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Alonso de Leciñana M, Egido J, Casado I, Ribó M, Dávalos A, Masjuan J, Caniego J, Martínez-Vila E, Díez Tejedor E. Réplica a la carta «Algunas consideraciones sobre el infarto cerebral desde otra óptica». Neurologia 2016; 31:136. [DOI: 10.1016/j.nrl.2014.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2014] [Accepted: 06/21/2014] [Indexed: 11/25/2022] Open
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Alonso de Leciñana M, Egido J, Casado I, Ribó M, Dávalos A, Masjuan J, Caniego J, Martínez-Vila E, Díez Tejedor E. Reply to letter “Remarks on cerebral infarct from another point of view”. Neurología (English Edition) 2016. [DOI: 10.1016/j.nrleng.2014.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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3
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Alonso de Leciñana M, Fuentes B, Ximénez-Carrillo Á, Vivancos J, Masjuan J, Gil-Nuñez A, Martínez-Sánchez P, Zapata-Wainberg G, Cruz-Culebras A, García-Pastor A, Díaz-Otero F, Fandiño E, Frutos R, Caniego JL, Méndez JC, Fernández-Prieto A, Bárcena-Ruiz E, Díez-Tejedor E. A collaborative system for endovascular treatment of acute ischaemic stroke: the Madrid Stroke Network experience. Eur J Neurol 2015; 23:297-303. [DOI: 10.1111/ene.12749] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2014] [Accepted: 04/06/2015] [Indexed: 11/29/2022]
Affiliation(s)
| | - B. Fuentes
- Hospital Universitario La Paz IdiPAZ; Universidad Autónoma de Madrid; Madrid Spain
| | - Á. Ximénez-Carrillo
- Hospital Universitario La Princesa; IIS Princesa; Universidad Autónoma de Madrid; Madrid Spain
| | - J. Vivancos
- Hospital Universitario La Princesa; IIS Princesa; Universidad Autónoma de Madrid; Madrid Spain
| | - J. Masjuan
- Hospital Universitario Ramón y Cajal; IRYCIS; Universidad de Alcalá; Madrid Spain
| | - A. Gil-Nuñez
- Hospital Universitario Gregorio Marañón; IiSGM; Universidad Complutense de Madrid; Madrid Spain
| | - P. Martínez-Sánchez
- Hospital Universitario La Paz IdiPAZ; Universidad Autónoma de Madrid; Madrid Spain
| | - G. Zapata-Wainberg
- Hospital Universitario La Princesa; IIS Princesa; Universidad Autónoma de Madrid; Madrid Spain
| | - A. Cruz-Culebras
- Hospital Universitario Ramón y Cajal; IRYCIS; Universidad de Alcalá; Madrid Spain
| | - A. García-Pastor
- Hospital Universitario Gregorio Marañón; IiSGM; Universidad Complutense de Madrid; Madrid Spain
| | - F. Díaz-Otero
- Hospital Universitario Gregorio Marañón; IiSGM; Universidad Complutense de Madrid; Madrid Spain
| | - E. Fandiño
- Hospital Universitario Ramón y Cajal; IRYCIS; Universidad de Alcalá; Madrid Spain
| | - R. Frutos
- Hospital Universitario Ramón y Cajal; IRYCIS; Universidad de Alcalá; Madrid Spain
| | - J.-L. Caniego
- Hospital Universitario La Princesa; IIS Princesa; Universidad Autónoma de Madrid; Madrid Spain
| | - J.-C. Méndez
- Hospital Universitario Ramón y Cajal; IRYCIS; Universidad de Alcalá; Madrid Spain
| | - A. Fernández-Prieto
- Hospital Universitario La Paz IdiPAZ; Universidad Autónoma de Madrid; Madrid Spain
| | - E. Bárcena-Ruiz
- Hospital Universitario La Princesa; IIS Princesa; Universidad Autónoma de Madrid; Madrid Spain
| | - E. Díez-Tejedor
- Hospital Universitario La Paz IdiPAZ; Universidad Autónoma de Madrid; Madrid Spain
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Merino JL, Gutiérrez L, Caniego JL, Paraíso V. Renal Function Recovery After Revascularization with Percutaneous Angioplasty of a Patient on Chronic Hemodialysis. Cardiovasc Intervent Radiol 2015; 38:1339-42. [PMID: 25975743 DOI: 10.1007/s00270-015-1121-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2015] [Accepted: 04/19/2015] [Indexed: 11/24/2022]
Affiliation(s)
- Jose L Merino
- Section of Nephrology, Hospital Universitario del Henares, Avenue Marie Curie S/N. 28822, Coslada, Madrid, Spain.
| | - L Gutiérrez
- Department of Radiology, Hospital Universitario del Henares, Coslada, Madrid, Spain.
| | - J L Caniego
- Department of Radiology, Hospital Universitario La Princesa, Madrid, Spain.
| | - V Paraíso
- Section of Nephrology, Hospital Universitario del Henares, Avenue Marie Curie S/N. 28822, Coslada, Madrid, Spain.
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Martínez-Galdámez M, Pérez S, Vega A, Ruiz P, Caniego JL, Bárcena E, Saura P, Méndez JC, Delgado F, Ortega-Gutierrez S, Romance A, Diaz T, Gonzalez E, Gil A, Murias E, Vega P. Endovascular treatment of intracranial aneurysms using the Pipeline Flex embolization device: a case series of 30 consecutive patients. J Neurointerv Surg 2015; 8:396-401. [PMID: 25770120 DOI: 10.1136/neurintsurg-2015-011669] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2015] [Accepted: 02/16/2015] [Indexed: 11/04/2022]
Abstract
BACKGROUND The Pipeline Flex embolization device has some peculiarities in comparison with the previous generation device. Despite recent reports of the modified delivery system, its safety is still unknown. OBJECTIVE To illustrate the intraprocedural and periprocedural complication rate with this new device in 30 consecutive patients. MATERIAL AND METHODS Clinical, procedural, and angiographic data, including aneurysm size and location, device or devices used, angiographic and clinical data were analyzed. RESULTS 30 patients harboring 30 aneurysms were analyzed. 39 devices were placed properly. Multiple Pipeline embolization devices (PEDs) were used in 7 cases. In 28 devices the distal end opened fully from the beginning with a complete wall apposition. In the remaining 11 devices, distal-end opening of the devices was instant but partial, but fully opened easily after recapture. Among the 30 procedures, recapture and reposition of the Pipeline Flex was performed four times owing to proximal migration/malposition of the device during delivery. Four intraprocedural/periprocedural complications occurred, of which 2 resulted in major complications, with neurologic deficits persisting for longer than 7 days. The 30-day morbidity rate was 6.6%, with no deaths. No aneurysm rupture or parenchymal hemorrhage was seen. CONCLUSIONS The Pipeline Flex embolization device allows more precise and controlled deployment than the first-generation device. The number of devices and the complication rate during the learning curve are lower than reported with the first-generation PED. The new delivery system and the resheathing maneuvers do not seem to increase the intraprocedural complication rate in comparison with the first-generation PED.
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Affiliation(s)
- M Martínez-Galdámez
- Interventional Neuroradiology/Endovascular Neurosurgery, Radiology Department, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
| | - S Pérez
- Interventional Neuroradiology/Endovascular Neurosurgery, Radiology Department, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
| | - A Vega
- Interventional Neuroradiology, Radiology Department, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain
| | - P Ruiz
- Interventional Neuroradiology, Radiology Department, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain
| | - J L Caniego
- Interventional Neuroradiology, Radiology Department, Hospital Universitario La Princesa, Madrid, Spain
| | - E Bárcena
- Interventional Neuroradiology, Radiology Department, Hospital Universitario La Princesa, Madrid, Spain
| | - P Saura
- Interventional Neuroradiology, Radiology Department, Fundación Jiménez-Díaz, Madrid, Spain
| | - J C Méndez
- Interventional Neuroradiology, Radiology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - F Delgado
- Interventional Neuroradiology, Radiology Department, Hospital Reina Sofía, Córdoba, Spain
| | - S Ortega-Gutierrez
- Interventional Neuroradiology/Endovascular Neurosurgery Division, Department of Neurology, Neurosurgery, Radiology and Anesthesia, University of Iowa, Iowa City, Iowa, USA
| | - A Romance
- Interventional Neuroradiology, Radiology Department, Hospital Universitario Carlos Haya, Málaga, Spain
| | - T Diaz
- Interventional Neuroradiology, Radiology Department, Hospital Universitario Carlos Haya, Málaga, Spain
| | - E Gonzalez
- Interventional Neuroradiology, Radiology Department, Hospital de Cruces, Bilbao, Spain
| | - A Gil
- Interventional Neuroradiology, Radiology Department, Hospital de Cruces, Bilbao, Spain
| | - E Murias
- Interventional Neuroradiology, Radiology Department, Hospital Universitario de Oviedo, Oviedo, Asturias, Spain
| | - P Vega
- Interventional Neuroradiology, Radiology Department, Hospital Universitario de Oviedo, Oviedo, Asturias, Spain
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Martínez-Galdámez M, Romance A, Vega P, Vega A, Caniego JL, Paul L, Linfante I, Dabus G. Pipeline endovascular device for the treatment of intracranial aneurysms at the level of the circle of Willis and beyond: multicenter experience. J Neurointerv Surg 2014; 7:816-23. [DOI: 10.1136/neurintsurg-2014-011355] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2014] [Accepted: 08/19/2014] [Indexed: 11/04/2022]
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Martínez-Galdámez M, Gil A, Caniego JL, Gonzalez E, Bárcena E, Perez S, Garcia-Bermejo P, Ortega-Gutierrez S. Preliminary experience with the Pipeline Flex Embolization Device: technical note. J Neurointerv Surg 2014; 7:748-51. [PMID: 25165385 DOI: 10.1136/neurintsurg-2014-011385] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2014] [Accepted: 08/04/2014] [Indexed: 11/04/2022]
Abstract
BACKGROUND Clinical experience with the Pipeline Embolization Device (PED) has been widely described in the literature since it obtained its European CE and FDA approvals in 2008 and 2011, respectively. The new generation of PED, the Pipeline Flex Embolization Device, received the CE mark of approval in March 2014. While the implant composition has not changed, its new delivery system has some differences. One of the main changes from the previous generation is a new delivery system that makes the device resheathable until deployed over 90% of its length. We present our preliminary experience using this device. METHODS Between May and June 2014, six patients with six aneurysms were treated with the Pipeline Flex device. RESULTS All devices were placed properly, without technical difficulties. We successfully resheathed and repositioned the device in two cases. Minor and major intraprocedural or periprocedural events were noted. CONCLUSIONS The Pipeline Flex device allows more precise and controlled deployment than the current PED device. Although this preliminary experience seems positive, multicenter larger series will be needed to confirm the safety and durability of this new device.
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Affiliation(s)
- M Martínez-Galdámez
- Interventional Neuroradiology/Endovascular Neurosurgery Division, Department of Radiology, Hospital Clínico Universitario, Valladolid, Spain
| | - A Gil
- Interventional Neuroradiology, Radiology Department, Hospital de Cruces, Bilbao, Spain
| | - J L Caniego
- Interventional Neuroradiology, Radiology Department, Hospital La Princesa, Madrid, Spain
| | - E Gonzalez
- Interventional Neuroradiology, Radiology Department, Hospital de Cruces, Bilbao, Spain
| | - E Bárcena
- Interventional Neuroradiology, Radiology Department, Hospital La Princesa, Madrid, Spain
| | - S Perez
- Interventional Neuroradiology/Endovascular Neurosurgery Division, Department of Radiology, Hospital Clínico Universitario, Valladolid, Spain
| | - P Garcia-Bermejo
- Interventional Neuroradiology/Endovascular Neurosurgery Division, Department of Radiology, Hospital Clínico Universitario, Valladolid, Spain
| | - S Ortega-Gutierrez
- Interventional Neuroradiology/Endovascular Neurosurgery Division, Department of Neurology and Anesthesia, University of Iowa, Iowa City, Iowa, USA
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Alonso de Leciñana M, Egido J, Casado I, Ribó M, Dávalos A, Masjuan J, Caniego J, Martínez Vila E, Díez Tejedor E, Fuentes (Secretaría) B, Álvarez-Sabin J, Arenillas J, Calleja S, Castellanos M, Castillo J, Díaz-Otero F, López-Fernández J, Freijo M, Gállego J, García-Pastor A, Gil-Núñez A, Gilo F, Irimia P, Lago A, Maestre J, Martí-Fábregas J, Martínez-Sánchez P, Molina C, Morales A, Nombela F, Purroy F, Rodríguez-Yañez M, Roquer J, Rubio F, Segura T, Serena J, Simal P, Tejada J, Vivancos J. Guidelines for the treatment of acute ischaemic stroke. Neurología (English Edition) 2014. [DOI: 10.1016/j.nrleng.2011.09.012] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
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Cruz Culebras A, García-Pastor A, Reig G, Fuentes B, Simal P, Méndez-Cendón J, Caniego J, Castro E, Frutos R, Gil A, Vivancos J, Gil-Núñez A, Díez-Tejedor E, Egido J, Alonso de Leciñana M, Masjuan J. Intervencionismo neurovascular en la fase aguda del infarto cerebral. Neurologia 2010. [DOI: 10.1016/j.nrl.2010.01.002] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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10
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Cruz Culebras A, García-Pastor A, Reig G, Fuentes B, Simal P, Méndez-Cendón JC, Caniego JL, Castro E, Frutos R, Gil A, Vivancos J, Gil-Núñez A, Díez-Tejedor E, Egido JA, Alonso de Leciñana M, Masjuan J. [Neurovascular intervention in the acute phase of cerebral infarction]. Neurologia 2010; 25:279-286. [PMID: 20643037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023] Open
Abstract
BACKGROUND AND PURPOSE Endovascular therapies in acute ischaemic stroke may offer benefits to patients that are not eligible for standard use of intravenous tissue activator plasminogen (iv t-PA) or when this is not effective. Our aim is to present the initial experience in with endovascular techniques in the Community of Madrid. METHODS We present data from our registry of acute ischaemic strokes treated with endovascular re-perfusion therapies in five University Hospitals in Madrid (Spain) during the period 2005-2009. We recorded demographic data, vascular risk factors, risk severity with the NIHSS (National Institute of Health Stroke Scale), endovascular techniques, complications and mortality rates. Functional outcome and neurological disability at 90 days was defined by the modified Rankin scale (mRs). RESULTS A total of 41 patients were treated with endovascular therapies. Mean age was 58.6 ± 19.9, and 56.1% were males. Of those 22 patients had an anterior circulation stroke and 19 had a posterior circulation stroke. Baseline NIHSS score was: median, 17 [range, 2-34]; 7 patients had previously received iv t-PA. The following endovascular techniques were performed: mechanical disruption (26 patients), intra-arterial infusion of t-PA (26 patients), angioplasty and stenting (5 patients), mechanical use of MERCI device (3 patients). Partial or total re-canalization was achieved in 32 patients (78%). Only one patient had a symptomatic cerebral haemorrhage. Three months after stroke, 53.6% of the patients were independent (mRs ≤ 2) and overall mortality rate was 19.5%. CONCLUSIONS Acute ischaemic stroke is a potentially treatable medical emergency within the first hours after the onset of symptoms. Stroke endovascular procedures constitute an alternative for patients with iv t-PA exclusion criteria or when this is not effective.
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Affiliation(s)
- A Cruz Culebras
- Unidad de Ictus, Servicio de Neurología, Hospital Universitario Ramón y Cajal, Madrid, España
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Cruz Culebras A, García-Pastor A, Reig G, Fuentes B, Simal P, Méndez-Cendón J, Caniego J, Castro E, Frutos R, Gil A, Vivancos J, Gil-Núñez A, Díez-Tejedor E, Egido J, Alonso de Leciñana M, Masjuan J. Neurovascular intervention in the acute phase of cerebral infarction. Neurología (English Edition) 2010. [DOI: 10.1016/s2173-5808(10)70054-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Martín-Granizo R, Caniego JL, de Pedro M, Domínguez L. Arteriovenous fistula after temporomandibular joint arthroscopy successfully treated with embolization. Int J Oral Maxillofac Surg 2004; 33:301-3. [PMID: 15287315 DOI: 10.1006/ijom.2003.0488] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Temporomandibular joint arthoscopy is a minimal invasive surgical procedure commonly used to effectively treat some internal derangement of the TMJ. However, this method is not free of complications. Arteriovenous fistula (AVF) is a lesion that communicates the high flow arterial system and the low flow venous network. We describe a new case of preauricular traumatic AVF successfully treated with external carotid embolization, along with a review of the medical literature.
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Affiliation(s)
- R Martín-Granizo
- Department of Oral and Maxillofacial Surgery, Hospital Clinico San Carlos, Spain.
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Escosa-Bagé M, Sola RG, Liberal-González R, Caniego JL, Castrillo-Cazón C. [Fusiform aneurysm of the middle cerebral artery]. Rev Neurol 2002; 34:655-8. [PMID: 12080516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
Abstract
Introduction. The main objective of the treatment of intracranial aneurysms is to isolate them from the cerebral blood circulation. A fusiform aneurysm, because of its shape, cannot be treated using the usual techniques and usually requires techniques of arterial reconstruction and revascularization using by pass. Currently it is possible to find the vascular territories with the greatest risk of causing neurological defects and where revascularization is necessary. CASE REPORT. A 20 year old man with no previous history of illness who had several transient ischaemic episodes. Emergency laboratory tests, ECG and plain chest Xray were all normal. Imaging investigations showed the presence of a fusiform aneurysm of the anterosuperior division of the right middle cerebral artery. No associated systemic disease was detected. Wada s test showed the vascular territory with the greatest risk of neurological deficit. Extra intra cranial by pass was done from the right superficial temporal artery to the distal portion of the anteriorsuperior branch of this artery. The operation was done using a right pterion approach with dissection of the superficial temporal artery, and the aneurysm, trapping and termino lateral anastomosis. Cerebral protectors and mild hypothermia were used during the operation. The post operative course was uneventful. Anatomo pathological diagnosis was of an atherosclerotic fusiform aneurysm with osseous and chondroid metaplasia. After six months follow up the patient remains asymptomatic. Discussion and conclusions. Treatment of fusiform cerebral aneurysms is complex and usually requires procedures for cerebral revascularization. Correct pre operative evaluation is essential to identify the vascular territory with the greatest risk of causing neurological deficit. Wada s test is useful for this, since it permits selective evaluation of the different vascular territories safely and quickly. High or low flow by pass of these territories prevents cerebral ischaemia and permits the treatment of choice for these aneurysms.
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Affiliation(s)
- M Escosa-Bagé
- Servicio de Neurocirugía, Hospital Universitario de la Princesa, Madrid, España.
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Martin-Granizo R, Rodriguez F, Munoz E, Caniego JL, Garcia MD, Diaz F. Giant lip angioma embolized with Ethibloc: a clinical and histologic study. Med Oral 1998; 3:230-236. [PMID: 11507499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 04/16/2023]
Affiliation(s)
- R. Martin-Granizo
- Servicio de Cirugia Maxilofacial. Hospital Universitario de la Princesa. Universidad Autonoma de Madrid. Spain
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15
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Ruiz-Nodar JM, Iturralde E, Aguilar R, Caniego JL, Martínez de la Concha L, Martínez Elbal L. [The rupture of a cardiac hydatid cyst located in the right ventricle]. Rev Esp Cardiol 1995; 48:563-5. [PMID: 7644812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Heart involvement in echinococcal disease is rare, but it is more infrequent the location of cysts in the right ventricle. We report a case of a male 35 years old with hydatid cysts located in the right ventricle. The condition was diagnosed by two-dimensional echocardiogram performed after the rupture of the cysts leading to massive pulmonary embolism and subsequently right heart failure. Early diagnosis appears mandatory in an attempt to modify, applying the appropriate therapy, the natural evolution of this potentially lethal condition.
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Affiliation(s)
- J M Ruiz-Nodar
- Servicio de Cardiología, Hospital de La Princesa, Madrid
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Pulido P, García de Sola R, Alijarde M, Caniego J, González M. Protocolo para la integración de imágenes. Aplicación de un sistema CAD en cirugía de la epilepsia. Neurocirugia (Astur) 1992. [DOI: 10.1016/s1130-1473(92)70899-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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