39,322 results match your criteria Brachial Plexus MRI


Can early detection prevent venous leg ulceration?

Authors:
Michelle Porter

Br J Community Nurs 2018 Dec;23(Sup12):S14-S17

Senior Tissue Viability Clinical Nurse Specialist, Lincolnshire Community Health Services NHS Trust.

Venous leg ulceration is the most common form of leg ulceration, affecting 1.5% of the UK adult population. This was reviewed within the latest best practice statement (2016) which set out to create clear guidance on the assessment, management and preventing the reoccurrence of venous leg ulceration. Read More

View Article
December 2018

Brachial and uterine arteries Doppler in healthy women and with preeclampsia

Rev Med Inst Mex Seguro Soc 2018 11 30;56(4):360-363. Epub 2018 Nov 30.

Instituto Mexicano del Seguro Social, Hospital de Gineco Obstetricia No. 4 "Luis Castelazo Ayala", División de Investigación en Salud. Ciudad de México, México

Objective: To compare the Doppler ultrasound parameters of the uterine and brachial arteries, between healthy pregnant women and pregnant women with preeclampsia.

Methods: 102 pregnant women were studied in the third trimester, group I 83 healthy women and group II 19 patients with severe preeclampsia. All of them underwent Doppler ultrasound of the uterine arteries, measuring the pulsatility index (PI) and determining the presence of proto-diastolic notch. Read More

View Article
November 2018

Impact of decreased insulin resistance by ezetimibe on postprandial lipid profiles and endothelial functions in obese, non-diabetic-metabolic syndrome patients with coronary artery disease.

Heart Vessels 2018 Dec 5. Epub 2018 Dec 5.

Department of Cardiology, Iwate Prefectural Central Hospital, 1-4-1 Ueda, Morioka, 020-0066, Japan.

The association between insulin resistance and lipid dysmetabolism after consuming a meal is unclear. We aimed at assessing the effects of ezetimibe on postprandial hyperlipidemia and hyperinsulinemia and to find out whether the medication improves endothelial function in obese metabolic syndrome (MetS) patients with coronary artery disease (CAD). We obtained oral fat loading test results (4 and 6 h after load) and brachial flow-mediated vasodilation (FMD) measurements before and 24 weeks after ezetimibe treatment initiation from 27 MetS patients with CAD and from 68 control patients with CAD alone. Read More

View Article
December 2018

Catheter-Directed Fenestration for Branch Vessel Reconnection in Aortic Dissection Using a Novel Diamond-Tipped Chronic Total Occlusion Drilling Device: A Technical Report.

Cardiovasc Intervent Radiol 2018 Dec 5. Epub 2018 Dec 5.

Interventional Radiology Service - Department of Radiology, Austin Hospital, Heidelberg, Melbourne, VIC, 3084, Australia.

Purpose: Aortic dissection is a complex condition with high morbidity and mortality. Endovascular treatments including percutaneous fenestration can be used to manage branch vessel ischaemia or risk of aortic rupture. A variety of techniques for aortic fenestration have been described. Read More

View Article
December 2018

Delayed presentation of complete arterial transection treated with interposition graft: A case report.

Trauma Case Rep 2018 Dec 24;18:24-27. Epub 2018 Nov 24.

Department of Surgery, University of Colorado, Denver, United States of America.

Introduction: Traumatic arterial injuries have a high degree of morbidity if left untreated. Frequently, arterial injuries are found soon after injury due to either subjective complaints or objective findings. Opportunity for delayed repair of vascular injury is a rare event as irreversible ischemia occurs at such early time points. Read More

View Article
December 2018

Shoulder dystocia: incidence, mechanisms, and management strategies.

Int J Womens Health 2018 9;10:723-732. Epub 2018 Nov 9.

Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Manitoba, Winnipeg, Canada,

Shoulder dystocia can lead to death or brain damage for the baby. Traction on the head can damage the brachial plexus. The diagnosis should be made when the mother cannot push the shoulders out with her own efforts with the next contraction after delivery of the head. Read More

View Article
November 2018

Associations Between Plasma Betatrophin Levels and Coronary and Peripheral Artery Disease.

J Atheroscler Thromb 2018 Dec 4. Epub 2018 Dec 4.

Department of Cardiology, National Hospital Organization Tokyo Medical Center.

Aim: Betatrophin, a recently identified circulating adipokine, affects lipid and glucose metabolism. However, association between plasma betatrophin levels and atherosclerotic diseases, such as coronary artery disease (CAD) and peripheral artery disease (PAD), has not been elucidated.

Methods: We investigated plasma betatrophin levels in 457 patients undergoing elective coronary angiography who also had ankle-brachial index (ABI) test for PAD screening. Read More

View Article
December 2018

Sex Differences in Aortic Hemodynamics Following Acute Exercise: Wave Separation Analysis.

Int J Sports Med 2018 Dec 3. Epub 2018 Dec 3.

Kinesiology, Nutrition, and Rehabilitation, University of Illinois Chicago, Chicago, United States.

The importance of sex differences in the control of blood pressure responses to exercise is controversial. It is unknown whether the potential sex differences are a result of magnitude differences in forward or reflected pressure waves. The purpose of this study was to investigate sex differences in BP following acute exercise using wave separation analysis. Read More

View Article
December 2018

Women's Reproductive History and Pre-Clinical Peripheral Arterial Disease in Late Life: The San Diego Population Study.

J Womens Health (Larchmt) 2018 Dec 1. Epub 2018 Dec 1.

5 Premier Applied Sciences, Premier, Inc., Charlotte, North Carolina.

Objective: Reproductive events have been linked with increased cardiovascular risk in women, but whether they are associated with pre-clinical peripheral arterial disease (PAD) has been understudied. We evaluated associations between reproductive factors and later-life ankle-brachial index (ABI), femoral artery intima-media thickness (fIMT), and femoral plaques.

Methods: Cross-sectional analysis of 707 multiethnic women who participated in a follow-up exam of the San Diego Population Study in 2007-2011. Read More

View Article
December 2018

Hypertension and high ankle brachial index: the overlooked combination.

J Hypertens 2019 Jan;37(1):92-98

Vascular Health Research Group of Girona (ISV-Girona). Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Girona.

Objective: Assessment of asymptomatic organ damage in the management of hypertension includes low (<0.9) ankle brachial index (ABI) values. No recommendations are given for patients with high ABI (≥1. Read More

View Article
January 2019

Tefillin use induces remote ischemic preconditioning pathways in healthy men.

Am J Physiol Heart Circ Physiol 2018 Dec 14;315(6):H1748-H1758. Epub 2018 Sep 14.

Division of Cardiovascular Health and Disease, Department of Medicine, University of Cincinnati , Cincinnati, Ohio.

The present study assessed whether tefillin use (tight, nonocclusive, wrapping of the arm) elicits a remote ischemic preconditioning (RIPC)-like effect in subjects with both acute and chronic use. RIPC, created by short bursts of ischemia-reperfusion, has not been successfully taken to the bedside. Several large population studies have found that Orthodox Jewish men (who wear tefillin almost daily) have decreased cardiovascular mortality compared with non-Orthodox counterparts. Read More

View Article
December 2018
1 Read

Is There an Association of Vascular Disease and Atherosclerosis in Children and Adolescents With Obesity and Non-alcoholic Fatty Liver Disease?

Authors:
Sara Karjoo

Front Pediatr 2018 16;6:345. Epub 2018 Nov 16.

Department of Pediatrics, Johns Hopkins Medicine, All Children's Hospital, St. Petersburg, FL, United States.

Carotid intima media thickness (cIMT) and brachial flow-mediated dilation (FMD) evaluated by ultrasound are non-invasive markers of atherosclerosis. Increased cIMT in adults has been correlated to early vascular damage. Several studies show similar correlations of elevated cIMT in children with obesity, hyperlipidemia, and metabolic syndrome. Read More

View Article
November 2018

Simultaneously surgical management of adult complex coarctation of aorta concomitant with intracardiac abnormality.

J Thorac Dis 2018 Oct;10(10):5842-5849

Department of Cardiovascular Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.

Background: To explore surgical management of complex coarctation of aorta (COA) concomitant with intracardiac abnormality, in order to provide recommendations for safe and reliable treatment.

Methods: Totally, six adult cases demonstrating complex COA concomitant with intracardiac abnormality were reviewed from our department between May 2012 and June 2017. Four patients were male and two patients were female, the age range being 43. Read More

View Article
October 2018

Birth palsy in congenital varicella syndrome: A lesson in anatomy.

Indian J Plast Surg 2018 May-Aug;51(2):238-242

Department of Plastic Surgery, Hand and Microsurgery, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India.

While brachial plexus palsy sustained due to birth trauma is well known, congenital palsies are decidedly rare. We report such a case caused by congenital varicella syndrome, with associated congenital Horner's syndrome and heterochromia iridis. The surprising juxtaposition of a classic upper plexus palsy and a Horner's syndrome raises points of interest. Read More

View Article
December 2018

Correlation of compound muscle action potential generated by donor nerves with the recovery of elbow flexion in Oberlin transfer in brachial plexus injury.

Indian J Plast Surg 2018 May-Aug;51(2):137-144

Department of Plastic Surgery, Bombay Hospital and Institute of Medical Sciences, Mumbai, Maharashtra, India.

Objective: To study the correlation of compound muscle action potential of donor nerves with the recovery of elbow flexion in Oberlin transfer in brachial plexus injury.

Introduction: Distal nerve transfer using motor fascicle of ulnar or median nerve to restore elbow flexion is a part of reconstructive surgery after upper brachial plexus injury, first described by Oberlin . However, one of the most critical influences on functional outcome is number of functioning motor axons in donor fascicle which is reflected by its compound muscle action potential. Read More

View Article
December 2018

Brachioradialis to flexor digitorum profundus tendon transfer to restore finger flexion.

Indian J Plast Surg 2018 May-Aug;51(2):123-130

Department of Plastic and Reconstructive Surgery, Nizams Institute of Medical Sciences, Hyderabad, Telangana, India.

Introduction: The main deformity following an adult lower brachial plexus injury is the loss of finger flexion. Distal nerve transfers have been used to restore finger and thumb flexion followed by tendon transfers for intrinsic replacement for opening of the fingers. When patients present beyond 6 months, only tendon transfers are applicable. Read More

View Article
December 2018

Probability of At Least One High Arterial Blood Pressure Measurement in Elderly Patients with Healthy Vascular Aging in Two Years of Follow-Up.

Kidney Blood Press Res 2018 Nov 30;43(6):1765-1771. Epub 2018 Nov 30.

Background/aims: Elderly patients with normal systemic arterial blood pressure associated with femoral carotid pulse velocity (cf-PWV) less than 7.6 m/s and without associated comorbidities are considered to have good vascular health. The aim of the current study was to verify the probability that elderly patients with good vascular health have at least one blood pressure measurement above the different thresholds for systolic blood pressure (120, 130 and 140 mmHg) during two years of follow-up. Read More

View Article
November 2018

Immune-mediated neurological manifestations of dengue virus- a study of clinico-investigational variability, predictors of neuraxial involvement, and outcome with the role of immunomodulation.

Neurol India 2018 Nov-Dec;66(6):1634-1643

Department of Neurology, Government Medical College Kota, Rajasthan, India.

Introduction: Our aim was to study dengue-related immune-mediated neurological complications (IMNC) during the recent epidemic.

Materials And Methods: This was a cross-sectional observational study of 79 IMNC cases from 1627 laboratory confirmed dengue cases from January 2015 to January 2016 and their follow-up for 3 months. According to the World Health Organization, cases were categorized into those having dengue fever (DF), and those having a severe syndrome that includes dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS). Read More

View Article
December 2018
3 Reads

Low bone mineral density is associated with an elevated risk of developing increased arterial stiffness: A 10-year follow-up of Japanese women from the Japanese Population-based Osteoporosis (JPOS) cohort study.

Maturitas 2019 Jan 11;119:39-45. Epub 2018 Nov 11.

Department of Public Health, Kindai University Faculty of Medicine, 377-2 Oonohigashi, Osaka-Sayama, Osaka, 589-8511, Japan. Electronic address:

Objective: Only a few longitudinal studies have assessed the relationship between bone mineral density (BMD) and arteriosclerosis. This study aimed to determine whether low BMD at baseline is associated with the development of increased arterial stiffness, as evaluated by brachial-ankle pulse wave velocity (baPWV), in Japanese women.

Methods: A baPWV value of ≥1800 cm/s was adopted as the criterion for increased arterial stiffness, i. Read More

View Article
January 2019

Trends and Cost Analysis of Upper-Extremity Nerve Injury Using the National Inpatient Sample.

World Neurosurg 2018 Nov 28. Epub 2018 Nov 28.

Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah. Electronic address:

Background: Epidemiology in upper-extremity peripheral nerve injury (PNI) has not been comprehensively evaluated. The treatments and healthcare costs of PNI have not been examined.

Objective: To calculate an updated incidence of upper-extremity PNIs in the U. Read More

View Article
November 2018

The Anterior Approach for Transfer of Radial Nerve Triceps Fascicles to the Axillary Nerve.

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA.

Nerve transfers are an increasingly popular method for surgical treatment of nerve injuries. One of the most popular of these is the transfer of radial nerve triceps fascicles to the axillary nerve. The most common approach for this transfer is the posterior approach, which gives excellent access to both nerves but is not easy to combine with other nerve transfers. Read More

View Article
November 2018

A Comparison Between Two Collagen Nerve Conduits and Nerve Autograft: A Rat Model of Motor Nerve Regeneration.

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Center for Brachial Plexus and Traumatic Nerve Injury, Hospital for Special Surgery, New York, NY; Weill Medical College of Cornell University, New York, NY. Electronic address:

Purpose: To compare recovery in a rat model of sciatic nerve injury using a novel polyglycolic acid (PGA) conduit, which contains collagen fibers within the tube, as compared with both a hollow collagen conduit and nerve autograft. We hypothesize that a conduit with a scaffold will provide improved nerve regeneration over hollow conduits and demonstrate no significant differences when compared with autograft.

Methods: A total of 72 Sprague-Dawley rats were randomized into 3 experimental groups, in which a unilateral 10-mm sciatic defect was repaired using either nerve autograft, a hollow collagen conduit, or a PGA collagen-filled conduit. Read More

View Article
November 2018

Relationship between fitness and arterial stiffness according to hypertensive state.

Clin Exp Hypertens 2018 Nov 30:1-6. Epub 2018 Nov 30.

a Division of Cardiology, Department of Medicine , Sungkyunkwan University School of Medicine, Prevention & Rehabilitation Center, Heart Vascular & Stroke Institute, Samsung Medical Center , Seoul , Republic of Korea.

Background: There is a well-established relationship between cardiorespiratory fitness (CRF) and arterial stiffness. However, it is unclear whether this relationship differs significantly between hypertensive and non-hypertensive patients.

Methods: Adults without a history of ischemic heart disease or stroke and normal exercise test results who underwent health screening were included. Read More

View Article
November 2018

Adductor Pollicis Muscle Thickness for nutritional assessment: a systematic review.

Rev Bras Enferm 2018 Nov-Dec;71(6):3093-3102

Universidade Federal de Juiz de Fora. Juiz de Fora, Minas Gerais, Brazil.

Objective: The aim of this study is to systematically review the scientific findings about the efficacy of the measure of the Adductor Pollicis Muscle Thickness for nutritional assessment of individuals in various clinical conditions.

Method: Systematic review study performed according to the methodology Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).

Results: 13 original articles published between 2004 and 2016 were included. Read More

View Article
January 2018
2 Reads

Ultrasound Imaging of the Brachial Plexus and Nerves About the Neck.

Authors:
O Kenechi Nwawka

Ultrasound Q 2018 Dec 3. Epub 2018 Dec 3.

Department of Radiology and Imaging, Hospital for Special Surgery; and Weill Cornell Medical College of Cornell University, New York, NY.

This review describes techniques for sonographic evaluation of the brachial plexus and multiple regional nerve branches in the neck, essential for successful implementation of neurosonology in the neck. High-frequency ultrasound transducers have the ability to produce superior, high-resolution images, allowing for superb depiction of nerve fascicular anatomy. Sonographic appearances of normal nerve anatomy and nerve-specific pathology are reviewed. Read More

View Article
December 2018
1 Read

[Removal of a catheter kinked in the radial artery by anchoring the distal part of the catheter with a needle via transcutaneous approach].

Turk Kardiyol Dern Ars 2018 Dec;46(8):710-713

VM Medicalpark Kocaeli Hastanesi, Kardiyoloji Kliniği, Kocaeli.

Presently described is a case with a twisted catheter in the radial artery during coronary angiography and was removed after stretching it with an external needle tip inserted into the brachial artery. A 77-year-old male patient had undergone coronary artery bypass surgery 10 years earlier and implantation of a permanent pacemaker 2 years prior. He had presented with typical angina and a regional wall motion defect had been observed on echocardiography. Read More

View Article
December 2018

Renal Resistive Index Predicts Post-Bariatric Surgery Renal Outcome in Nondiabetic Individuals with Severe Obesity.

Obesity (Silver Spring) 2018 Dec 5. Epub 2018 Dec 5.

Department of Clinical and Experimental Medicine, University of Pisa, Italy.

Objective: Bariatric surgery may ameliorate renal function through vascular mechanisms. This study tested surgery's ability to improve measured glomerular filtration rate (mGFR) and identified clinical, renal, and systemic vascular predictors of such improvement.

Methods: Twenty-five nondiabetic subjects with severe obesity were studied before and 1 year after Roux-en-Y gastric bypass, evaluating mGFR and renal plasma flow, basal renal resistive index (RI) and dynamic renal RI, renal visceral fat, and systemic vascular parameters, including flow-mediated dilation, aortic pulse wave velocity, and carotid intima media thickness and stiffness. Read More

View Article
December 2018
1 Read

Takayasu Arteritis Presenting as Renovascular Hypertension and Renal Failure in a Patient with Factor VII Deficiency.

Eurasian J Med 2018 Oct;50(3):210-212

Department of Cardiology, Istanbul Medeniyet University School of Medicine, İstanbul, Turkey.

A 23-year-old female patient with factor VII (FVII) deficiency was admitted with severe hypertension and renal failure. Brachial arterial pressures were 230/120 and 220/115 mm/Hg on the right and left arms, respectively. There was no blood pressure difference between the arms. Read More

View Article
October 2018

Treatment of early vascular ageing.

Curr Pharm Des 2018 Dec 4. Epub 2018 Dec 4.

Hypertension Center, 3rd Department of Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki. Greece.

Artery disease can be identified from ankle-brachial index (peripheral artery disease), pulse wave velocity (arterial stiffness), carotid intima media thickness (atherosclerosis) and flow-mediated dilation (endothelial disfunction). Arterial stiffness is a marker of cardiovascular disease associated with cardiovascular events. Increased vascular ageing is the acceleration of arterial stiffness inappropriate for the given chronological age. Read More

View Article
December 2018

The Role of the Axillary Arch Variant in Neurovascular Syndrome of Brachial Plexus Compression.

Cureus 2018 Jun 25;10(6):e2875. Epub 2018 Jun 25.

Neurosurgery, Seattle Science Foundation, Seattle, USA.

Axillary arch muscles are often found. In their course through this area, they might interfere with regional neurovascular structures. This case report will examine the presence of the axillary arch muscle and its implication in brachial plexus compression. Read More

View Article
June 2018
1 Read

Nocturnal blood pressure decrease in patients with chronic kidney disease and in healthy controls - significance of obstructive sleep apnea and renal function.

Int J Nephrol Renovasc Dis 2018 8;11:279-290. Epub 2018 Nov 8.

University Clinic in Nephrology and Hypertension, Holstebro Hospital and Aarhus University, Holstebro, Denmark,

Background: Chronic kidney disease (CKD) is often associated with a blunted nocturnal BP decrease and OSA. However, it is not fully clear whether a relationship exists between reduction in renal function and obstructive sleep apnea (OSA) on the one hand and relative nocturnal BP decrease in CKD patients on the other. The aim of this study was to investigate the association between nocturnal BP decrease and renal function, the degree of OSA, vasoactive hormones, and renal sodium handling in CKD3-4 patients and healthy age-matched controls. Read More

View Article
November 2018

Characterization of an anatomic safe zone surrounding the lower subscapular nerve during an open deltopectoral approach.

J Shoulder Elbow Surg 2018 Nov 30. Epub 2018 Nov 30.

Department of Orthopaedic Surgery, Penn State Hershey Bone and Joint Institute, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA. Electronic address:

Background: Due to anatomic variance in subscapular nerve innervation patterns, it is theorized that the dysfunction of the subscapularis could be the result of iatrogenic denervation during mobilization of the subscapularis while exposing the anterior glenohumeral joint in anterior surgical approaches. The purpose of this study was to describe innervation patterns of the subscapularis and to characterize a safe zone when conducting an anterior surgical approach.

Methods: The study used 6 human cadaveric shoulder specimens (12 shoulders total). Read More

View Article
November 2018
1 Read

AST to ALT ratio and arterial stiffness in non-fatty liver Japanese population:a secondary analysis based on a cross-sectional study.

Lipids Health Dis 2018 Dec 3;17(1):275. Epub 2018 Dec 3.

Department of Immunology and Microbiology, Guiyang College of Traditional Chinese Medicine, 84# ShiDong Road, Guiyang, 550001, Guizhou, China.

Background: Previous studies have revealed that triglyceride to high-density lipoprotein cholesterol (HDL-C) ratio (henceforth TG/HDL-C) is one of the major risk factors for cardiovascular disease, insulin resistance and metabolism syndrome. However, there are fewer investigations of the correlations between the aspartate aminotransferase (AST) to alanine aminotransferase (ALT) ratio and brachial ankle pulse wave velocity (baPWV). This study was undertaken to investigate the relationship between the AST to ALT ratio and brachial-ankle pulse wave velocity (baPWV) in a Japanese population. Read More

View Article
December 2018
1 Read

Empagliflozin on top of metformin treatment improves arterial function in patients with type 1 diabetes mellitus.

Cardiovasc Diabetol 2018 Dec 3;17(1):153. Epub 2018 Dec 3.

Department of Vascular Diseases, University Medical Centre Ljubljana, Zaloška Cesta 7, 1000, Ljubljana, Slovenia.

Background: Deteriorated arterial function and high incidence of cardiovascular events characterise diabetes mellitus. Metformin and recent antidiabetic drugs, SGLT2 inhibitors, reduce cardiovascular events. We explored the possible effects of empagliflozin's effect on top of metformin treatment on endothelial function and arterial stiffness parameters in type 1 diabetes mellitus (T1DM) patients. Read More

View Article
December 2018

Quantitative assessment of elbow flexion by handheld dynamometry in brachial plexus palsy.

J Hand Surg Eur Vol 2018 Dec 3:1753193418814430. Epub 2018 Dec 3.

1 Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Ogori, Yamaguchi City, Japan.

The purpose of this study was to assess the relative and absolute reliability of a handheld dynamometer when used for examining elbow flexion power in patients with brachial plexus palsy. The assessment of the intra-rater and inter-rater reliability coefficients for the handheld dynamometer was done using the stationary Kin-Com® dynamometer as the reference standard. We determined the measurement errors and checked the systematic biases of the handheld dynamometer. Read More

View Article
December 2018

Meta-analysis of Individual Patient Data After Kissing Stent Treatment for Aortoiliac Occlusive Disease.

J Endovasc Ther 2018 Nov 30:1526602818810535. Epub 2018 Nov 30.

1 Department of Surgery, Rijnstate Hospital, Arnhem, the Netherlands.

Purpose: To evaluate short- and long-term technical and clinical outcomes after kissing stent treatment of aortoiliac occlusive disease (AIOD) based on an individual participant data (IPD) meta-analysis.

Materials And Methods: A search of the Scopus database identified 156 articles on KS treatment of AIOD; of these 22 met the inclusion criteria. Authors of 19 articles with contact information were approached to join an IPD consortium. Read More

View Article
November 2018
1 Read

Atherectomy in below-the-knee endovascular interventions: One-year outcomes from the XLPAD registry.

Catheter Cardiovasc Interv 2018 Nov 30. Epub 2018 Nov 30.

Division of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas.

Background: Use of atherectomy for the treatment of peripheral arterial disease (PAD) is increasing as an adjunctive treatment to either conventional or drug-coated balloon angioplasty. There is limited data on atherectomy outcomes in below-the-knee (BTK) endovascular interventions.

Methods: Data from the multicenter Excellence in Peripheral Artery Disease (XLPAD) registry (NCT01904851) were analyzed to examine predictors of atherectomy use and its associated 1-year patency rate. Read More

View Article
November 2018
1 Read

Post-operative nerve injuries after cervical spine surgery.

Int Orthop 2018 Nov 29. Epub 2018 Nov 29.

Department of Orthopaedic Surgery, Columbia University, New York, NY, USA.

Although relatively rare, post-operative nerve injuries may occur after cervical spine procedures. The most common post-operative neural disorder is C5 nerve palsy. The risk factors for C5 nerve palsy are male gender, OPLL, and posterior cervical approaches. Read More

View Article
November 2018
3 Reads

Ultrasound of the Normal Brachial Plexus.

J Belg Soc Radiol 2017 Dec 16;101(Suppl 2):20. Epub 2017 Dec 16.

Reine Fabiola Children's University Hospital, Université Libre de Bruxelles, BE.

Ultrasound (US) allows a reliable examination of the brachial plexus except for the spinal nerve roots, located deep in the neuro-foramina, beyond the shadowing of the transverse processes of the vertebral bodies. All the other fascicles of the brachial plexus can be mapped by US from the roots of the spinal cervical nerves, from C5 to T1 to the branches at level of the axillary region. US can be considered as an alternative to Magnetic Resonance Imaging (MRI) when MRI is contraindicated, not readily available or in case of claustrophobia. Read More

View Article
December 2017

How does a short period of exercise effect toe pressures and toe-brachial indices? A cross-sectional exploratory study.

J Foot Ankle Res 2018 26;11:63. Epub 2018 Nov 26.

1School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Ourimbah, NSW 2258 Australia.

Background: Whilst post exercise ankle-brachial indices (ABI) are commonly used to help identify peripheral arterial disease (PAD), the role of post exercise toe pressures (TP) or toe-brachial indices (TBI) is unclear The aim of this study was to determine, in a population without clinical signs of PAD, the effect that 30 s of weight-bearing heel raises has on TP and TBI values. Additionally, the ability of resting TP and TBI values to predict change in post-exercise values using the heel raise method was investigated.

Methods: Participants over the age of 18 with a resting TBI of ≥0. Read More

View Article
November 2018

Brachial-ankle pulse wave velocity, cardio-ankle vascular index, and prognosis.

Authors:
Dai Ato

Vasc Health Risk Manag 2018 24;14:321-348. Epub 2018 Oct 24.

Gakujutsu Shien Co., Ltd, Tokyo, Japan,

Background: Brachial-ankle pulse wave velocity (baPWV) and cardio-ankle vascular index (CAVI) are indices of arterial stiffness, and several studies have used these indices. However, there is no comprehensive review of these parameters in the prognostic significance.

Methods: The aim of this study was to review the articles exploring the prognostic significance of these parameters. Read More

View Article
October 2018
1 Read

Response of the popliteal artery to treadmill exercise and stress positioning in patients with and without exertional lower extremity symptoms.

J Vasc Surg 2018 Nov 26. Epub 2018 Nov 26.

Vascular Surgery Service, San Antonio Military Medical Center, Fort Sam Houston, Tex; Department of Surgery, Uniformed Services University, Bethesda, Md. Electronic address:

Objective: Functionally limiting exertional lower extremity pain and neurologic symptoms are commonly encountered in military and civilian settings. Exertional muscle compression of the popliteal artery (PA) and tibial nerve in the proximal calf (the "popliteal outlet") can be associated with these symptoms but is rarely investigated as a cause. Exertional ankle-brachial index (EABI) and dynamic PA ultrasound imaging may be suitable to screen for this syndrome of "functional" popliteal entrapment, but neither has been rigorously studied. Read More

View Article
November 2018

Improved functional outcome in NTOS patients following resection of the subclavius muscle with radiological signs of nerve impingement: indication of participation of the subclavius in brachial plexus compression.

Authors:

J Neurosurg 2018 Nov 1:1-11. Epub 2018 Nov 1.

OBJECTIVEBoth clinical and radiological reports have suggested that the subclavius, a muscle in the costoclavicular space of the thoracic outlet, participates in neurogenic thoracic outlet syndrome (NTOS) in some instances, especially during movements narrowing the costoclavicular space. Magnetic resonance imaging can identify subclavius muscles with signs of nerve impingement, yet the impact of the subclavius in such situations remains unclear. Therefore, the authors investigated whether dividing or sparing the subclavius characterized by nerve impingement on MRI would affect surgical outcomes. Read More

View Article
November 2018

Case of Wound of the Brachial Artery.

Authors:
White

Lond Med Phys J 1827 Jun;2(12):518-523

the Westminster Hospital.

View Article

Three cases of large-diameter true brachial and axillary artery aneurysm and a review of the literature.

Ann Vasc Surg 2018 Nov 26. Epub 2018 Nov 26.

Department of Cardiovascular Surgery, MD, Manisa Celal Bayar University, Manisa, Turkey.

Aneurysms of the upper extremity mostly originate from trauma, mycotic lesions, thoracic outlet syndrome, previous arteriovenous fistulae and atherosclerosis. True aneurysms of the brachial and axillary artery are encountered rarely. They can be diagnosed by simple physical examination as a pulsatile mass. Read More

View Article
November 2018
1 Read

Montmorency cherry supplementation attenuates vascular dysfunction induced by prolonged forearm occlusion in overweight middle-aged men.

J Appl Physiol (1985) 2018 Nov 29. Epub 2018 Nov 29.

Sport & Health Sciences, Exeter University, United Kingdom.

Flavonoid supplementation improves brachial artery flow-mediated dilatation (FMD), but it is not known whether flavonoids protect against vascular dysfunction induced by ischemia-reperfusion (IR) injury and associated respiratory burst. In a randomized, double-blind, placebo-controlled, crossover study, we investigated whether 4-weeks supplementation with freeze-dried Montmorency cherry (MC) attenuated suppression of FMD after IR induced by prolonged forearm occlusion. Twelve physically inactive middle-aged men (52. Read More

View Article
November 2018

Follicle-stimulating hormone, but not cardiorespiratory fitness, is associated with flow-mediated dilation with advancing menopausal stage.

Menopause 2018 Nov 26. Epub 2018 Nov 26.

Department of Kinesiology, University of Massachusetts Amherst, Amherst, MA.

Objective: The aim of the study was to evaluate if there are differences in endothelial function before and after acute exercise in women at different menopausal stages with high and low cardiorespiratory fitness.

Methods: Participants were healthy high-fit premenopausal (n = 11), perimenopausal (n = 12), and postmenopausal women (n = 13) and low-fit perimenopausal (n = 7) and postmenopausal women (n = 8). Brachial artery flow-mediated dilation (FMD) was measured before and after acute moderate intensity exercise. Read More

View Article
November 2018

My hand in my ear: a phantom limb re-induced by the illusion of body ownership in a patient with a brachial plexus lesion.

Psychol Res 2018 Nov 28. Epub 2018 Nov 28.

Department of Psychology, University of Rome "La Sapienza", Via dei Marsi 78, 00185, Rome, Italy.

Corporeal awareness of body unity, continuity, and integrity is hardwired in the brain, even following massive deafferentation. Following peripheral limb injury, referred phantom sensations are reported frequently on the cheek and, rarely, on the ear. Here, we explore how brain plasticity mechanisms induced by multisensory stimulation of different facial regions (cheek and ear) modulate the feeling that a complete missing limb is still attached to the body. Read More

View Article
November 2018

Mealtime dosing of a rapid-acting insulin analog reduces glucose variability and suppresses daytime cardiac sympathetic activity: a randomized controlled study in hospitalized patients with type 2 diabetes.

BMJ Open Diabetes Res Care 2018 31;6(1):e000588. Epub 2018 Oct 31.

Department of Endocrinology and Metabolism, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan.

Objective: Glucose variability induces endothelial dysfunction and cardiac autonomic nerve abnormality. Here we compared the effects of mealtime insulin aspart and bedtime insulin detemir on glucose variability, endothelial function, and cardiac autonomic nerve activity among Japanese patients with type 2 diabetes.

Research Design And Methods: Forty hospitalized patients received either mealtime insulin aspart or bedtime insulin detemir treatment for 2 weeks. Read More

View Article
October 2018