2,847 results match your criteria prior endovascular


A rare case of large left internal maxillary artery pseudoaneurysm secondary to mandibular fracture: A case report and review of the literature.

Int J Surg Case Rep 2021 Jun 9;84:106072. Epub 2021 Jun 9.

Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA; University of South Florida, Tampa, FL, USA.

Introduction And Importance: Pseudoaneurysms secondary to traumatic vessel wall disruption are a rare but potentially fatal complication after traumatic injury. The majority of the cases are found incidentally.

Case Presentation: An 80-year-old woman was brought into our Level 1 Trauma Center after sustaining a ground-level fall with significant facial swelling. Read More

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Treatment of Nonthrombotic Iliac Vein Lesions.

Semin Intervent Radiol 2021 Jun 3;38(2):155-159. Epub 2021 Jun 3.

Division of Interventional Radiology, Department of Radiology, Northwestern University, Chicago, Illinois.

Nonthrombotic iliac vein lesions (NIVLs) most frequently result from extrinsic compression of various segments of the common or external iliac vein. Patients develop symptoms associated with chronic venous insufficiency (CVI); female patients may develop symptoms of pelvic venous disease. Given that iliac vein compression can be clinically silent, a thorough history and physical examination is mandatory to exclude other causes of a patient's symptoms. Read More

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Carotid In-Stent Stenosis: Cutting Balloon Angioplasty: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2021 Jun 7. Epub 2021 Jun 7.

Department of Neurological Surgery, Mayo Clinic, Jacksonville, Florida, USA.

In-stent stenosis has a reported prevalence of 14% to 19% at 1-yr follow-up after carotid stenting and is associated with an increased risk of acute ischemic stroke.1,2 Risk factors include female sex, diabetes, and dyslipidemia. Cutting balloon angioplasty is a safe and effective treatment modality for the treatment of carotid in-stent stenosis, and alternative treatment options include observation with medical management and placement of another stent. Read More

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Body composition and mortality in patients undergoing endovascular treatment for peripheral artery disease.

Heart Vessels 2021 Jun 7. Epub 2021 Jun 7.

Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621, Japan.

An inverse correlation between body mass index and mortality in patients with peripheral artery disease (PAD) has been reported. However, little information is available regarding the impact of body composition on the clinical outcomes in patients with PAD. This study evaluated the relationships between the lean body mass index (LBMI), body fat % (BF%), and mortality and major amputation rate in patients with PAD. Read More

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Safety and Outcomes of Thrombectomy in Ischemic Stroke With vs Without Intravenous Thrombolysis.

Neurology 2021 Jun 4. Epub 2021 Jun 4.

Department of Clinical Neuroscience, Karolinska Institutet.

Objective: To test the hypothesis that intravenous thrombolysis (IVT) treatment prior to endovascular thrombectomy (EVT) is associated with better outcomes in patients with anterior circulation large artery occlusion (LAO) stroke, we examined a large real-world database, the SITS-International Stroke Thrombectomy Register (SITS-ISTR).

Methods: We identified centers recording ≥10 consecutive patients in the SITS-ISTR, with at least 70% available modified Rankin Scale (mRS) scores at 3 months during 2014-19. We defined LAO as intracranial internal carotid artery, first and second segment of middle cerebral artery and first segment of anterior cerebral artery. Read More

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Resuscitative Endovascular Balloon Occlusion of the Aorta for Blood Control in Lumbar Spine Tumor Resection Surgery: A Technical Note.

Orthop Surg 2021 Jun 4. Epub 2021 Jun 4.

Tianjin Hospital, Department of Bone Tumor and Soft Tissue Oncology, Tianjin Hospital, Tianjin, China.

Objectives: To describe the technique of the aorta balloon occlusion, and evaluate the blood loss in lumbar spine tumor surgery assisted by aortic balloon occlusion, and to observe the balloon-related complications.

Methods: Six patients with lumbar spine tumor underwent resuscitative endovascular balloon occlusion of the aorta prior to tumor resections in our institution between May 2018 to January 2021. Medical records including demographic, diagnosis, tumor location, surgical approach, intraoperative blood loss, surgical duration, and perioperative balloon-related complication were evaluated retrospectively. Read More

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MEDICOLEGAL CORNER. Failure to replace obstructed lumbar drain after thoracic-abdominal aortic aneurysm repair leads to paraplegia.

Authors:
Nancy E Epstein

Surg Neurol Int 2021 3;12:207. Epub 2021 May 3.

Clinical Professor of Neurosurgery, School of Medicine, State U. of NY at Stony Brook.

Background: To avoid spinal cord ischemia following endovascular/open thoracic-abdominal aortic aneurysm (T-AAA) repair, lumbar drains (LDs) are placed to reduce intraspinal pressure, and increase spinal perfusion pressure. Here, we present a medicolegal case in which a critical care (CC) physician knew that the LD was obstructed following a T-AAA repair, but did not replace it until the patient became paraplegic. The patient was left with permanent sphincter loss, and a severe paraparesis. Read More

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Transcarotid Artery Revascularization Versus Carotid Endarterectomy and Transfemoral Stenting in Octogenarians.

J Vasc Surg 2021 May 31. Epub 2021 May 31.

Section of Vascular Surgery and Endovascular Interventions, NYP-Columbia University Irving Medical Center, New York, NY. Electronic address:

Objective: Transfemoral carotid artery stenting (TFCAS) has higher combined stroke and death rates in elderly patients with carotid artery stenosis compared with carotid endarterectomy (CEA). However, transcarotid artery revascularization (TCAR) may have similar outcomes to CEA. This study compared outcomes after TCARs relative to those after CEAs and TFCAS, focusing on elderly patients. Read More

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Directional atherectomy before paclitaxel coated balloon angioplasty in complex femoropopliteal disease: The VIVA REALITY study.

Catheter Cardiovasc Interv 2021 Jun 3. Epub 2021 Jun 3.

Department of Angiology, University Heart Center Freiburg-Bad Krozingen, Bad Krozingen, Germany.

Background: Drug coated balloon (DCB) angioplasty significantly reduces reintervention rates in patients with symptomatic femoropopliteal peripheral artery disease (PAD). However, stand-alone DCB use in long, severely calcified lesions is frequently associated with vessel recoil and/or high-grade dissections necessitating provisional stent implantation.

Objectives: Assess the safety and effectiveness of a vessel preparation strategy with directional atherectomy (DA) prior to DCB angioplasty in patients with symptomatic severely calcified femoropopliteal PAD. Read More

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3D Printed Models-A Useful Tool in Endovascular Treatment of Intracranial Aneurysms.

Brain Sci 2021 May 6;11(5). Epub 2021 May 6.

Department of Radiology, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.

Many developments were made in the area of endovascular treatment of intracranial aneurysms, but this procedure also requires a good assessment of vascular anatomy prior to intervention. Seventy-six cases with brain aneurysms were selected and 1:1 scale 3D printed models were created. We asked three interventional neurosurgeons with different degrees of experience (ten years, four years, and a fourth-year resident) to review the cases using CTA (computed tomography angiogram) with MPR (multiplanar reconstructions) and VRT (volume rendering technique) and make a decision: coil embolization or stent-assisted coil embolization. Read More

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Safety and efficacy of oral antiplatelet for patients who had acute ischaemic stroke undergoing endovascular therapy.

Stroke Vasc Neurol 2020 Nov 11. Epub 2020 Nov 11.

Neurointervention center, Beijing Tiantan Hospital, Beijing, China

Background And Purpose: To investigate the safety and efficacy of oral antiplatelet therapy (APT) for patients who had acute ischaemic stroke (AIS), receiving endovascular therapy (EVT).

Methods: Patients were divided into non-APT group and APT (single APT or dual APT (DAPT)) group. The safety and efficacy endpoints at 3-month follow-up were symptomatic intracranial haemorrhage (sICH), recanalisation rate, clinical outcome and mortality. Read More

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November 2020

Endarterectomy for Iliac Occlusive Disease during Kidney Transplantation: A Multicenter Experience.

Int J Angiol 2021 Jun 30;30(2):91-97. Epub 2020 Aug 30.

Division of Vascular and Endovascular Surgery, Mayo Clinic, Jacksonville, Florida.

Little is known about the surgical challenges and outcomes of kidney transplantation (KT) in the face of severe iliac occlusive disease (IOD). We aim to examine our institution's experience and outcomes compared with all KT patients. Retrospective review of our multi-institutional transplant database identified patients with IOD requiring vascular surgery involvement for iliac artery endarterectomy at time of KT from 2000 to 2018. Read More

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Sex-specific differences in presentations and determinants of outcomes after endovascular thrombectomy for large vessel occlusion stroke.

J Neurol 2021 May 29. Epub 2021 May 29.

Neurology, Massachusetts General Hospital, 55 Fruit St, WAC-7-721, Boston, MA, USA.

Introduction: Sex-specific differences in ischemic stroke outcomes are prevalent. We sought to investigate sex differences in the determinants of reperfusion and functional outcomes after endovascular thrombectomy (EVT) for emergent large vessel occlusion ischemic stroke (ELVO).

Methods: Patients presenting to a single referral center with an anterior circulation ELVO that underwent EVT from 2011 to 2019 were included in this retrospective analysis. Read More

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Endovascular reperfusion of M2 occlusions in acute ischemic stroke reduced disability and mortality: ETIS Registry results.

J Neurointerv Surg 2021 May 27. Epub 2021 May 27.

Neurology, Stroke Unit, CH Bretagne Atlantique, Vannes, France.

Background: The predictors of successful reperfusion and the effect of reperfusion after endovascular treatment (EVT) for M2 occlusions have not been well studied. We aimed to identify predictors of successful reperfusion and the effect of reperfusion on outcomes of EVT for M2 occlusions in current practice.

Methods: Patients with acute ischemic stroke due to isolated M2 occlusions who were enrolled in the prospective multicenter Endovascular Treatment in Ischemic Stroke (ETIS) Registry in France between January 2015 and March 2020 were included. Read More

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Home health care utilization trend, predictors, and association with early rehospitalization following endovascular transcatheter aortic valve replacement.

Cardiovasc Revasc Med 2021 May 24. Epub 2021 May 24.

Division of Cardiovascular Medicine, Department of Medicine, University of Toledo Medical Center, Toledo, OH, USA. Electronic address:

Background/purpose: Home healthcare (HHC) utilization is associated with higher rates of rehospitalization in patients with heart failure and transcatheter mitral valve repair. This study sought to assess the utilization, predictors, and the association of HHC with 30-day readmission in patients undergoing transcatheter aortic valve replacement (TAVR).

Methods/materials: We queried the Nationwide Readmission Database from January 2012 to December 2017 for TAVR discharges with and without HHC referral. Read More

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Antiplatelet therapy increases symptomatic ICH risk after thrombolysis and thrombectomy.

Acta Neurol Scand 2021 May 27. Epub 2021 May 27.

CHU de Bordeaux, Unité Neuro-vasculaire, Bordeaux, France.

Background And Purpose: The influence of chronic treatment by antiplatelet drug (APD) at stroke onset on the outcomes of patients with acute ischemic stroke (AIS) treated with combined intravenous thrombolysis (IVT) and endovascular therapy (EVT) is unclear. We investigated whether prior APD use influences the risk of symptomatic intracranial hemorrhage (sICH) and functional outcome in AIS patients treated with combined reperfusion therapy.

Methods: A single-center retrospective analysis of AIS patients with proximal intracranial occlusion who underwent IVT and EVT between January 2015 and May 2017. Read More

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Steerable sheath for exclusively femoral bilateral extension of previous fenestrated endovascular aneurysm repair with iliac branch devices.

J Vasc Surg Cases Innov Tech 2021 Jun 24;7(2):322-325. Epub 2021 Apr 24.

Vascular Center Malmö, Department of Thoracic surgery and vascular diseases, Skåne University Hospital, Malmö, Sweden.

We report the treatment of type Ib endoleak after fenestrated endovascular aneurysm repair (FEVAR) with iliac branch device (IBD) to allow exclusive transfemoral access without a femoral-to-femoral through-and-through wire. The patient was treated with fenestrated endovascular aneurysm repair and showed expansion of the aneurysm owing to a type Ib endoleak. An IBD was implanted by the use of a contralateral steerable sheath for internal iliac artery catheterizing. Read More

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"Powered Cheese Wire Technique" for Septal Fenestration in Complex Endovascular Repair for Chronic Thoracoabdominal Aortic Dissection.

J Endovasc Ther 2021 May 25:15266028211007474. Epub 2021 May 25.

Department of Vascular Medicine, German Aortic Center Hamburg, University Heart Center, Hamburg, Germany.

Purpose: Endovascular repair of chronic thoracoabdominal aortic dissection with aneurysmal degeneration presents a therapeutic challenge when one or more visceral branches arise from the false lumen without an adjacent reentry. The chronic dissection flap can be thick and resistant to flap fenestration with standard techniques.

Technique: facilitates cutting of a dissection flap using electrical current on a noninsulated through-and-through wire segment. Read More

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Patient characteristics predict patency of early-cannulation arteriovenous grafts.

Sci Rep 2021 May 24;11(1):10743. Epub 2021 May 24.

Department of Nephrology, Queen Elizabeth University Hospital, Glasgow, UK.

There is a new emphasis on tailoring appropriate vascular access for hemodialysis to patients and their life-plans, but there is little known about the optimal use of newer devices such as early-cannulation arteriovenous grafts (ecAVG), with studies utilising them in a wide variety of situations. The aim of this study was to determine if the outcome of ecAVG can be predicted by patient characteristics known pre-operatively. This retrospective analysis of 278 consecutive ecAVG with minimum one-year follow-up correlated functional patency with demographic data, renal history, renal replacement and vascular access history. Read More

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Interventional revascularization prior to operative fixation of fractures below the knee. A retrospective case series.

Injury 2021 Apr 16. Epub 2021 Apr 16.

Center for Orthopaedics and Trauma Surgery, University Hospital Giessen and Marburg GmbH, Location Marburg, Marburg, Germany. Electronic address:

Aims: The goal of the current study was to describe the results of an innovative standardized approach to prevent wound complications in patients with PAD sustaining fractures below the knee.

Patients And Methods: In this retrospective case series, patients submitted to our institution with fractures below the knee, which were treated with endovascular recanalization of relevant stenosis or occlusions prior to definitive open reduction and fracture fixation between January 2015 and December 2019 were included.

Results: Overall 23 patients (mean age 77 ± 9. Read More

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Addition of common carotid intervention increases the risk of stroke and death after carotid artery stenting for asymptomatic patients.

J Vasc Surg 2021 May 18. Epub 2021 May 18.

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

Background: A recent review of Vascular Study Group of New England data suggested that simultaneous endovascular treatment of tandem carotid lesions (TCAL: common carotid artery + internal carotid artery) is associated with a fourfold increase in perioperative neurologic events and death. However, given the small cohort, the effect of symptomatic status could not be evaluated. This study sought to determine the risk of simultaneous TCAL stenting in cohorts stratified by symptom status. Read More

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Comparison of treatment options for aortic necks outside standard endovascular aneurysm repair instructions for use.

J Vasc Surg 2021 May 19. Epub 2021 May 19.

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, Mass. Electronic address:

Objective/background: Endovascular aneurysm repair (EVAR) is associated with worse outcomes in patients whose anatomy does not meet the device instructions for use (IFU). However, whether open surgical repair (OSR) and commercially available fenestrated EVAR (Zenith Fenestrated [ZFEN]) represent better options for these patients is unknown.

Methods: We identified all patients without prior aortic surgery undergoing elective repair of abdominal aortic aneurysms with neck length ≥4 mm at a single institution with EVAR, OSR, and ZFEN. Read More

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Targeted Regional Optimization (TRO): Increasing the Therapeutic Window for Endovascular Aortic Occlusion in Traumatic Hemorrhage.

Shock 2021 May 18. Epub 2021 May 18.

Walter Reed National Military Medical Center, The Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA R Adams Cowley Shock Trauma Center, University of Maryland Medical System, Maryland, USA Prytime Medical, Boerne, Texas, USA.

Abstract: Resuscitative endovascular balloon occlusion of the aorta (REBOA) allows for effective temporization of exsanguination from non-compressible hemorrhage (NCTH) below the diaphragm. However, the therapeutic window for aortic occlusion is time-limited given the ischemia-reperfusion injury generated. Significant effort has been put into translational research to develop new strategies to alleviate the ischemia-reperfusion injury and extend the application of endoaortic occlusion. Read More

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Evaluation of Staged TCAR and Cardiac Surgery or Structural Heart Intervention.

Vasc Endovascular Surg 2021 May 20:15385744211017704. Epub 2021 May 20.

Division of Vascular Surgery, University of Tennessee-Memphis, Memphis, TN, USA.

Introduction: The optimal treatment strategy for patients with concomitant carotid and cardiac disease remains controversial. Transcarotid artery revascularization stenting with reversed flow protection (TCAR) has achieved results equivalent to carotid endarterectomy (CEA) in high risk patients.

Methods: A retrospective review of all patients at a single center who received staged TCAR prior to cardiac intervention was performed. Read More

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Safety and outcomes of routine endovascular thrombectomy in large artery occlusion recorded in the SITS Register: An observational study.

J Intern Med 2021 May 17. Epub 2021 May 17.

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Background And Objective: We aimed to evaluate the safety and outcomes of thrombectomy in anterior circulation acute ischaemic stroke recorded in the SITS-International Stroke Thrombectomy Register (SITS-ISTR) and compare them with pooled randomized controlled trials (RCTs) and two national registry studies.

Methods: We identified centres recording ≥10 consecutive patients in the SITS-ISTR with at least 70% of available modified Rankin Scale (mRS) at 3 months during 2014-2019. We defined large artery occlusion as intracranial internal carotid artery, first and second segment of middle cerebral artery and first segment of anterior cerebral artery. Read More

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Bilateral internal iliac branch device with ipsilateral deployment.

J Vasc Surg Cases Innov Tech 2021 Jun 13;7(2):197-202. Epub 2021 Mar 13.

Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, Wash.

Iliac branch endograft devices offer an elegant solution to preserve perfusion to the internal iliac artery when treating aortoiliac aneurysms; however, they are difficult to perform when bilateral access is not available owing to aortoiliac anatomy or previous endovascular aortic aneurysm repair. We present a technique to perform iliac branch endograft deployment from ipsilateral access in a patient with a prior EVAR endovascular aortic aneurysm repair, obviating the need for a difficult up-and-over access. Read More

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Comparison of Prior Bridging Intravenous Thrombolysis With Direct Endovascular Thrombectomy for Anterior Circulation Large Vessel Occlusion: Systematic Review and Meta-Analysis.

Front Neurol 2021 30;12:602370. Epub 2021 Apr 30.

The Third ward of Neurology Department, Affiliated Hospital of Hebei University, Baoding, China.

Whether bridging treatment combining intravenous thrombolysis (IVT) and endovascular thrombectomy (EVT) is superior to direct EVT alone for emergent large vessel occlusion (LVO) in the anterior circulation is unknown. A systematic review and a meta-analysis were performed to investigate and assess the effect and safety of bridging treatment . direct EVT in patients with LVO in the anterior circulation. Read More

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Longitudinal Assessment of Safety of Femoropopliteal Endovascular Treatment With Paclitaxel-Coated Devices Among Medicare Beneficiaries: The SAFE-PAD Study.

JAMA Intern Med 2021 May 16. Epub 2021 May 16.

Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Importance: Paclitaxel-coated peripheral devices have been associated with increased mortality, yet this harm signal has not been replicated outside of meta-analyses of small trials.

Objective: To provide a longitudinal assessment of the safety of femoropopliteal endovascular treatment with peripheral drug-coated devices (DCDs) among Medicare beneficiaries.

Design, Setting, And Participants: SAFE-PAD (Safety Assessment of Femoropopliteal Endovascular Treatment With Paclitaxel-Coated Devices) was a retrospective cohort study designed with the US Food and Drug Administration to evaluate the noninferiority of mortality between DCDs and non-drug-coated devices (NDCDs) for femoropopliteal revascularization performed in 2978 inpatient and outpatient facilities in the US from April 1, 2015, through December 31, 2018. Read More

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Evaluation of a novel flow diverter, the DiVeRt system, in an animal model.

J Neurointerv Surg 2021 May 13. Epub 2021 May 13.

Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria

Background: Using a surgical aneurysm model, this study assessed the performance of a new flow diverter (FD), the DiVeRt, and evaluated the angiographic and histologic features at different periods after stent deployment.

Methods: Fifteen New Zealand White rabbits were treated 3 days prior to intervention and until euthanization with dual antiplatelets. DiVeRt was implanted in bilateral carotid aneurysms (n=30) as well as in the aorta (n=15). Read More

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Fate of Preserved Aortic Root Following Acute Type A Aortic Dissection Repair.

Semin Thorac Cardiovasc Surg 2021 May 9. Epub 2021 May 9.

Aortic Institute at Yale New-Haven, Yale University School of Medicine, New Haven, CT, USA. Electronic address:

We examined the long-term fate of the preserved aortic root after emergent repair of acute Type A aortic dissection. 144 patients (60% males, mean age 60.5 years) underwent supracoronary ascending aortic replacement for acute Type A aortic dissection. Read More

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