PubMed · 6916644
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T Iu Ivanova. 1982. [Aortic aneurysms].. https://pubmed.ncbi.nlm.nih.gov/6916644/
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Stenting or transluminal implantation of vascular endoprostheses is a new modality among many endovascular techniques. Experience is greatest in the iliac arteries where patency rates above 90% are reported. Because in femoropopliteal arteries the patency rates are below 70%, stents should be implanted only in situations where percutaneous transluminal angioplasty (PTA) alone has failed. Similar results are obtained with implantation in renal and supraaortic arteries. Application in great veins for palliation of tumor compression seems to be a good indication. A new perspective opens up with "covered stents" to treat aorto-iliac aneurysms endoluminally. Even though stenting is still experimental in some regards, and open surgical reconstruction represents the established standard, it has great therapeutic potential. However, endovascular techniques should neither be rejected nor simply adopted by vascular surgeons but developed further in a team approach with experienced interventional angiologists and radiologists.
The gross anatomy of the pancreatic blood supply has been subjected to numerous studies. The results of such studies, however, have never been summarized in detail, even in the most important textbooks. For this reason, a certain confusion was generated, especially regarding the interpretation of the nomenclature used to identify pancreatic arteries. This review summarizes more than two centuries of studies of the gross anatomy of the pancreatic blood supply, clarifies the arterial nomenclature, and underlines the aspects about which anatomists are not in agreement. Moreover, it supplies, as far as possible, documentary evidence for numerous observations previously reported only verbally. For this purpose, more than 200 references were directly consulted to provide the anatomical background of the topic, and more than 1000 angiograms were studied to support the review with original figures. The present paper, on the superior pancreaticoduodenal and anterior superior pancreaticoduodenal arteries, is the first of a series of articles dealing with the pancreatic blood supply.
BACKGROUND: This study was undertaken to determine the incidence of ventral incisional hernias (VIHs) and inguinal hernias (IHs) in patients with abdominal aortic aneurysmal (AAA) versus those with aortoiliac occlusive disease (AIOD). PATIENTS AND METHODS: The medical records of 193 patients (128 with AAA and 65 with AIOD) who had undergone elective aortic reconstruction were reviewed to determine the number and location of abdominal wall hernias (AWHs). RESULTS: Forty-one AWHs (28 IHs and 13 VIHs) were detected in patients with AAA compared to 13 (11 IHs and 2 VIHs) in patients with AIOD. There was a significantly greater incidence of VIHs in patients with AAA versus patients with AIOD (10% versus 3%, P < 0.05) and recurrent AWHs (28% versus 19%, P < 0.01), but not of IHs (22% versus 17%). CONCLUSION: Patients with AAA have a higher incidence of VIHs and recurrent AWHs--without a corresponding increase in patient-related risk factors--than patients without aneurysm, suggesting that as yet unidentified etiologic factors may contribute to the development of AWHs in these patients.