social well-being, as well as on healthcare systems and society at large.

'Alloys' is not a medical term. It is a term used in materials science and engineering to describe a mixture or solid solution composed of two or more elements, at least one of which is a metal. The components are typically present in significant amounts (>1% by weight). The properties of alloys, such as their strength, durability, and corrosion resistance, often differ from those of the constituent elements.

While not directly related to medicine, some alloys do have medical applications. For example, certain alloys are used in orthopedic implants, dental restorations, and other medical devices due to their desirable properties such as biocompatibility, strength, and resistance to corrosion.

Isogeneic transplantation is a type of transplant where the donor and recipient are genetically identical, meaning they are identical twins or have the same genetic makeup. In this case, the immune system recognizes the transplanted organ or tissue as its own and does not mount an immune response to reject it. This reduces the need for immunosuppressive drugs, which are typically required in other types of transplantation to prevent rejection.

In medical terms, isogeneic transplantation is defined as the transfer of genetic identical tissues or organs between genetically identical individuals, resulting in minimal risk of rejection and no need for immunosuppressive therapy.

Amblyopia is a medical condition that affects the visual system, specifically the way the brain and eyes work together. It is often referred to as "lazy eye" and is characterized by reduced vision in one or both eyes that is not correctable with glasses or contact lenses alone. This occurs because the brain favors one eye over the other, causing the weaker eye to become neglected and underdeveloped.

Amblyopia can result from various conditions such as strabismus (eye misalignment), anisometropia (significant difference in prescription between the two eyes), or deprivation (such as a cataract that blocks light from entering the eye). Treatment for amblyopia typically involves correcting any underlying refractive errors, patching or blurring the stronger eye to force the weaker eye to work, and/or vision therapy. Early intervention is crucial to achieve optimal visual outcomes.

An embolism is a medical condition that occurs when a substance, such as a blood clot or an air bubble, blocks a blood vessel. This can happen in any part of the body, but it is particularly dangerous when it affects the brain (causing a stroke) or the lungs (causing a pulmonary embolism). Embolisms can cause serious harm by preventing oxygen and nutrients from reaching the tissues and organs that need them. They are often the result of underlying medical conditions, such as heart disease or deep vein thrombosis, and may require immediate medical attention to prevent further complications.

The basilar artery is a major blood vessel that supplies oxygenated blood to the brainstem and cerebellum. It is formed by the union of two vertebral arteries at the lower part of the brainstem, near the junction of the medulla oblongata and pons.

The basilar artery runs upward through the center of the brainstem and divides into two posterior cerebral arteries at the upper part of the brainstem, near the midbrain. The basilar artery gives off several branches that supply blood to various parts of the brainstem, including the pons, medulla oblongata, and midbrain, as well as to the cerebellum.

The basilar artery is an important part of the circle of Willis, a network of arteries at the base of the brain that ensures continuous blood flow to the brain even if one of the arteries becomes blocked or narrowed.

Transplantation Immunology is a branch of medicine that deals with the immune responses occurring between a transplanted organ or tissue and the recipient's body. It involves understanding and managing the immune system's reaction to foreign tissue, which can lead to rejection of the transplanted organ. This field also studies the use of immunosuppressive drugs to prevent rejection and the potential risks and side effects associated with their use. The main goal of transplantation immunology is to find ways to promote the acceptance of transplanted tissue while minimizing the risk of infection and other complications.

Plethysmography is a non-invasive medical technique used to measure changes in volume or blood flow within an organ or body part, typically in the lungs or extremities. There are several types of plethysmography, including:

1. **Whole Body Plethysmography (WBP):** This type of plethysmography is used to assess lung function and volumes by measuring changes in pressure within a sealed chamber that contains the patient's entire body except for their head. The patient breathes normally while wearing a nose clip, allowing technicians to analyze respiratory patterns, airflow, and lung volume changes.
2. **Segmental or Local Plethysmography:** This technique measures volume or blood flow changes in specific body parts, such as the limbs or digits. It can help diagnose and monitor conditions affecting peripheral circulation, like deep vein thrombosis, arterial occlusive disease, or Raynaud's phenomenon.
3. **Impedance Plethysmography (IPG):** This non-invasive method uses electrical impedance to estimate changes in blood volume within an organ or body part. By applying a small electrical current and measuring the opposition to flow (impedance), technicians can determine variations in blood volume, which can help diagnose conditions like deep vein thrombosis or heart failure.
4. **Optical Plethysmography:** This technique uses light to measure changes in blood volume, typically in the skin or mucous membranes. By shining a light on the area and analyzing the reflected or transmitted light, technicians can detect variations in blood volume related to cardiac output, respiration, or other physiological factors.

Overall, plethysmography is an essential tool for diagnosing and monitoring various medical conditions affecting circulation, respiratory function, and organ volumes.

"Venae Cavae" is a term that refers to the two large veins in the human body that return deoxygenated blood from the systemic circulation to the right atrium of the heart.

The "Superior Vena Cava" receives blood from the upper half of the body, including the head, neck, upper limbs, and chest, while the "Inferior Vena Cava" collects blood from the lower half of the body, including the abdomen and lower limbs.

Together, these veins play a crucial role in the circulatory system by ensuring that oxygen-depleted blood is efficiently returned to the heart for reoxygenation in the lungs.

A false aneurysm, also known as a pseudoaneurysm, is a type of aneurysm that occurs when there is a leakage or rupture of blood from a blood vessel into the surrounding tissues, creating a pulsating hematoma or collection of blood. Unlike true aneurysms, which involve a localized dilation or bulging of the blood vessel wall, false aneurysms do not have a complete covering of all three layers of the arterial wall (intima, media, and adventitia). Instead, they are typically covered by only one or two layers, such as the intima and adventitia, or by surrounding tissues like connective tissue or fascia.

False aneurysms can result from various factors, including trauma, infection, iatrogenic causes (such as medical procedures), or degenerative changes in the blood vessel wall. They are more common in arteries than veins and can occur in any part of the body. If left untreated, false aneurysms can lead to serious complications such as rupture, thrombosis, distal embolization, or infection. Treatment options for false aneurysms include surgical repair, endovascular procedures, or observation with regular follow-up imaging.

Cardiac catheterization is a medical procedure used to diagnose and treat cardiovascular conditions. In this procedure, a thin, flexible tube called a catheter is inserted into a blood vessel in the arm or leg and threaded up to the heart. The catheter can be used to perform various diagnostic tests, such as measuring the pressure inside the heart chambers and assessing the function of the heart valves.

Cardiac catheterization can also be used to treat certain cardiovascular conditions, such as narrowed or blocked arteries. In these cases, a balloon or stent may be inserted through the catheter to open up the blood vessel and improve blood flow. This procedure is known as angioplasty or percutaneous coronary intervention (PCI).

Cardiac catheterization is typically performed in a hospital cardiac catheterization laboratory by a team of healthcare professionals, including cardiologists, radiologists, and nurses. The procedure may be done under local anesthesia with sedation or general anesthesia, depending on the individual patient's needs and preferences.

Overall, cardiac catheterization is a valuable tool in the diagnosis and treatment of various heart conditions, and it can help improve symptoms, reduce complications, and prolong life for many patients.

The ilium is the largest and broadest of the three parts that make up the hip bone or coxal bone. It is the uppermost portion of the pelvis and forms the side of the waist. The ilium has a curved, fan-like shape and articulates with the sacrum at the back to form the sacroiliac joint. The large, concave surface on the top of the ilium is called the iliac crest, which can be felt as a prominent ridge extending from the front of the hip to the lower back. This region is significant in orthopedics and physical examinations for its use in assessing various medical conditions and performing certain maneuvers during the physical examination.

Medical Definition:

Magnetic Resonance Imaging (MRI) is a non-invasive diagnostic imaging technique that uses a strong magnetic field and radio waves to create detailed cross-sectional or three-dimensional images of the internal structures of the body. The patient lies within a large, cylindrical magnet, and the scanner detects changes in the direction of the magnetic field caused by protons in the body. These changes are then converted into detailed images that help medical professionals to diagnose and monitor various medical conditions, such as tumors, injuries, or diseases affecting the brain, spinal cord, heart, blood vessels, joints, and other internal organs. MRI does not use radiation like computed tomography (CT) scans.

Brain infarction, also known as cerebral infarction, is a type of stroke that occurs when blood flow to a part of the brain is blocked, often by a blood clot. This results in oxygen and nutrient deprivation to the brain tissue, causing it to become damaged or die. The effects of a brain infarction depend on the location and extent of the damage, but can include weakness, numbness, paralysis, speech difficulties, memory loss, and other neurological symptoms.

Brain infarctions are often caused by underlying medical conditions such as atherosclerosis, atrial fibrillation, or high blood pressure. Treatment typically involves addressing the underlying cause of the blockage, administering medications to dissolve clots or prevent further clotting, and providing supportive care to manage symptoms and prevent complications.

The hepatic veins are blood vessels that carry oxygen-depleted blood from the liver back to the heart. There are typically three major hepatic veins - right, middle, and left - that originate from the posterior aspect of the liver and drain into the inferior vena cava just below the diaphragm. These veins are responsible for returning the majority of the blood flow from the gastrointestinal tract and spleen to the heart. It's important to note that the hepatic veins do not have valves, which can make them susceptible to a condition called Budd-Chiari syndrome, where blood clots form in the veins and obstruct the flow of blood from the liver.

Prosthesis failure is a term used to describe a situation where a prosthetic device, such as an artificial joint or limb, has stopped functioning or failed to meet its intended purpose. This can be due to various reasons, including mechanical failure, infection, loosening of the device, or a reaction to the materials used in the prosthesis.

Mechanical failure can occur due to wear and tear, manufacturing defects, or improper use of the prosthetic device. Infection can also lead to prosthesis failure, particularly in cases where the prosthesis is implanted inside the body. The immune system may react to the presence of the foreign material, leading to inflammation and infection.

Loosening of the prosthesis can also cause it to fail over time, as the device becomes less stable and eventually stops working properly. Additionally, some people may have a reaction to the materials used in the prosthesis, leading to tissue damage or other complications that can result in prosthesis failure.

In general, prosthesis failure can lead to decreased mobility, pain, and the need for additional surgeries or treatments to correct the problem. It is important for individuals with prosthetic devices to follow their healthcare provider's instructions carefully to minimize the risk of prosthesis failure and ensure that the device continues to function properly over time.

Endarterectomy is a surgical procedure in which the inner lining of an artery (the endothelium) that has become thickened, damaged, or narrowed due to the buildup of fatty deposits, called plaques, is removed. This process helps restore normal blood flow through the artery and reduces the risk of serious complications such as stroke or limb loss.

The procedure typically involves making an incision in the affected artery, carefully removing the plaque and inner lining, and then closing the artery with sutures or a patch graft. Endarterectomy is most commonly performed on the carotid arteries in the neck, but it can also be done on other arteries throughout the body, including the femoral artery in the leg and the iliac artery in the pelvis.

Endarterectomy is usually recommended for patients with significant narrowing of their arteries who are experiencing symptoms such as pain, numbness, or weakness in their limbs, or who have a high risk of stroke due to carotid artery disease. The procedure is generally safe and effective, but like any surgery, it carries risks such as bleeding, infection, and damage to nearby nerves or tissues.

Gerbillinae is a subfamily of rodents that includes gerbils, jirds, and sand rats. These small mammals are primarily found in arid regions of Africa and Asia. They are characterized by their long hind legs, which they use for hopping, and their long, thin tails. Some species have adapted to desert environments by developing specialized kidneys that allow them to survive on minimal water intake.

Brain tissue transplantation is a medical procedure that involves the surgical implantation of healthy brain tissue into a damaged or diseased brain. The goal of this procedure is to replace the non-functioning brain cells with healthy ones, in order to restore lost function or improve neurological symptoms.

The brain tissue used for transplantation can come from various sources, including fetal brain tissue, embryonic stem cells, or autologous cells (the patient's own cells). The most common type of brain tissue transplantation is fetal brain tissue transplantation, where tissue from aborted fetuses is used.

Brain tissue transplantation has been explored as a potential treatment for various neurological conditions, including Parkinson's disease, Huntington's disease, and stroke. However, the procedure remains highly experimental and is not widely available outside of clinical trials. There are also ethical concerns surrounding the use of fetal brain tissue, which has limited its widespread adoption.

It is important to note that while brain tissue transplantation holds promise as a potential treatment for neurological disorders, it is still an area of active research and much more needs to be learned about its safety and efficacy before it becomes a standard treatment option.

The Thoracic Arteries are branches of the aorta that supply oxygenated blood to the thoracic region of the body. The pair of arteries originate from the descending aorta and divide into several smaller branches, including intercostal arteries that supply blood to the muscles between the ribs, and posterior intercostal arteries that supply blood to the back and chest wall. Other branches of the thoracic arteries include the superior phrenic arteries, which supply blood to the diaphragm, and the bronchial arteries, which supply blood to the lungs. These arteries play a crucial role in maintaining the health and function of the chest and respiratory system.

An embolectomy is a surgical procedure to remove an embolus, which is a blockage in a blood vessel caused by a clot or air bubble that has traveled from another part of the body. During an embolectomy, the surgeon makes an incision in the affected blood vessel and removes the embolus using specialized surgical instruments. This procedure is often performed as an emergency treatment to restore blood flow and prevent tissue damage in the affected area of the body.

Visual acuity is a measure of the sharpness or clarity of vision. It is usually tested by reading an eye chart from a specific distance, such as 20 feet (6 meters). The standard eye chart used for this purpose is called the Snellen chart, which contains rows of letters that decrease in size as you read down the chart.

Visual acuity is typically expressed as a fraction, with the numerator representing the testing distance and the denominator indicating the smallest line of type that can be read clearly. For example, if a person can read the line on the eye chart that corresponds to a visual acuity of 20/20, it means they have normal vision at 20 feet. If their visual acuity is 20/40, it means they must be as close as 20 feet to see what someone with normal vision can see at 40 feet.

It's important to note that visual acuity is just one aspect of overall vision and does not necessarily reflect other important factors such as peripheral vision, depth perception, color vision, or contrast sensitivity.

The Circle of Willis is a circulatory arrangement in the brain where the major arteries that supply blood to the brain converge to form an almost circular structure. It is named after Thomas Willis, an English physician who first described it in 1664.

This circle is formed by the joining of the two internal carotid arteries, which divide into the anterior cerebral and middle cerebral arteries, with the basilar artery, which arises from the vertebral arteries. These vessels anastomose, or connect, to form a polygon-like structure at the base of the brain.

The Circle of Willis plays a crucial role in maintaining adequate blood flow to the brain, as it allows for collateral circulation. If one of the arteries that make up the circle becomes blocked or narrowed, blood can still reach the affected area through the other vessels in the circle. This helps to minimize the risk of stroke and other neurological disorders.

A Severity of Illness Index is a measurement tool used in healthcare to assess the severity of a patient's condition and the risk of mortality or other adverse outcomes. These indices typically take into account various physiological and clinical variables, such as vital signs, laboratory values, and co-morbidities, to generate a score that reflects the patient's overall illness severity.

Examples of Severity of Illness Indices include the Acute Physiology and Chronic Health Evaluation (APACHE) system, the Simplified Acute Physiology Score (SAPS), and the Mortality Probability Model (MPM). These indices are often used in critical care settings to guide clinical decision-making, inform prognosis, and compare outcomes across different patient populations.

It is important to note that while these indices can provide valuable information about a patient's condition, they should not be used as the sole basis for clinical decision-making. Rather, they should be considered in conjunction with other factors, such as the patient's overall clinical presentation, treatment preferences, and goals of care.

Subclavian Steal Syndrome is a medical condition that occurs when there is a narrowing or blockage (stenosis) in the subclavian artery, usually at or near its origin from the aorta. This stenosis causes reduced blood flow to the ipsilateral upper extremity. The decreased blood supply to the arm leads to reversal of flow in the vertebral artery, which normally supplies blood to the brain and neck structures. As a result, the brain may receive insufficient blood flow, causing symptoms such as dizziness, lightheadedness, syncope (fainting), or transient ischemic attacks (TIAs or "mini-strokes").

The syndrome is called 'subclavian steal' because the vertebral artery essentially "steals" blood from the circle of Willis (the network of arteries at the base of the brain) to compensate for the reduced flow in the subclavian artery. The condition most commonly affects the left subclavian artery, but it can also occur on the right side or both sides.

Subclavian Steal Syndrome is typically diagnosed through a combination of physical examination, medical history, and imaging tests such as Doppler ultrasound, CT angiography (CTA), or magnetic resonance angiography (MRA). Treatment options include surgical bypass, endovascular stenting, or medication to manage symptoms and reduce the risk of stroke.

Intracranial thrombosis refers to the formation of a blood clot (thrombus) within the intracranial vessels, which supply blood to the brain. This condition can occur in any of the cerebral arteries or veins and can lead to serious complications such as ischemic stroke, transient ischemic attack (TIA), or venous sinus thrombosis.

The formation of an intracranial thrombus can be caused by various factors, including atherosclerosis, cardiac embolism, vasculitis, sickle cell disease, hypercoagulable states, and head trauma. Symptoms may vary depending on the location and extent of the thrombosis but often include sudden onset of headache, weakness or numbness in the face or limbs, difficulty speaking or understanding speech, vision changes, and loss of balance or coordination.

Diagnosis of intracranial thrombosis typically involves imaging studies such as computed tomography (CT) angiography, magnetic resonance angiography (MRA), or digital subtraction angiography (DSA). Treatment options may include anticoagulation therapy, thrombolysis, endovascular intervention, or surgical intervention, depending on the underlying cause and severity of the condition.

Life tables are statistical tools used in actuarial science, demography, and public health to estimate the mortality rate and survival rates of a population. They provide a data-driven representation of the probability that individuals of a certain age will die before their next birthday (the death rate) or live to a particular age (the survival rate).

Life tables are constructed using data on the number of deaths and the size of the population in specific age groups over a given period. These tables typically include several columns representing different variables, such as:

1. Age group or interval: The age range for which the data is being presented (e.g., 0-1 year, 1-5 years, 5-10 years, etc.).
2. Number of people in the population: The size of the population within each age group.
3. Number of deaths: The number of individuals who died during the study period within each age group.
4. Death rate: The probability that an individual in a given age group will die before their next birthday. It is calculated as the number of deaths divided by the size of the population for that age group.
5. Survival rate: The probability that an individual in a given age group will survive to a specific age or older. It is calculated using the death rates from earlier age groups.
6. Life expectancy: The average number of years a person is expected to live, based on their current age and mortality rates for each subsequent age group.

Life tables are essential in various fields, including insurance, pension planning, social security administration, and healthcare policy development. They help researchers and policymakers understand the health status and demographic trends of populations, allowing them to make informed decisions about resource allocation, program development, and public health interventions.

The Predictive Value of Tests, specifically the Positive Predictive Value (PPV) and Negative Predictive Value (NPV), are measures used in diagnostic tests to determine the probability that a positive or negative test result is correct.

Positive Predictive Value (PPV) is the proportion of patients with a positive test result who actually have the disease. It is calculated as the number of true positives divided by the total number of positive results (true positives + false positives). A higher PPV indicates that a positive test result is more likely to be a true positive, and therefore the disease is more likely to be present.

Negative Predictive Value (NPV) is the proportion of patients with a negative test result who do not have the disease. It is calculated as the number of true negatives divided by the total number of negative results (true negatives + false negatives). A higher NPV indicates that a negative test result is more likely to be a true negative, and therefore the disease is less likely to be present.

The predictive value of tests depends on the prevalence of the disease in the population being tested, as well as the sensitivity and specificity of the test. A test with high sensitivity and specificity will generally have higher predictive values than a test with low sensitivity and specificity. However, even a highly sensitive and specific test can have low predictive values if the prevalence of the disease is low in the population being tested.

The common carotid artery is a major blood vessel in the neck that supplies oxygenated blood to the head and neck. It originates from the brachiocephalic trunk or the aortic arch and divides into the internal and external carotid arteries at the level of the upper border of the thyroid cartilage. The common carotid artery is an important structure in the circulatory system, and any damage or blockage to it can have serious consequences, including stroke.

"Recovery of function" is a term used in medical rehabilitation to describe the process in which an individual regains the ability to perform activities or tasks that were previously difficult or impossible due to injury, illness, or disability. This can involve both physical and cognitive functions. The goal of recovery of function is to help the person return to their prior level of independence and participation in daily activities, work, and social roles as much as possible.

Recovery of function may be achieved through various interventions such as physical therapy, occupational therapy, speech-language therapy, and other rehabilitation strategies. The specific approach used will depend on the individual's needs and the nature of their impairment. Recovery of function can occur spontaneously as the body heals, or it may require targeted interventions to help facilitate the process.

It is important to note that recovery of function does not always mean a full return to pre-injury or pre-illness levels of ability. Instead, it often refers to the person's ability to adapt and compensate for any remaining impairments, allowing them to achieve their maximum level of functional independence and quality of life.

Patent Ductus Arteriosus (PDA) is a congenital heart defect in which the ductus arteriosus, a normal fetal blood vessel that connects the pulmonary artery and the aorta, fails to close after birth. The ductus arteriosus allows blood to bypass the lungs while the fetus is still in the womb, but it should close shortly after birth as the newborn begins to breathe and oxygenate their own blood.

If the ductus arteriosus remains open or "patent," it can result in abnormal blood flow between the pulmonary artery and aorta. This can lead to various cardiovascular complications, such as:

1. Pulmonary hypertension (high blood pressure in the lungs)
2. Congestive heart failure
3. Increased risk of respiratory infections

The severity of the symptoms and the need for treatment depend on the size of the PDA and the amount of blood flow that is shunted from the aorta to the pulmonary artery. Small PDAs may close on their own over time, while larger PDAs typically require medical intervention, such as medication or surgical closure.

A Host vs Graft Reaction, also known as graft-versus-host disease (GVHD), is a condition that can occur after a transplant of immunocompetent tissue (like bone marrow or peripheral blood stem cells) from a donor (graft) to a recipient (host). It occurs when the transplanted immune cells recognize the recipient's tissues as foreign and mount an immune response against them. This reaction can cause inflammation and damage to various organs, including the skin, liver, and gastrointestinal tract.

GVHD can be acute or chronic, depending on the time of onset and the severity of symptoms. Acute GVHD typically occurs within 100 days of transplantation and is characterized by a rash, diarrhea, and liver dysfunction. Chronic GVHD, which can occur after day 100, is often more severe and can affect multiple organs, leading to fibrosis and organ dysfunction.

Preventing and managing GVHD is an important consideration in transplant medicine, as it can significantly impact the success of the transplant and the recipient's quality of life. Strategies for preventing and treating GVHD include immunosuppressive therapy, T-cell depletion of the graft, and careful matching of donor and recipient to minimize histocompatibility differences.

An intracranial embolism is a medical condition that occurs when a blood clot or other foreign material (embolus) forms elsewhere in the body and travels to the blood vessels within the brain. This embolus then blocks the flow of blood in the cerebral arteries, leading to potential damage or death of brain tissue. Common sources of intracranial emboli include heart conditions such as atrial fibrillation, valvular heart disease, or following a heart attack; or from large-vessel atherosclerosis in the carotid arteries. Symptoms can vary depending on the location and size of the obstruction, but may include sudden weakness or numbness, confusion, difficulty speaking, vision loss, severe headache, or even loss of consciousness. Immediate medical attention is required to diagnose and treat intracranial embolism, often involving anticoagulation therapy, endovascular procedures, or surgery.

Treatment failure is a term used in medicine to describe the situation when a prescribed treatment or intervention is not achieving the desired therapeutic goals or objectives. This may occur due to various reasons, such as:

1. Development of drug resistance by the pathogen or disease being treated.
2. Inadequate dosage or frequency of the medication.
3. Poor adherence or compliance to the treatment regimen by the patient.
4. The presence of underlying conditions or comorbidities that may affect the efficacy of the treatment.
5. The severity or progression of the disease despite appropriate treatment.

When treatment failure occurs, healthcare providers may need to reassess the patient's condition and modify the treatment plan accordingly, which may include adjusting the dosage, changing the medication, adding new medications, or considering alternative treatments.

The postoperative period is the time following a surgical procedure during which the patient's response to the surgery and anesthesia is monitored, and any complications or adverse effects are managed. This period can vary in length depending on the type of surgery and the individual patient's needs, but it typically includes the immediate recovery phase in the post-anesthesia care unit (PACU) or recovery room, as well as any additional time spent in the hospital for monitoring and management of pain, wound healing, and other aspects of postoperative care.

The goals of postoperative care are to ensure the patient's safety and comfort, promote optimal healing and rehabilitation, and minimize the risk of complications such as infection, bleeding, or other postoperative issues. The specific interventions and treatments provided during this period will depend on a variety of factors, including the type and extent of surgery performed, the patient's overall health and medical history, and any individualized care plans developed in consultation with the patient and their healthcare team.

Risks of the bypass: Acute graft occlusion is the occlusion (blockage) of a vascular bypass graft shortly after the bypass is ... Arteries can also serve as vascular grafts. A surgeon sews the graft to the source and target vessels by hand using surgical ... In general, someone's own vein (autograft) is the preferred graft material (or conduit) for a vascular bypass, but other types ... Zia, A.W., Liu, R. & Wu, X. Structural design and mechanical performance of composite vascular grafts. Bio-des. Manuf. (2022). ...
... especially small-diameter grafts which prevent occlusion. Modifying vascular tissue grafts with RGD has been shown to inhibit ... However, donor corneal grafts are in short supply and, like other tissue grafts, carry the risk of rejection or communicable ... High rates of cardiovascular disease creates a high demand for grafts for vascular bypass surgery, ... Such nanomaterials have also been used to deliver combination cytotoxic and vascular disrupting therapies. While gene therapy ...
Acute arterial occlusion may develop as a result of arterial dissection in the carotid artery or aorta or as a result of ... Ischemia is a vascular disease involving an interruption in the arterial blood supply to a tissue, organ, or extremity that, if ... Nat Rev Gastroenterol Hepatol 2013; 10:79-89 Perico N, Cattaneo D, Sayegh MH, et al: Delayed graft function in kidney ... Chronic ischemia of the brain may result in a form of dementia called vascular dementia. A sudden, brief episode (symptoms ...
... graft occlusion, vascular MeSH C23.550.767.600 - malignant hyperthermia MeSH C23.550.767.700 - pain, postoperative MeSH C23.550 ... vascular fistula MeSH C23.300.575.950.150 - arterio-arterial fistula MeSH C23.300.575.950.250 - arteriovenous fistula MeSH ...
French vascular surgeon Jacques Oudot performed the first arterial graft on a human being, operating at a Paris hospital on a ... 51-year-old woman with aortic occlusion of the left leg. The patient reportedly made a successful recovery. Carbon-14 dating of ... A History of Vascular Surgery. 2d.Ed. (John Wiley & Sons, 2008) pp82, 197-198 James VanderKam and Peter Flint, The Meaning of ...
... and vascular graft thrombosis (20%). Rare causes include popliteal entrapment syndrome, adventitial cystic disease, phlegmasia ... A clinical pulse examination can be done to detect the location of the occlusion by finding the area where the pulse is ... CTA uses radiation and may not pick up on vessels for revascularization that are distal to the occlusion, but it is much ... Other options include a vascular bypass to route blood flow around the clot. Those unsuitable for surgery may receive ...
Zhen Y. Jiang et al, "Characterization of Multiple Signaling Pathways of Insulin in the Regulation of Vascular Endothelial ... the EMA also granted Aganirsen an Orphan drug designation for ischemic Central retinal vein Occlusion (iCRVO). A randomised, ... granted Gene Signal orphan designation for aganirsen for the prevention of corneal graft rejection associated with excessive ... and vascular endothelial growth factor (P < 0.01). In April 2007, the EMA's Committee for Orphan Medicinal Products (COMP) ...
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for hemorrhage control, angioembolization and stent grafts ... October 1995). "[Initial experience with transluminally placed endovascular grafts for the treatment of complex vascular ... Stent grafts, or endo-grafts, are a more permanent solution in the hemodynamically unstable patient and are an important part ... Vascular access is based on the Seldinger technique. After puncturing the vessel with a needle and confirmation of arterial ...
More options for sites to place a graft are available, because the graft can be made quite long. Thus a graft can be placed in ... This results in scarring and narrowing of the vein, often to the point of occlusion. This can cause problems with severe venous ... In the latter two, needles are used to puncture the graft or fistula each time dialysis is performed. The type of vascular ... AV grafts are at high risk to develop narrowing, especially in the vein just downstream from where the graft has been sewn to ...
Vascular and Interventional Radiologists are at the forefront of treating a wide variety of vascular diseases. Since its ... If an occlusion is too dense or complex, a bypass could also be performed, where two segments of vessel are bridged by an ... Stents and stent-grafts: Stents are used to provide a scaffold along a segment of diseased vessel. These are available in a ... An arteriovenous graft (AVG) relies on the same principle but bridges the gap between the artery and vein with a medical-grade ...
Prosthetic vascular grafts in the aorta Aortic aneurysm Aortofemoral grafts Sepsis IABP has a beneficiary effect to the ... Placing the balloon too distal from the aortic arch may induce occlusion of the renal artery and subsequent kidney failure. ... Mechanical failure of the balloon itself is also a risk which entails vascular surgery to remove under that circumstance. After ... Percutaneous coronary angioplasty In high risk coronary artery bypass graft surgery where cardiopulmonary bypass time was ...
"Coronary Artery Bypass Graft Surgery". www.hopkinsmedicine.org. 8 August 2021. Retrieved 2022-03-29. "Carotid Endarterectomy". ... and Vascular Biology. 39 (8): e176-e185. doi:10.1161/atvbaha.119.312578. PMID 31339782. S2CID 198491471. Buttolph A, Sapra A ( ... An embolism involves the occlusion of blood vessels by an embolus. Arterial occlusion by an embolus is termed 'arterial ... The pathophysiology of diseases of arterial occlusion depends on the type of occlusion, the severity of blockage, and the ...
Vessel occlusion increases vascular resistance and therefore leads to hypertension. In portal hypertension, the vessels ... Human umbilical vein graft Ductus venosus Coté, Charles J.; Lerman, Jerrold; Todres, I. David (2009). A Practice of Anesthesia ... Diagram of the vascular channels in a human embryo of the second week. Human embryo with heart and anterior body-wall removed ... Wang, Y. Vascular biology of the placenta. in Colloquium Series on Integrated Systems Physiology: from Molecule to Function. ...
... resulting from a vascular access device (such as an arteriovenous fistula or synthetic vascular graft-AV fistula) that was ... improvement in hand pulse with access occlusion Grade 2: Moderate - Ischemic symptoms during dialysis Grade 3: Severe - ... DASS occurs in about 1% of AV fistulas and 2.7-8% of PTFE grafts. Within the contexts of nephrology and dialysis, vascular ... In nephrology, vascular access steal syndrome is a syndrome caused by ischemia (not enough blood flow) ...
Also, anticoagulant and antiplatelet agents have been prescribed to prevent vascular occlusion or embolism. Corticosteroids are ... Thoracic endovascular aortic repair (TEVAR) was carried out to introduce a stent graft in order to treat thoracoabdominal ... Spinal cord stroke is a rare type of stroke with compromised blood flow to any region of spinal cord owing to occlusion or ... On the other hand, trauma, which generally originates from terminal vascular network, is a common cause of spinal cord ...
Normally the catheter is inserted by the groin and moved to the appropriate site by navigating through the vascular system. ... or to identify a vein for arterial bypass grafting. Areas of the venous system that can be investigated include the lower ... to demonstrate site of occlusion and stenosis in the veins, and superior vena cava obstruction. Low osmolar contrast medium ...
... early graft occlusion may occur.[citation needed] For these reasons, invasive treatment should not be performed in the acute ... Blood vessel problems are observed in 7-29% of people with arterial lesions representing 15% of vascular lesions. Arterial ... Vasculitis resulting in occlusion of the vessels supplying the optic nerve may be the cause of acute optic neuropathy and ... Most common arterial lesions are occlusions or stenosis and aneurysms or pseudoaneurysms.[citation needed] The cause is not ...
Subclavian steal syndrome Vascular resistance Arteriolar vasodilator Gould KL (August 1989). "Coronary steal. Is it clinically ... Kern MJ (1996). "Coronary steal through anomalous internal mammary artery graft treated by ligation without sternotomy". Tex ... "Direct assessment of coronary steal and associated changes of collateral hemodynamics in chronic total coronary occlusions". ...
... over the months following a vascular procedure, such as the implantation of a stent-graft. Late loss is one metric that is ... An occlusion, or the blocking of all blood flow through a vessel, is considered 100% percent diameter stenosis. Binary ... reacts to the stent-graft via smooth muscle proliferation, etc., which literally pushes the stent-graft back, narrowing the ... For instance, the implantation of a stent-graft will first provide an acute gain in lumen diameter. In other words, there is an ...
At least one vein and one artery (which constitutes the vascular pedicle) are dissected. The vein and artery (vascular pedicle ... Sometimes a Split Thickness Skin graft (STSG) may be performed and placed on top of the defect site and/or the donor site. The ... the jawbone and the dental occlusion. Type of defects include: Reconstruction of post-traumatic defects: Some areas of the body ... The free flap is brought up to the defect area, and the vein and artery from the flap (vascular pedicle) are anastomosed (re- ...
"Aortic graft infection: is there a place for partial graft removal?". European Journal of Vascular and Endovascular Surgery. 14 ... hypogastric artery occlusion, prior aortic repair and perioperative hypotension. Spinal cord injury related to aortic repair ... or rupture through graft material. Type IV - Leakage through the graft wall due to the quality (porosity) of the graft material ... As seen in first-generation grafts, changes in graft material in modern devices have decreased the prevalence of type IV leaks ...
... or to salvage vascular injuries that include hemorrhage control, dissection, occlusion or simply for safe exposure of vascular ... In 1958, they began using the Dacron graft, resulting in a revolution for surgeons in the repair of aortic aneurysms. He also ... The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system ... This area of vascular surgery is called Endovascular Surgery or Interventional Vascular Radiology, a term that some in the ...
In general, occlusions greater than 70% of the width of the vessel lumen are thought to require intervention. However, in cases ... Vascular closure devices can be used to speed along hemostasis. Much equipment is required for a facility to perform the ... as coronary artery bypass grafting may be done at the same time Risk stratification for high cardiac risk surgeries (e.g., ... technique is also used to assess the amount of occlusion (or blockage) in a coronary artery, often described as a percentage of ...
Full-thickness skin graft to hand (86.62) Other skin graft to hand (86.63) Full-thickness skin graft to other sites (86.64) ... Other shunt or vascular bypass (39.3) Suture of vessel (39.4) Revision of vascular procedure (39.5) Other repair of vessels ( ... Bilateral endoscopic destruction or occlusion of fallopian tubes (66.3) Other bilateral destruction or occlusion of fallopian ... Free skin graft (86.60) Free skin graft, not otherwise specified (86.61) ...
A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs. ... Ouriel led a team of surgeons that inserted a stent graft. "Ouriel said that the team inserted a Y-shaped tube through an ... He authored three textbooks in vascular surgery and over 250 original scientific articles on a wide variety of vascular ... A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs. ...
CABG involves grafting new blood vessels to provide a new route for blood flow around the blocked vessel. Choice of treatment ... Plaques in the walls of the coronary arteries can rupture, resulting in occlusion of the artery and deprivation of blood flow ... Vascular Health and Risk Management. 6: 635-656. doi:10.2147/vhrm.s7564. PMC 2922325. PMID 20730020. Reed GW, Rossi JE, Cannon ... These medications help to prevent clots in the coronary artery and the occlusion which can lead to a heart attack. Angiotensin- ...
"US Patent for Vascular and intestinal occlusion Patent (Patent # 10,335,158 issued July 2, 2019) - Justia Patents Search". ... Ten-Year Outcome of Coronary Artery Bypass Graft Surgery versus Medical Therapy in Patients with Ischemic Cardiomyopathy: ... 6,482,224, Issued: November 19, 2002 Vascular and Intestinal Occlusion, Albert N. Santilli & Robert E. Michler, U.S. Patent No ... "Heart and Vascular Care - About Us - Chairman Robert E. Michler, MD - New York - Montefiore Medical Center". www.montefiore.org ...
... treatment for atherosclerosis and be more prone to restenosis relative to vascular bypass or coronary artery bypass grafting. ... A small vessel diameter, the presence of posterior calcification, occlusion, hematoma, or an earlier placement of a bypass ... Access to the vascular system is typically gained percutaneously (through the skin, without a large surgical incision). An ... McTaggart, R. A.; Raghavan, D.; Haas, R. A.; Jayaraman, M. V. (June 1, 2010). "StarClose Vascular Closure Device: Safety and ...
When surgery is required, particularly when there is a severe disfiguration of the jaw, it is common to use a rib graft to help ... The condition develops in the fetus at approximately 4 weeks gestational age, when some form of vascular problem such as blood ... occlusion). Patients can also benefit from a Bone Anchored Hearing Aid (BAHA). The condition is also known by various other ... or costochondral graft. The treatment is based on the type of severity for these patients. According to Pruzanksky's ...
Occlusion of vascular tissue, while a normal plant response to infection, makes symptoms significantly worse; as the bacterium ... grafting) can produce mature plants that also have an X. fastidiosa disease. In the wild, infections tend to occur during ... This bacterium rarely completely blocks vascular tissue. There usually is a slight amount of vascular function that keeps the ... "Vascular Occlusions in Grapevines with Pierce's Disease Make Disease Symptom Development Worse". Plant Physiology. 161 (3): ...
The global vascular grafts market is set to witness rapid growth on account of increasing incidence of vascular disorders. This ... Bypass Graft, Peripheral Vascular Graft), By Application (Coronary Artery Disease, Vascular Occlusion, Renal Failure), By ... The other major roadblock is the fear of vascular graft infection. Though rare, the possibility of occurrence of vascular graft ... "Vascular Grafts Market Size, Share and Global Trend By Product Type (Endovascular Stent Graft, Hemodialysis Access Graft, ...
... is Chair of Vascular Surgery for MedStar Health and a member of the Society for Vascular Surgery. Click here for more ... Arteriovenous Graft Occlusion * Arteriovenous Stenosis * Atheroembolism Of Lower Extremities * Atheroembolism Of Upper ... is Chair of Vascular Surgery for MedStar Health and a member of the Society for Vascular Surgery. As a board-certified vascular ... peripheral vascular disease, and limb salvage. His research interests currently include vascular surgery education, iliocaval ...
Risks of the bypass: Acute graft occlusion is the occlusion (blockage) of a vascular bypass graft shortly after the bypass is ... Arteries can also serve as vascular grafts. A surgeon sews the graft to the source and target vessels by hand using surgical ... In general, someones own vein (autograft) is the preferred graft material (or conduit) for a vascular bypass, but other types ... Zia, A.W., Liu, R. & Wu, X. Structural design and mechanical performance of composite vascular grafts. Bio-des. Manuf. (2022). ...
Color flow Doppler ultrasonography is necessary to evaluate vascular occlusion or stenosis. Kidney biopsy represents the ... The graft insertion site should be inspected for signs of wound infection. Graft tenderness and swelling are often observed in ... Kidney graft failure occurs because of chronic rejection, graft dysfunction, and nephrotoxicity, causing the patient to need ... Possible causes of hypertension include graft rejection, cyclosporine toxicity, glomerulonephritis, graft renal artery stenosis ...
Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention via Saphenous Vein Graft.. Xenogiannis I, Gkargkoulas F, ... Absorb Bioresorbable Vascular Scaffold is Associated with Low Wall Shear Stress Compared to Xience V: A Biomechanical Analysis ... Impact of adherence to the hybrid algorithm for initial crossing strategy selection in chronic total occlusion percutaneous ... Coronary Circulatory Indexes in Non-lnfarct-Related Vascular Territories in a Porcine Acute Myocardial Infarction Model. ...
... the incidence of civilian extremity vascular trauma is significant. ... Patients with extremity vascular traumas present daily in emergency departments (EDs) and trauma centers worldwide. While much ... The present status of endoluminal stented grafts for the treatment of aneurysms, traumatic injuries and arterial occlusions. ... Society of Black Vascular Surgeons, Southern California Vascular Surgical Society, Western Vascular Society. Disclosure: ...
Vascular Graft helps to deliver clinical and economic value to patients and hospitals. ... 50% reduction in risk of graft occlusion compared to standard ePTFE in critical limb ischemia (CLI) patients.2. ... European Journal of Vascular & Endovascular Surgery 2011;41(5):668-673.. * GORE® PROPATEN® Vascular Graft. W. L. Gore & ... A clinically proven prosthetic bypass graft solution, the GORE® PROPATEN® Vascular Graft also facilitates a low cumulative cost ...
New balloon that addresses EVAR stent graft seal and temporary vessel occlusion challenges ... GORE® Molding & Occlusion Balloon for Endovascular Aortic Repair Receives Approval in the United States, Japan, and Europe ...
Initially, the patient was seen by vascular surgery and an unsuccessful attempt at an endovascular stent placement was ... Furthermore, the venogram demonstrated occlusion of the superior vena cava. She was subsequently referred to thoracic surgery ... The use of spiral vein grafting in benign SVC obstruction is superior to either PTFE grafting or nonsurgical interventions such ... The vein graft was left on the end of the cannulae and using a parachute technique an end-to-end anastomosis was first created ...
... or graft occlusion [19]. Major amputation rate was still increased in the DM group despite absence of popliteal artery aneurysm ... Vascular Centre, Department of Cardio-Thoracic and Vascular Surgery, Skåne University Hospital, Malmö, Sweden ... Thrombotic occlusion was more common (p = 0.032) in diabetic patients (Table 2). None of the 83 patients with DM had a ... The vascular centre at Skåne University Hospital, Malmö, Sweden, has for decades been an established endovascular first- ...
REBOA should be available on-scene and applied by well-trained vascular surgery personnel to control vascular complications or ... REBOA should be available on-scene and applied by well-trained vascular surgery personal to control vascular complications or ... REBOA is an emergency procedure for temporary intra-aortic balloon occlusion being increasingly reported and published since ... REBOA is an emergency procedure for temporary intra-aortic balloon occlusion being increasingly reported and published since ...
... and warnings for the Open Pivot aortic valved graft. ... events potentially associated with the use of vascular grafts ... occlusion (including thrombosis and anastomotic intimal hyperplasia); pseudoaneurysm; seroma. ... The graft should not be implanted in patients with a known sensitivity to products of bovine origin. ... Refer to the Instructions for Use packaged with each aortic valved graft for a complete listing of warnings and precautions. ...
Barker said the anastomotic collar helps to prevent smooth muscle cell neo-intimal hyperplasia from causing graft occlusion. In ... FloGuardian is an external, drug-free vascular collar designed to maintain graft patency. ... Special mention was also given to the TrackCath system presented by Mauro Sette (Zurich, Switzerland) and the Colt stent graft ... "If you can stop those signals in the first 72 hours, you have a chance of keeping your graft patent." ...
Hepatic vascular resistance and liver tissue blood flow, as measured by thermistor flow probes, were determined following ... Bosentan, an endothelin antagonist, augments hepatic graft function by reducing graft circulatory impairment following ischemia ... "Bosentan, an endothelin antagonist, augments hepatic graft function by reducing graft circulatory impairment following ischemia ... Bosentan, an endothelin antagonist, augments hepatic graft function by reducing graft circulatory impairment following ischemia ...
... where sewing a vascular graft to the distal stump may not be feasible. After normal trial balloon occlusion (TBO) and flow ... permanent balloon occlusion is a preoperative intervention that may reduce cerebral vascular accident (CVA) incidence over ... Balloon test occlusion of the internal carotid artery with stable xenon/CT cerebral blood flow imaging. AJNR Am J Neuroradiol. ... Temporary balloon occlusion of the carotid artery combined with brain blood flow imaging as a test to predict tolerance prior ...
Arteriovenous Graft. *Arteriovenous Graft Occlusion. *Atheroembolism Of Lower Extremities. *Atheroembolism Of Upper Extremities ... Swedish Vascular Surgery - Edmonds Professional Center 7315 212th Street Southwest, Suite 205 Edmonds, WA 98026. ... Swedish Vascular Surgery - First Hill 801 Broadway, Suite 500 Seattle, WA 98122. ... P. Gregory Hayes is a vascular surgeon at Swedish Medical Center, in Seattle, Washington. He graduated from medical school at ...
Additional adverse events potentially associated with the use of polyester vascular grafts in the KONECT RESILIA AVC include ... hemorrhage, thrombosis, graft infection, embolism, aneurysm, pseudoaneurysm, seroma, occlusion (anastomotic intimal hyperplasia ...
Vascular Institute - Wilmington Main offers cardiac stress tests, EKGs, CABG, EVAR and other cardiology treatments. ... Coronary artery bypass grafting (CABG; to treat coronary heart disease by diverting blood around narrow or clogged parts of ... Left atrial appendage occlusion (LAAO or LAOO; for patients with atrial fibrillation; a procedure to prevent stroke) ... Novant Health Heart & Vascular Institute - Wilmington Main gives you access to remarkable cardiac and vascular care. Our heart ...
... vascular surgeon and docent in surgical sciences at the Department of Cardiothoracic Surgery and the Department of Surgery at & ... 2018). Resuscitative endovascular balloon occlusion of the aorta: what is the optimum occlusion time in an ovine model of ... Tal M. Hörer is a surgeon, vascular surgeon and docent in surgical sciences at the Department of Cardiothoracic Surgery and the ... Hörer, T. M. (2021). Chimney Grafts in Acute Endovascular Aortic Repair Due to Ruptured Abdominal Aorta Aneurysm. Journal of ...
... rat vascular smooth muscle cells (VSMC), and endothelial cells (HUVEC, HSVEC, and CPAE) on three different amine PPs. We ... of the vascular prostheses is considered the best prevention of thrombotic occlusion and restenosis of the graft34. To our ... Carrabba, M. & Madeddu, P. Current Strategies for the Manufacture of Small Size Tissue Engineering Vascular Grafts. Front. ... For example, the glycocalyx of vascular endothelial cells degrades during vascular diseases, such as atherosclerosis and ...
... or stent graft-occlusion (16/87; 18.4% HT vs. 10/179; 5.6% ST, P=0.002) and/or a bypass occlusion (16/87; 18.4% HT vs. 16/179; ... HT was more frequently used in patients with a previous vascular intervention in the index limb (38/87; 43.7% HT vs. 40/179; ... even though significantly more patients undergoing HT presented with stent and bypass occlusions rather than de-novo lesions. ...
Hemashield is a collagen-coated knitted Dacron graft with excellent compliance and hemostatic properties. Diagnoses included ... conduits revealed the obstruction to be a thick neointimal peel that was impossible to separate from the Hemashield graft. ...
The global vascular graft market size was significantly large in 2022 and is expected to register a double-digit revenue CAGR ... Chronic Total Occlusion. End-Use Outlook (Revenue, USD Billion; 2023 - 2032). *Hospitals ... Vascular Graft Market Size up to 2032 - Quantitative Research by QYResearch Medical. Leave a Comment / Market / By Tomi ... The global vascular graft market size was significantly large in 2022 and is expected to register a double-digit revenue CAGR ...
Vascular graft occlusion is a blockage or obstruction that occurs within a vascular graft, which is an artificial tube used to ... Graft Occlusion, Vascular. Obstruction of flow in biological or prosthetic vascular grafts.. ... 4. Disruption of the graft material. 5. Poor blood flow through the graft. The signs and symptoms of vascular graft occlusion ... VascularHuman Umbilical Vein Endothelial CellsThrombophlebitisEndothelium, VascularVascular GraftingCatheter AblationVenous ...
Vascular Graft Occlusion. *Dosing Information. *100 mg over 5 minutes via left atrial catheter intraoperatively during aortic ... Coronary occlusion due to a thrombus is present in the infarct-related coronary artery in approximately 80% of patients ... Children with central venous catheter occlusion (inability to withdraw 3 mL of blood for patients 10 kg or more and 1 mL of ... Recent major surgery, e.g., coronary artery bypass graft, obstetrical delivery, organ biopsy, previous puncture of ...
Graft Occlusion, Vascular (10). *Graft vs Host Disease (1,035). *Gram-Negative Bacterial Infections (1,688) ...
  • With patency you can count on, you can give your patients reliable vascular access for the road ahead. (goremedical.com)
  • Doty, et al, have reported on their experience of SVC bypass using the spiral vein graft and demonstrated excellent long-term patency rates (87.5% patency at a mean of 10.9 years) [3]. (ctsnet.org)
  • Consequently this work supports the hypothesis that spiral grafts may decrease outflow stenosis and hence improve patency rates in patients. (dundee.ac.uk)
  • 2005. Comparison of saphenous vein and internal thoracic artery graft patency by coronary system. (hsforum.com)
  • Arterial grafts have long-term patency superior to vein grafts but have a tendency to develop spasm that can lead to potentially life-threatening complications. (ox.ac.uk)
  • Patient did have ultrasound surveillance once in two years that demonstrated graft patency. (annexpublishers.co)
  • The patient was referred to plastic surgery by his vascular surgeon in an attempt to salvage his foot and cover the exposed bypass graft to maintain patency. (annexpublishers.co)
  • In the assessment of coronary artery bypass graft (CABG) patency and the definition of anomalous coronary arteries, MRI showed good sensitivity and specificity. (ox.ac.uk)
  • Different graft flow patterns due to competitive flow or stenosis in the coronary anastomosis assessed by transit-time flowmetry in a porcine model. (hsforum.com)
  • A complication of INTERNAL MAMMARY-CORONARY ARTERY ANASTOMOSIS whereby an occlusion or stenosis of the proximal SUBCLAVIAN ARTERY causes a reversal of the blood flow away from the CORONARY CIRCULATION , through the grafted INTERNAL MAMMARY ARTERY (internal thoracic artery), and back to the distal subclavian distribution. (nih.gov)
  • These are designed in a scalloped fashion with the aim of reducing stress at the interface between the edge of the stent and the normal adjacent vessel, which will hopefully reduce the incidence of edge stenosis-the Achilles' heel of stent grafts. (renalinterventions.net)
  • vertebral artery stenosis (n=1), vertebral artery pseudoaneurysm (n=3), vertebral artery occlusion (n=1) and iliac arteriovenous fistula (n=6). (turkishneurosurgery.org.tr)
  • By substantially reducing acute graft thrombosis within hours after implantation, the GORE® PROPATEN® Vascular Graft provides clinical benefits that standard expanded polytetrafluoroethylene (ePTFE) grafts do not. (goremedical.com)
  • The development of neo-intimal hyperplasia and thrombosis in the distal anastomosis remains the main reason for occlusion in that region. (dundee.ac.uk)
  • The results suggest that spiral grafts are associated with advanced local haemodynamics that may protect endothelial function and thereby may prevent their outflow anastomosis from neo-intimal hyperplasia and thrombosis. (dundee.ac.uk)
  • The use of this product carries the same risks associated with coronary artery stent implantation procedures, which include subacute and late vessel thrombosis, vascular complications and/or bleeding events. (medtronic.com)
  • C-1: Gortex hepatic artery graft thrombosis in a 59-year-old man (shown by arrow). (medscape.com)
  • thrombosis of the arterial graft (single arrow). (medscape.com)
  • As a board-certified vascular surgeon, he specializes in the treatment of aortic disease including aneurysms and dissection, venous occlusive disease, carotid artery disease, and peripheral arterial disease including critical limb ischemia and claudication through the use of endovascular and open surgical techniques. (medstarhealth.org)
  • Dr. Abramowtiz's clinical interests include central venous occlusive disease, aortic aneurysmal disease, vascular access for hemodialysis, peripheral vascular disease, and limb salvage. (medstarhealth.org)
  • Used when patient cannot tolerate a more invasive and higher risk aorto-bifem, or when removing an infected aortic graft such as an EVAR device. (wikipedia.org)
  • REBOA is an emergency procedure for temporary intra-aortic balloon occlusion being increasingly reported and published since its inauguration in 1954. (frontiersin.org)
  • REBOA should be available on-scene and applied by well-trained vascular surgery personnel to control vascular complications or extend to emergency laparotomy and thoracotomy with aortic cross-clamping in case of in-hospital non-controllable hemorrhages. (frontiersin.org)
  • Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emergency procedure for temporary intra-aortic balloon occlusion being increasingly reported and published since its inauguration by Hughes ( 1 ). (frontiersin.org)
  • REBOA procedures carrying life-threatening risks such as arterial access complications, organ ischemia, vascular trauma, and time loss ( 2 ) should be critically evaluated in addition to resuscitative laparotomy, thoracotomy with aortic cross-clamping, or manual aortic compression. (frontiersin.org)
  • The Medtronic Open Pivot aortic valved graft is intended for use secondary to a diseased, damaged, or malfunctioning aortic valve with aortic aneurysmal or occlusive disease where a replacement valve and replacement or repair of the aorta is required. (medtronic.com)
  • The Medtronic Open Pivot aortic valved graft is contraindicated in patients unable to tolerate anticoagulation therapy or who exhibit a sensitivity to polyester or materials of bovine origin. (medtronic.com)
  • Refer to the Instructions for Use packaged with each aortic valved graft for a complete listing of warnings and precautions. (medtronic.com)
  • He is leading various project on tools for bleeding management and resuscitation, as well as heading up research and clinical practice on aortic balloon occlusion (REBOA). (oru.se)
  • vasculitis lead to occlusion of the vessels genital ulcerations, unilateral oedema or aneurysm formation [ 7 ]. (who.int)
  • The most common condition that requires the use of a vascular graft is ischemia (inadequate blood supply) caused by arteriosclerosis. (medgadget.com)
  • His research interests currently include vascular surgery education, iliocaval reconstruction, and the treatment of critical limb ischemia. (medstarhealth.org)
  • Central venous occlusion is a debilitating disease, which, if left untreated, results in limb laceration and chronic limb ischemia. (medstarhealth.org)
  • It is commonly performed due to inadequate blood flow (ischemia) caused by atherosclerosis, as a part of organ transplantation, or for vascular access in hemodialysis. (wikipedia.org)
  • Dimensional aspects, material selection, and manufacturing methods influence mechanistic behaviours of artificial grafts and chosen to receive artery-like behaviour In the legs, bypass grafting is used to treat peripheral vascular disease, acute limb ischemia, aneurysms and trauma. (wikipedia.org)
  • 50% reduction in risk of graft occlusion compared to standard ePTFE in critical limb ischemia (CLI) patients. (goremedical.com)
  • Scholars@Duke publication: Bosentan, an endothelin antagonist, augments hepatic graft function by reducing graft circulatory impairment following ischemia/reperfusion injury. (duke.edu)
  • These results indicate that administration of bosentan before and after ischemia/reperfusion reduces hepatic circulatory disturbances, diminishes endothelial cell damage, and augments hepatic graft function. (duke.edu)
  • A surgeon sews the graft to the source and target vessels by hand using surgical suture, creating a surgical anastomosis. (wikipedia.org)
  • The vein graft was left on the end of the cannulae and using a parachute technique an end-to-end anastomosis was first created in the distal SVC at the confluence of the right internal jugular and subclavian veins. (ctsnet.org)
  • Grafts designed to generate a single spiral flow in the distal anastomosis have been introduced in clinical practice and are known as spiral grafts. (dundee.ac.uk)
  • We investigated in a porcine model whether measuring both the flow distal to an anastomosis and the graft transit time flow (TTF) gives a more accurate picture of the true blood flow in the left anterior descending artery (LAD) than graft TTF measurement alone. (hsforum.com)
  • A high flow and a low PI were seen in the graft, both proximal and distal to the anastomosis, despite a fully occluded LAD. (hsforum.com)
  • This result suggests that graft TTF measurement alone is not sufficient when performing CABG, and measurement of flow distal to the anastomosis is also necessary to determine the true blood flow in the LAD. (hsforum.com)
  • Subsequent angiography confirmed occlusion at the hepatic arterial anastomosis. (medscape.com)
  • Maintaining an arteriovenous fistula/graft (AVF/AVG) is essential for long-term vascular access . (renalinterventions.net)
  • We performed off-pump coronary artery bypass grafting (CABG)-left internal mammary artery (LIMA) to the LAD-on 5 Yorkshire-Landrace pigs. (hsforum.com)
  • Coronary artery bypass grafting (CABG) is performed for patients with coronary artery disease (CAD) to improve quality of life and reduce cardiac-related mortality. (medscape.com)
  • Steven Abramowitz, MD, is Chair of Vascular Surgery for MedStar Health and a member of the Society for Vascular Surgery. (medstarhealth.org)
  • He then completed his residency in integrated vascular surgery at the Mount Sinai Medical Center before joining MedStar Washington Hospital Center. (medstarhealth.org)
  • Common bypass sites include the heart (coronary artery bypass surgery) to treat coronary artery disease, and the legs, where lower extremity bypass surgery is used to treat peripheral vascular disease. (wikipedia.org)
  • As logistics, imaging, technique, material, and learning has progressed rapidly towards improved performance of endovascular therapy, the proportion of work load for open vascular surgery in ALLI has decreased. (springer.com)
  • This case report describes resuscitative endovascular balloon occlusion (REBOA) of the aorta in a patient with life-threatening iatrogenic bleeding of the right common iliac artery during elective dorsal lumbar spine surgery. (frontiersin.org)
  • Initially, the patient was seen by vascular surgery and an unsuccessful attempt at an endovascular stent placement was performed. (ctsnet.org)
  • Carotid resection is delayed by 2 weeks to allow for fixation of the coils and to avoid adverse hemodynamic effects from surgery during the vulnerable period immediately following occlusion. (medscape.com)
  • Permanent balloon occlusion may also be performed without surgery to manage impending carotid rupture. (medscape.com)
  • Dr. Hayes completed residency in general surgery, and fellowship in vascular surgery at the University of Toronto. (swedish.org)
  • Tal M. Hörer is a surgeon, vascular surgeon and docent in surgical sciences at the Department of Cardiothoracic Surgery and the Department of Surgery at Örebro University Hospital. (oru.se)
  • He is the medical director of vascular surgery unite at Örebro University Hospital and of the EVTM's (EndoVascular Resuscitation and Trauma Management) research group. (oru.se)
  • This entails extensive clinical and research practice within vascular surgery, surgery, intensive care and trauma. (oru.se)
  • Journal of Vascular Surgery, 77 (3), 741-749. (oru.se)
  • 2006. Emergency re-revascularization with percutaneous coronary intervention, reoperation, or conservative treatment in patients with acute perioperative graft failure following coronary artery bypass surgery. (hsforum.com)
  • 2011. The impact of competitive flow on distal coronary flow and on graft flow during coronary artery bypass surgery. (hsforum.com)
  • Antispastic Management in Arterial Grafts in Coronary Artery Bypass Grafting Surgery. (ox.ac.uk)
  • Patient's second wound had a Society for Vascular Surgery Lower Extremity Threatened Limb (SVS WIfI) classification of WIfI 232. (annexpublishers.co)
  • Stent placement should only be performed at hospitals where emergency coronary artery bypass graft surgery can be readily performed. (medtronic.com)
  • For coronary and peripheral vascular disease, lack of "runoff" to the distal area is also a contraindication because a vascular bypass around one diseased artery to another diseased area does not solve the vascular problem. (wikipedia.org)
  • Dogma in vascular bypass technique says to obtain proximal and distal control. (wikipedia.org)
  • Although it is often possible to visualize an arterial injury directly through an open wound, obtaining proximal and distal control for vascular reconstruction requires intimate knowledge of vascular, muscular, and bony anatomy to allow rapid access to the arterial tree proximally and distally while incision length and surgical tissue dissection are minimized. (medscape.com)
  • Carotid reconstruction cannot be performed in some patients, particularly individuals with the internal carotid artery resected close to the skull base, where sewing a vascular graft to the distal stump may not be feasible. (medscape.com)
  • The other major roadblock is the fear of vascular graft infection. (medgadget.com)
  • According to a paper published by the Khakiv National Medical University in Ukraine, if a vascular graft infection occurs, it can prove disastrous for the patient. (medgadget.com)
  • This lower leg wound developed a surgical site infection leaving his synthetic bypass graft exposed on the medial aspect of his right leg ( Figure 1 ). (annexpublishers.co)
  • While there are many anatomical arrangements for vascular bypass grafts in the lower extremities depending on the location of the disease, the principle is the same: to restore blood flow to an area without normal flow. (wikipedia.org)
  • Troubled by the lack of suitable conduit for SVC reconstruction the Canadian surgeon Ray Chiu developed and perfected the technique of spiral vein grafting in 1973 [1]. (ctsnet.org)
  • Dr. P. Gregory Hayes is a vascular surgeon at Swedish Medical Center, in Seattle, Washington. (swedish.org)
  • Speaking to Renal Interventions , Robert Jones, an interventional radiologist at Queen Elizabeth Hospital Birmingham (Birmingham, UK), and Richard Bond, a vascular surgeon at Fiona Stanley Hospital (Perth, Australia) detail their experience with the device. (renalinterventions.net)
  • Transit-time flow predicts outcomes in coronary artery bypass graft patients: a series of 1000 consecutive arterial grafts. (hsforum.com)
  • With more than 600,000 devices implanted over a span of more than 10 years ─ and over 2,000 limbs studies ─ the GORE® PROPATEN® Vascular Graft is a clinically proven prosthetic bypass graft solution, both for performance and for low cumulative cost of care. (goremedical.com)
  • A clinically proven prosthetic bypass graft solution, the GORE® PROPATEN® Vascular Graft also facilitates a low cumulative cost of care. (goremedical.com)
  • Using a standard 2-stage venous cannulae, a spiral vein graft was constructed using running 7-0 prolene suture, exchanging suture with each completed turn (Figures 5 and 6) . (ctsnet.org)
  • My interest in the research related to this device stems from the concept that it has great potential for overcoming many of the short-comings of stent grafts. (renalinterventions.net)
  • A catheter angiography done at that time revealed total occlusion of the RCA stent, with grade III collaterals. (hindawi.com)
  • Although unusual, neurologic complications may still occur in the face of vein grafting, even in low-risk patients. (medscape.com)
  • However, over time, complications such as stenoses and occlusions can develop and may be life-threatening if not adequately addressed. (renalinterventions.net)
  • Iatrogenic vascular injuries due to spinal surgeries are rare but serious complications. (turkishneurosurgery.org.tr)
  • Post-transplant complications can be categorized into vascular, non-vascular and biliary. (medscape.com)
  • Peripheral vascular grafts are used for the treatment of peripheral arterial disease and arteriovenous grafts for vascular access in end stage renal disease. (dundee.ac.uk)
  • Patients with pre-operative positive renal dysfunction (P = 0.004), peripheral vascular disease (P (bvsalud.org)
  • CONCLUSION: Patients with perioperative severe renal dysfunction, peripheral vascular disease, postoperative complication or high NYHA class are prone to have a significantly longer ICU length of stay. (bvsalud.org)
  • Surgical intervention can be as minor as operative visualization of normal vascular anatomy for diagnostic purposes or as extensive as reconstruction and replacement of entire segments of injured vessels. (medscape.com)
  • REBOA enabled cardiovascular stabilization after 90 min of CPR and laparotomy with vascular reconstruction and contributed to the survival of the patient without major clinical deficits. (frontiersin.org)
  • This fact has led some authors to advocate vein graft reconstruction of the artery whenever technically feasible. (medscape.com)
  • Vascular graft or bypass is a widely accepted and recommended surgical procedure. (medgadget.com)
  • A vascular bypass is a surgical procedure performed to redirect blood flow from one area to another by reconnecting blood vessels. (wikipedia.org)
  • Improved Emergency Medical Services (EMS) systems, faster transport times, availability of interventional radiologic techniques, improved surgical technique, and newer vascular conduits may further reduce the morbidity and mortality of extremity vascular injury. (medscape.com)
  • Hybrid and open surgical treatments showed comparable results in our cohort, even though significantly more patients undergoing HT presented with stent and bypass occlusions rather than de-novo lesions. (qxmd.com)
  • Vascular-graft flow phantoms were developed to house the grafts in different surgical configurations. (dundee.ac.uk)
  • Aggressive resuscitation, nutritional support, thorough surgical excision of infected wounds, early wound closure, grafting and the development of effective topical and systemic chemotherapy have largely improved morbidity and mortality rates of burn patients. (who.int)
  • In-stent restenosis and atherosclerosis in a human saphenous vein graft. (ox.ac.uk)
  • Iatrogenic vascular injury is an unusual (0.02-0.06%) fatal complication of orthopedic or neurosurgical lumbar-disk procedures ( 3 ) demanding immediate availability of a trained multidisciplinary team of emergency specialists and vascular and endovascular surgeons. (frontiersin.org)
  • None of the 22 patients had an immediate complication from the permanent occlusion, although 2 patients developed progressive hemiplegia that began 24 hours later. (medscape.com)
  • Ultrasonography (US), CT, MRI, cholangiography, angiography and scintigraphy are the most common radiological modalities used to evaluate the hepatic graft. (medscape.com)
  • between the cursors) of the hepatic graft. (medscape.com)
  • Subsequent stent restenosis or occlusion may require repeat catheter-based treatments (including balloon dilatation) of the arterial segment containing the stent. (medtronic.com)
  • The CBAS® Heparin Surface of a 3 mm diameter GORE® PROPATEN® Vascular Graft (top) remains free of thrombus, while the 3 mm diameter control ePTFE graft (bottom) is covered with thrombus in an acute two-hour in vivo canine carotid artery interposition model. (goremedical.com)
  • Local intra-arterial thrombolysis is the preferred treatment option for acute lower limb ischaemia (ALLI) in many vascular centres. (springer.com)
  • Although the process of platelet adhesion to the sub-endothelial surface may have an important role to play in the repair of damaged vessel walls, the platelet aggregation that this initiates can precipitate acute thrombotic occlusion of vital vascular beds, leading to events with high morbidity such as myocardial infarction and unstable angina. (justia.com)
  • Temporary vascular control can be achieved by simply applying pressure to the vessel proximal to the injury (eg, femoral pressure in a lower-extremity wound). (medscape.com)
  • Chiu and colleagues ingeniously devised the new method by harvesting autologous saphenous vein, opening the vessel longitudinally, wrapping it in spiral fashion around a temporary tubular stent such as a chest tube, and then running a monofilament suture to construct the tube graft. (ctsnet.org)
  • The local haemodynamics produced by a graft in the host vessel is believed to significantly affect endothelial function. (dundee.ac.uk)
  • All pharmacologic vasodilator drugs relax the vessel through specific mechanisms, and therefore, there is no perfect, single best vasodilator to prevent or treat spasm of the arterial graft against all mechanisms of contraction. (ox.ac.uk)
  • When your hemodialysis patients are at risk of fistula non-maturation, the GORE® PROPATEN® Vascular Graft can provide confidence and proven results. (goremedical.com)
  • The global vascular grafts market is set to witness rapid growth on account of increasing incidence of vascular disorders. (medgadget.com)
  • [ 1 , 2 ] Although much of the current state-of-the-art information is the result of wartime observations, the incidence of civilian extremity vascular trauma is significant. (medscape.com)
  • After normal trial balloon occlusion (TBO) and flow testing results, permanent balloon occlusion is a preoperative intervention that may reduce cerebral vascular accident (CVA) incidence over simple ligation in this clinical setting. (medscape.com)
  • The documentation indicates embolization of side branches/collateral vessels to help the dialysis graft mature. (karenzupko.com)
  • parent artery occlusion (PAO) (n=2), covered stent graft implantation (n=6) and intrasaccular coil embolization of pseudoaneurysm (n=1). (turkishneurosurgery.org.tr)
  • In January 2019, Somahlution released a clinical study stating that DuraGraft lowers the risk of post coronary bypass grafting. (medgadget.com)
  • With more than a decade of strong performance, this trusted vascular graft provides proven clinical and economic value. (goremedical.com)
  • At the UPMC Heart and Vascular Institute , our faculty, fellows, and clinical staff members engage in research to find new and better treatments for cardiovascular disease. (upmc.com)
  • Following de-airing, inspection revealed the vein graft to be widely patent with no thrill or kinking (Figure 7) . (ctsnet.org)
  • Whether this benefit is maintained among patients with saphenous vein graft (SVG) disease remains controversial. (ox.ac.uk)
  • Resuscitative endovascular balloon occlusion of the aorta is an emergency procedure to control life-threatening hemorrhage. (frontiersin.org)
  • A randomized porcine study of hemorrhagic shock comparing end-tidal carbon dioxide targeted and proximal systolic blood pressure targeted partial resuscitative endovascular balloon occlusion of the aorta in the mitigation of metabolic injury. (oru.se)
  • Long-term comparison of everolimus-eluting stents with sirolimus- and paclitaxel-eluting stents for percutaneous coronary intervention of saphenous vein grafts. (ox.ac.uk)
  • a "DP" bypass - any vascular bypass where the target is the dorsalis pedis artery on the dorsum of the foot. (wikipedia.org)
  • 2012. Management of early postoperative coronary artery bypass graft failure. (hsforum.com)
  • 1986. Influence of the internal-mammary-artery graft on 10-year survival and other cardiac events. (hsforum.com)
  • 2009. Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease. (hsforum.com)
  • The patient is 56-year-old male with a history of diabetes mellitus (DM) type II, Peripheral Vascular Disease (PVD), Coronary Artery Disease and Chronic Obstructive Pulmonary Disease. (annexpublishers.co)
  • Magnetic resonance angiogram of the recipient celiac axis depicts complete occlusion of the hepatic artery. (medscape.com)
  • Second, patients may be relatively protected from the symptoms of coronary obstruction if they've had a prior coronary artery bypass graft , so we need to have a lower threshold for imaging the coronary system post-TAVR. (medscape.com)
  • I create life-long treatment plans for my patients because there is no quick fix for vascular disease. (medstarhealth.org)
  • Dr. Hayes believes in educating his patients about vascular disease, and shared decision making. (swedish.org)
  • Another 44% of patients had a mean sinus of Valsalva diameter greater than 30 mm and only about half of the occlusions involved implantation depths considered high. (medscape.com)
  • Patients with extremity vascular trauma present daily in emergency departments (EDs) and trauma centers worldwide. (medscape.com)
  • A basic understanding of both blunt and penetrating injuries to the extremities and the resultant vascular abnormalities that occur with these injuries helps minimize mortality and morbidity in these patients. (medscape.com)
  • The graft should not be implanted in patients with a known sensitivity to products of bovine origin. (medtronic.com)
  • In an early study of this technique, all 8 patients who underwent preoperative permanent occlusion tolerated it without sequelae. (medscape.com)
  • We retrospectively reviewed 11 patients (5 male, 6 female) who had vascular injuries due to cervical and lumbar spinal surgeries. (turkishneurosurgery.org.tr)
  • La réanimation agressive, la prise en charge nutritionnelle, l'excision chirur- gicale complète des plaies infectées, la fermeture rapide des plaies, les greffes et la mise au point d'une chimiothérapie locale et systémique efficace ont permis d'améliorer grandement le taux de morbidité et de mortalité chez les patients brûlés. (who.int)
  • A vascular bypass is often created to serve as an access point to the circulatory system for hemodialysis. (wikipedia.org)
  • Novant Health Heart & Vascular Institute - Wilmington Main gives you access to remarkable cardiac and vascular care. (novanthealth.org)
  • This case study shows the promising use of Integra when applied over an exposed vascular graft in the lower extremity for limb salvage. (annexpublishers.co)
  • A dual-beam two-dimensional vector Doppler technique was developed to visualise and quantify vortical structures downstream of each graft outflow in the cross-flow direction. (dundee.ac.uk)
  • In this study we aim to present the results of endovascular management of iatrogenic vascular injuries due to spinal surgeries. (turkishneurosurgery.org.tr)
  • A compression of ILIAC VEIN that results in a decreased flow in the vein and in the left LOWER EXTREMITY due to a vascular malformation. (lookformedical.com)
  • Whether facilitating lower extremity revascularization or providing vascular access, the versatile GORE® PROPATEN® Vascular Graft is purposefully designed to improve outcomes and reduce reinterventions. (goremedical.com)
  • Role of coronary graft flow measurement during reoperations for early graft failure after off-pump coronary revascularization. (hsforum.com)