PubMed Health⌕ Search

Biomedical subjects

Kamal Gupta

Publications and source records attributed to Kamal Gupta.

8 recordsLinked to original sources
PubMed2005

Severe intravascular hemolysis after transcatheter coil occlusion of patent ductus arteriosus.

Severe intravascular hemolysis is a rare complication of transcatheter closure of patent ductus arteriosus (PDA). It is thought to be secondary to red blood cell damage from a high-velocity jet from a residual shunt. However, only a small minority of patients with a residual shunt develop this complication. We report a case of intravascular hemolysis after partial coil occlusion of a PDA in which the Dacron strands were stripped off the coils during bioptome-assisted deployment. The exposure of the blood flow jet to bare metallic coils may have contributed to the occurrence of the severe hemolysis.

Cardiac Catheterization↗
PubMed2005

Endovascular exclusion of a thoracoabdominal aortic aneurysm after retrograde visceral artery revascularization.

Historically, open surgical repair of thoracoabdominal aortic aneurysms has been associated with high morbidity and mortality rates. Furthermore, endovascular exclusion alone can restrict blood flow to visceral arteries. We report a case of thoracoabdominal aortic aneurysm that was repaired using a hybrid approach: surgery followed by an endovascular procedure. A 53-year-old woman was admitted to our hospital for endovascular exclusion of a thoracoabdominal aortic aneurysm that included the superior mesenteric artery and the celiac artery. Aorto-mesenteric and aorto-celiac artery bypass grafting was performed to create a landing zone for subsequent endovascular exclusion of the aneurysm, which was completed successfully 6 weeks after the bypass procedure. For thoracoabdominal aortic aneurysms that extend beyond the superior mesenteric artery and the celiac or renal arteries, a hybrid approach, consisting of limited surgical treatment followed by endovascular exclusion of the aneurysm, may yield optimal results in selected patients with serious preoperative comorbidities.

Aortic Aneurysm, Abdominal↗
PubMed2004

Endovascular repair of a giant carotid pseudoaneurysm with the use of Viabahn stent graft.

A 72-year-old woman presented with a large pulsatile anterior right neck mass with compressive symptoms of dysphagia and hoarseness. This was due to a large (6 cm by 4 cm) postcarotid endarterectomy pseudoaneurysm of the right common carotid artery. Successful endovascular exclusion of the pseudoaneurysm was performed with a Viabahn stent graft with significant decrease in the size on follow-up. Other endovascular options such as coil embolization and thrombin injection are also discussed. It is important to exclude infection as the cause of postendarterectomy pseudoaneurysm before considering endovascular repair over surgical repair.

Aged↗
PubMed2003

Diagnosis of pericardial disease using percutaneous biopsy: case report and literature review.

We describe the case of a 75-year-old man who presented with a large pericardial effusion and an intrapericardial mass. Malignant thymoma with pericardial involvement was diagnosed by percutaneous pericardial tumor biopsy. The pleural effusion was not malignant. The patient underwent further oncologic evaluation followed by adjunctive chemotherapy and radical extirpation of the tumor. He remains asymptomatic and free of disease 24 months after the procedure. We also discuss the role of percutaneous biopsy in the diagnosis of pericardial diseases.

Aged↗
PubMed2003

Mechanical trauma as a cause of late complications: after AneuRx Stent Graft repair of abdominal aortic aneurysms.

We present a series of 4 patients in whom mechanical trauma was identified as a factor in the development of late complications after AneuRx Stent Graft placement for repair of abdominal aortic aneurysms. In all 4 patients, Type I or III endoleaks (and pseudoaneurysms in 2 patients) were discovered several months after abdominal aortic aneurysm repair with the AneuRx device. Two patients had sustained blunt abdominal trauma in a car accident one had suffered a traumatic fall, and another had been participating in vigorous rowing activity. In all patients, the trauma had occurred several months before the diagnosis of endoleak or pseudoaneurysm (or both) was established. In all patients, follow-up computed tomographic scans identified the complications. In conclusion, blunt mechanical injury is an unrecognized factor contributing to the late failure of endovascular stent grafts. Vigorous physical activity may also contribute to graft disruption or to the separation of modular components.

Abdominal Injuries↗