Angiography

Publication Title: 
Herz

BACKGROUND: Patient satisfaction is a key indicator for quality of care. However, recent data on determinants of satisfaction in invasive cardiology are lacking. Hence this study was conducted to identify determinants of patient satisfaction after hospitalization for cardiac catheterization. PATIENTS AND METHODS: Data were obtained from 811 randomly selected patients discharged from ten hospitals responding to a mailed post-visit questionnaire.

Author(s): 
Weidemann, R. R.
Schˆnfelder, T.
Klewer, J.
Kugler, J.
Publication Title: 
Academic Radiology

RATIONALE AND OBJECTIVES: The purpose was to evaluate the effects on patients' pain perception of educating interventional radiology personnel in nonpharmacologic analgesia. MATERIALS AND METHODS: Ninety-six patients undergoing lower-extremity arteriography or percutaneous nephrostomy were asked to rate the pain they experienced during the procedure on a scale of 0 to 5 (0 = no pain, 1 = mild pain, 2 = moderate pain, 3 = severe pain, 4 = very severe pain, 5 = worst pain possible).

Author(s): 
Lang, E. V.
Berbaum, K. S.
Publication Title: 
Cardiovascular and Interventional Radiology

We report a case of stent fracture and collapse of balloon-expandable stents caused by shiatsu massage. A 76-year-old man presented with complaints of intermittent claudication of the right lower extremity. Stenoses of the bilateral common iliac arteries (CIAs) were detected. Balloon-expandable stents were deployed in both CIAs, resulting in resolution of symptoms. Five months later, pelvis x-ray showed collapse of both stents. Despite the stent collapse, the patient was asymptomatic, and his ankle brachial index values were within the normal range.

Author(s): 
Ichihashi, Shigeo
Higashiura, Wataru
Itoh, Hirofumi
Sakaguchi, Shoji
Kichikawa, Kimihiko
Publication Title: 
Radiology

A vertebral artery pseudoaneurysm accompanied by serious neurological injury was seen in a 42-year-old woman who had undergone chiropractic manipulation of the neck. Such manipulation is a potential cause of neurological injury due to trauma to the cervical spine and the major vessels of the neck. The arterial pattern in this case was similar to that of angiodysplasia except for narrowing and irregularity of the vertebral artery.

Author(s): 
Davidson, K. C.
Weiford, E. C.
Dixon, G. D.
Publication Title: 
The New Zealand Medical Journal

A 23-year-old woman developed brainstem infarction following cervical manipulation. Vertebral angiography showed total occlusion of the left vertebral artery with a thrombus extending into the basilar artery. The literature dealing with this rare but serious complication of cervical manipulation is reviewed.

Author(s): 
Parkin, P. J.
Wallis, W. E.
Wilson, J. L.
Publication Title: 
Southern Medical Journal

A case of brain stem infarction after chiropractic manipulation of the cervical spine is presented. Proposed mechanisms and sites of possible arterial injury are discussed. A diagnosis of vertebral artery occlusion was made using conventional brachial angiography. Digital intravenous angiography, a relatively new and less invasive vascular imaging technique which was used as an adjunct for evaluating the remainder of the cervicocephalic vessels, documented the vertebral occlusion.

Author(s): 
Braun, I. F.
Pinto, R. S.
De Filipp, G. J.
Lieberman, A.
Pasternack, P.
Zimmerman, R. D.
Publication Title: 
Journal of Neurology

The highly variable clinical course of cervical artery dissections still poses a major challenge to the treating physician. This study was conducted (1) to describe the differences in clinical and angiographic presentation of patients with carotid and vertebral artery dissections (CAD, VAD), (2) to define the circumstances that are related to bilateral arterial dissections, and (3) to determine factors that predict a poor outcome. Retrospectively and by standardised interview, we studied 126 patients with cervical artery dissections.

Author(s): 
Dziewas, Rainer
Konrad, Carsten
Dräger, Bianca
Evers, Stefan
Besselmann, Michael
Lüdemann, Peter
Kuhlenbäumer, Gregor
Stögbauer, Florian
Ringelstein, E. Bernd
Publication Title: 
Journal of Neurology

The highly variable clinical course of cervical artery dissections still poses a major challenge to the treating physician. This study was conducted (1) to describe the differences in clinical and angiographic presentation of patients with carotid and vertebral artery dissections (CAD, VAD), (2) to define the circumstances that are related to bilateral arterial dissections, and (3) to determine factors that predict a poor outcome. Retrospectively and by standardised interview, we studied 126 patients with cervical artery dissections.

Author(s): 
Dziewas, Rainer
Konrad, Carsten
Dräger, Bianca
Evers, Stefan
Besselmann, Michael
Lüdemann, Peter
Kuhlenbäumer, Gregor
Stögbauer, Florian
Ringelstein, E. Bernd
Publication Title: 
Annales De Réadaptation Et De Médecine Physique: Revue Scientifique De La Société Française De Rééducation Fonctionnelle De Réadaptation Et De Médecine Physique

INTRODUCTION: The most serious accidents after cervical spine manipulation are vertebrobasilar ischemia. Their incidence is underestimated. Their risk of apparition is lower if the contraindications are respected and if they are realised according to suitable practice. CASE REPORT: Mrs B, 39 years old, was an active smoker and had migraine for 10 years ago. One day, she presented an unusual headache associated with neck pain that was treated by a cervical spine manipulation.

Author(s): 
Tinel, D.
Bliznakova, E.
Juhel, C.
Gallien, P.
Brissot, R.
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