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Treatment of Dialysis Access Steal Syndrome with Concomitant Vascular Access Aneurysms
Spyros I. Papadoulas,Theoni Theodoropoulou,Natasa Kouri,Andreas Tsimpoukis,Panagiotis Kitrou,Evangelos Papachristou,Konstantinos G. Moulakakis,Stavros K. Kakkos 대한혈관외과학회 2022 Vascular Specialist International Vol.38 No.1
Limb ischemia is a known complication of vascular access that may appear early postoperatively or after years. Over the last few decades, various techniques based on different physiological mechanisms have been used for treatment. A standardized treatment does not exist, and must be individualized based on the flow volume, and the type and location of the access. True and false vascular access aneurysms are another common complication of arteriovenous fistulas, which develop because of venous hypertension or repeated needling. Evidence in the literature regarding treatment of patients with steal syndrome and concomitant true arteriovenous aneurysms is scarce. A female with a brachiocephalic fistula complicated by steal syndrome and vascular access aneurysms was treated successfully with tapered graft placement and aneurysm exclusion.
Nodular Lymphoid Hyperplasia with Aggressive Endoscopic Appearance in the Colon of an Adult Woman
Maria Fragaki,Elpida Giannikaki,Emmanouil Vardas,Angeliki Theodoropoulou,Aikaterini Tavernaraki,Manousos Christodoulakis,Gregorios A. Paspatis 대한소화기내시경학회 2017 Clinical Endoscopy Vol.50 No.2
Brief report
Evangelos Voudoukis,Georgios Tribonias,Aikaterini Tavernaraki,Angeliki Theodoropoulou,Emmanouil Vardas,Konstantina Paraskeva,Gregorios Chlouverakis,Gregorios A. Paspatis 대한소화기내시경학회 2015 Clinical Endoscopy Vol.48 No.2
Background/Aims: Endoscopic mucosal resection (EMR) of large colorectal lesions is associated with increased procedural time. Theobjective of this study was to evaluate the effect of double-channel gastroscope (DCG) use on the procedural time of EMRs in the rectosigmoidarea. Methods: All EMRs for sessile or flat rectosigmoid lesions ≥2 cm performed between July 2011 and September 2012 were retrospectivelyanalyzed. Results: There were 55 lesions ≥2 cm in the rectosigmoid area in 55 patients, of which 26 were removed by EMR using a DCG (DCgroup) and 29 by using an ordinary colonoscope or gastroscope (OS group). The mean size of the removed polyps, morphology, adverseeffects, and other parameters were similar between the two groups. The mean procedural time was significantly lower in the DC groupthan in the OS group (24.4±18.3 minutes vs. 36.3±24.4 minutes, p=0.015). Moreover, in a subgroup of patients with polyps >40 mm, thestatistical difference in the mean procedural time between the DC and OS groups was even more pronounced (33±21 minutes vs. 58.7±20.6 minutes, p=0.004). Conclusions: Our data suggest that the use of a DCG in the resection of large nonpedunculated rectosigmoid lesions significantly reducesthe procedural time.