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Babic S, McNiven AL, Bezjak A, Balogh JM, Mah K, Tsao MN. Evolution and Evaluation of a Structured Applied Physics Course for Radiation Oncology and Radiation Physics Trainees. J Cancer Educ 2023; 38:813-820. [PMID: 35761143 PMCID: PMC9243863 DOI: 10.1007/s13187-022-02190-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 06/05/2022] [Indexed: 06/02/2023]
Abstract
We sought to supplement medical physics textbook knowledge and clinical learning with case-based discussions. To our knowledge, this is the first report on a structured combined applied physics curriculum for radiation oncology (RO) and medical physics (MP) trainees. We reviewed our yearly applied physics course given from the years 2016-2021 inclusive. The number of applied physics trainees ranged from 7 to 14 per year (2-9 RO and 3-6 MP residents per year). Each session was taught by a pair of (RO and MP) faculty members. Twenty-nine case-based sessions were given yearly (2016 to 2019). Because of the COVID-19 pandemic restrictions, the course was shortened to 8 case-based sessions in 2020 and 2021. For the years 2016-2021, the mean and median teaching evaluation scores were 4.65 and 5, respectively (range 2-5), where 1 represents worse teaching quality and 5, the best teaching quality. For the year 2021, 2 questions relating to the video virtual format (implemented due to the covid-19 pandemic), revealed consistent high scores with the mean and median responses of 4.14 and 5, respectively (range 1-5). The results from the teaching evaluation scores indicate that the trainees highly valued the teaching sessions and teachers. Our experience indicates that a case-based applied physics course was delivered successfully with continued high teaching evaluation scores. A video virtual platform for an applied physics course could be useful, especially for small programs without a structured applied physics curriculum.
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Affiliation(s)
- S Babic
- Department of Radiation Oncology, University of Toronto, Carlo Fidani Regional Cancer Centre - Trillium Health Partners (Credit Valley Site), Mississauga, ON, Canada
| | - A L McNiven
- Department of Radiation Oncology, University of Toronto, Princess Margaret Cancer Centre, Toronto, ON, Canada
| | - A Bezjak
- Department of Radiation Oncology, University of Toronto, Princess Margaret Cancer Centre, Toronto, ON, Canada
| | - J M Balogh
- Department of Radiation Oncology, Odette Cancer Centre - Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Ave, Toronto, ON, Canada
| | - K Mah
- Department of Radiation Oncology, University of Toronto, Princess Margaret Cancer Centre, Toronto, ON, Canada
- Department of Radiation Oncology, Odette Cancer Centre - Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Ave, Toronto, ON, Canada
| | - M N Tsao
- Department of Radiation Oncology, Odette Cancer Centre - Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Ave, Toronto, ON, Canada.
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Babic S, Babic A, Marinkovic M, Kovacevic V, Vucurevic B, Tanaskovic S, Sevkovic M, Gajin P, Matic P, Ilijevski N. Rare Cause of Leg Edema after Femoropopliteal Bypass Procedure in Patient with Previously Unrecognized Arteriovenous Fistulas: A Case Report. Open Access Maced J Med Sci 2023. [DOI: 10.3889/oamjms.2023.11009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023] Open
Abstract
BACKGROUND: Arteriovenous fistulas (AVFs) are pathological, congenital, or acquired communications between the arterial and venous vascular bed. Asymptomatic AVFs do not require surgical or endovascular treatment; however, if they are symptomatic, they must be treated to relieve the patient of symptoms and cardiovascular disorders.
CASE PRESENTATION: Our patient had an undiagnosed AVF that became symptomatic after femoropopliteal bypass surgery. We successfully treated these complications with four cover stents.
CONCLUSION: The presence of AVFs should be kept in mind in the case of rapidly developing leg edema after revascularization. Endovascular treatment of symptomatic AVF is a safe and effective treatment modality. Treatment of symptomatic AVFs is not only recommended for improving impaired arterial or venous blood flow, but also for preventing recurrent PE.
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Tanaskovic S, Neskovic M, Atanasijevic I, Babic S, Mihailovic V, Ilijevski N. Eversion endarterectomy of a segmental occlusion of internal carotid artery patent due to an aberrant ascending pharyngeal artery: A case report. J Vasc Surg 2022; 76:280-281. [PMID: 35738784 DOI: 10.1016/j.jvs.2021.08.052] [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] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Accepted: 08/05/2021] [Indexed: 11/29/2022]
Affiliation(s)
- Slobodan Tanaskovic
- Vascular Surgery Clinic, Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
| | - Mihailo Neskovic
- Vascular Surgery Clinic, Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia
| | - Igor Atanasijevic
- Vascular Surgery Clinic, Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia
| | - Srdjan Babic
- Vascular Surgery Clinic, Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | | | - Nenad Ilijevski
- Vascular Surgery Clinic, Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia; Clinic for Radiology, Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia
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Gajin P, Babic S, Sevkovic M, Neskovic M, Matic P, Atanasijevic I, Ilijevski N. Thrombosis of External Carotid Artery after Internal Artery Endarterectomy Causing Ischemic Events. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.7372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Carotid endarterectomy (CEA) is a widespread and safe procedure associated with very little risk. Only at our hospital surgeons perform nearly 1000 of these surgeries annually, with serious complications occurring extremely rarely[1]. Cerebral ischemic events due to external carotid artery (ECA) thrombosis following a successful internal carotid artery (ICA) endarterectomy is one of such complications. We present a case of ECA thrombosis, following ICA endarterectomy that caused ischemic events.
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Tanaskovic S, Sagic D, Radak D, Antonic Z, Kovacevic V, Vukovic M, Aleksic N, Radak S, Nenezic D, Cvetkovic S, Isenovic E, Vucurevic G, Lozuk B, Babic A, Babic S, Matic P, Gajin P, Unic-Stojanovic D, Ilijevski N. Carotid Restenosis Rate After Stenting for Primary Lesions Versus Restenosis After Endarterectomy With Creation of Risk Index. J Endovasc Ther 2022:15266028221091895. [PMID: 35466778 DOI: 10.1177/15266028221091895] [Citation(s) in RCA: 0] [Impact Index Per Article: 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] [Indexed: 11/16/2022]
Abstract
PURPOSE Carotid artery stenting (CAS) is an option for carotid restenosis (CR) treatment with favorable outcomes. However, CAS has also emerged as an alternative to carotid endarterectomy (CEA) for the management of patients with primary carotid stenosis. This study aimed to report CR rates after CAS was performed in patients with primary lesions versus restenosis after CEA, to identify predictors of CR, and to report both neurological and overall outcomes. MATERIALS AND METHODS From January 2000 to September 2018, a total of 782 patients were divided into 2 groups: The CAS (prim) group consisted of 440 patients in whom CAS was performed for primary lesions, and the CAS (res) group consisted of 342 patients with CAS due to restenosis after CEA. Indications for CAS were symptomatic stenosis/restenosis >70% and asymptomatic stenosis/restenosis >85%. A color duplex scan (CDS) of carotid arteries was performed 6 months after CAS, after 1 year, and annually afterward. Follow-up ranged from 12 to 88 months, with a mean follow-up of 34.6±18.0 months. RESULTS There were no differences in terms of CR rate between the patients in the CAS (prim) and CAS (res) groups (8.7% vs 7.2%, χ2=0.691, p=0.406). The overall CR rate was 7.9%, whereas significant CR (>70%) rate needing re-intervention was 5.6%, but there was no difference between patients in the CAS (prim) and CAS (res) groups (6.4% vs 4.7%, p=0.351). Six independent predictors for CR were smoking, associated previous myocardial infarction and angina pectoris, plaque morphology, spasm after CAS, the use of FilterWire or Spider Fx cerebral protection devices, and time after stenting. A carotid restenosis risk index (CRRI) was created based on these predictors and ranged from -7 (minimal risk) to +10 (maximum risk); patients with a score >-4 were at increased risk for CR. There were no differences in terms of neurological and overall morbidity and mortality between the 2 groups. CONCLUSIONS There was no difference in CR rate after CAS between the patients with primary stenosis and restenosis after CEA. A CRRI score >-4 is a criterion for identifying high-risk patients for post-CAS CR that should be tested in future randomized trials.
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Affiliation(s)
- Slobodan Tanaskovic
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.,Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Dragan Sagic
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.,Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,Department for Interventional Radiology, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
| | - Djordje Radak
- Scientific Board, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
| | - Zelimir Antonic
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.,Department for Interventional Radiology, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
| | - Vladimir Kovacevic
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.,Department for Interventional Radiology, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
| | - Mira Vukovic
- Department of Healthcare Quality Assurance, General Hospital Valjevo, Valjevo, Serbia
| | - Nikola Aleksic
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.,Department for Angiology, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
| | - Sandra Radak
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.,Department for Angiology, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
| | - Dragoslav Nenezic
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.,Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Slobodan Cvetkovic
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - Esma Isenovic
- Department of Radiobiology and Molecular Genetics, "VINČA" Institute of Nuclear Sciences, National Institute of the Republic of Serbia, University of Belgrade, Belgrade, Serbia
| | - Goran Vucurevic
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.,Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Branko Lozuk
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
| | - Aleksandar Babic
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
| | - Srdjan Babic
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.,Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Predrag Matic
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.,Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Predrag Gajin
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.,Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Dragana Unic-Stojanovic
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,Clinic for Anesthesiology and Intensive Care, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
| | - Nenad Ilijevski
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.,Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Babic S, Babic A, Stojicic M, Gencic M, Tanaskovic S, Radoicic D, Gajin P, Atanasijevic I, Ilijevski N. Risk Factors and Incidence of Deep Venous Thrombosis in Non-severe Coronavirus Disease-19 Patients. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.7455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND: The coronavirus disease (COVID-19) is characterized by a high prevalence of deep vein thrombosis (DVT), particularly in its severe form, but the incidence of DVT and risk factors for DVT in non-severe patients are still unknown.
METHODS: The study enrolled 118 patients with non-severe COVID-19 infection which did not required hospital admittance. A duplex ultrasound and laboratory test were performed in all the patients after the first negative polymerase chain reaction SARS-CoV-2 test.
RESULTS: DVT was identified in 50 (42.4%) patients with a median age of 48 years (interquartile range 30–85 years). Symptomatic DVT was present in 40 (80%) patients and was commonly seen in the Class I calf vein thrombosis (38 patients, 76%) (χ2 = 51.71, p < 0.001). The most significant risk factors for DVT were as follows: Increased C-reactive protein (p = 0.000), fibrinogen (p = 0.000), low lymphocyte count (p = 0.002), obesity (p = 0.017), and neutrophil count (p = 0.042). The multivariable logistic regression analysis revealed that a D-dimer cutoff point of 1253.5 μg/L showed a sensitivity of 92% and a specificity of 71%.
CONCLUSION: Patients with increased inflammatory markers and obese patients after a non-severe COVID-19 infection should have an ultrasound examination to ensure early diagnosis of DVT and to prevent the occurrence of any complications.
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Atanasijevic I, Babic S, Tanaskovic S, Gajin P, Ilijevski N. Giant splenic artery aneurysm treated surgically with spleen and pancreas preservation. Ann Saudi Med 2021; 41:253-256. [PMID: 34420395 PMCID: PMC8380274 DOI: 10.5144/0256-4947.2021.253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Aneurysms of the splenic artery represent a rare clinical entity, even though they account for 60-70% of all visceral artery aneurysms. Splenic artery aneurysms larger than 5 cm are extremely rare, and they are considered to be giant. Possible causes of splenic artery aneurysm development include: trauma, hormonal and local hemodynamic changes in pregnancy, portal hypertension, arterial degeneration, infection and postsplenectomy occurrence. Surgical treatment of giant splenic artery aneurysms includes procedures that frequently require pancreatectomy and splenectomy. We present a case of a 10.2 cm giant splenic artery aneurysm, firmly adhered to the pancreas, which was treated surgically, with spleen and pancreas preservation. SIMILAR CASES PUBLISHED: Although many cases on treatment of giant splenic artery aneurysm have been published, the majority have described additional visceral resections associated with aneurysmectomy, which is in contrast with our report. Furthermore, aneurysms reaching 10 cm in size were extremely rare.
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Affiliation(s)
- Igor Atanasijevic
- From the Department of Vascular Surgery, Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia
| | - Srdjan Babic
- From the Department of Vascular Surgery, Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia
| | - Slobodan Tanaskovic
- From the Department of Vascular Surgery, Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia
| | - Predrag Gajin
- From the Department of Vascular Surgery, Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia
| | - Nenad Ilijevski
- From the Department of Vascular Surgery, Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia
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Babic S, Jovanovic V, Marinkovic M, Tanaskovic S, Gajin P, Ilijevski N. Unclear Reason of Recurrent Graft Infections after Aortobifemoral Reconstruction. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.6056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: Aortic graft infection is one of the most serious complications of vascular reconstruction with the incidence of 1%. The clinical presentation can vary, which delays the diagnosis.
CASE REPORTS: Infections in our patients affected iliac, inguinal region, and retroperitoneum, which are not relatively common sites of graft infection. We present clinical presentation, imaging procedures, and surgical treatment of three patients with unknown cause of late graft infection after 6, 7, and 9 years.
CONCLUSION: In our presentations, the etiological factors of the infection are not known, but they suggest that events in the gastrointestinal tract may be related to them. Aggressive surgery should be taken into consideration as a first choice in the similar cases.
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Stankovic M, Ljujic B, Babic S, Maravic-Stojkovic V, Mitrovic S, Arsenijevic N, Radak D, Pejnovic N, Lukic ML. IL-33/IL-33R in various types of carotid artery atherosclerotic lesions. Cytokine 2019; 120:242-250. [PMID: 31132589 DOI: 10.1016/j.cyto.2019.05.010] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [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: 01/29/2019] [Revised: 04/26/2019] [Accepted: 05/13/2019] [Indexed: 12/22/2022]
Abstract
OBJECTIVE Inflammation plays a crucial role in the progression of atherosclerotic plaques. The aim of the study was to investigate serum levels and expression of Interleukin-33 (IL-33) and ST2 receptor in atherosclerotic plaques and to analyze correlation with the type of the carotid plaques in patients with carotid disease. METHODS This study included 191 consecutive patients submitted for carotid endarterectomy (CEA). Preoperative serum levels of IL-33 and soluble ST2 (sST2) were measured. Atherosclerotic plaques obtained during surgery were initially histologically classified and immunohistochemical analyzes of IL-33, IL-33R, CD68 and alpha-SMA expression was performed. Ultrasound assessment of the level of carotid stenosis in each patient was performed prior to carotid surgery. Demographic and clinical data such as gender, age, smoking status, blood pressure, glycaemia, hemoglobin and creatinine levels, and comorbidities were collected and the comparisons between variables were statistically evaluated. RESULTS Serum levels of IL-33 (35.86 ± 7.93 pg/ml vs.12.29 ± 1.8 pg/ml, p < 0.05) and sST2 (183 ± 8.03 pg/ml vs. 122.31 ± 15.89 pg/ml, p < 0.05) were significantly higher in the group of CEA patients vs. healthy subjects. We demonstrated abundant tissue expression of IL-33 and ST2 in atherosclerotic carotid artery lesions. The levels of IL-33 and IL-33R expression were significantly higher in vulnerable plaques and significantly correlated with the degree of inflammatory cells infiltration in these plaques (R = 0.579, p = 0.049). Immunohistochemical analysis also revealed that cells responsible for IL-33 expression are not only mononuclear cells confined to inflammatory atherosclerotic lesions, but also smooth muscle cells which gained phenotypic characteristics of foam cells and were loaded with lipid droplets. CONCLUSION The obtained results confirm the importance of IL-33/ST2 axis in the process of atherosclerosis, and indicate its ambiguous function in immune response, whether as proinflammatory cytokine in advanced atherosclerotic lesions, or as profibrotic, in early lesions.
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Affiliation(s)
- Milos Stankovic
- Center for Molecular Medicine and Stem Cell Research, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Biljana Ljujic
- Center for Molecular Medicine and Stem Cell Research, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Srdjan Babic
- Dedinje Cardiovascular Institute, School of Medicine, University of Belgrade, Belgrade, Serbia
| | - Vera Maravic-Stojkovic
- Dedinje Cardiovascular Institute, School of Medicine, University of Belgrade, Belgrade, Serbia
| | - Slobodanka Mitrovic
- Center for Molecular Medicine and Stem Cell Research, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Nebojsa Arsenijevic
- Center for Molecular Medicine and Stem Cell Research, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Djordje Radak
- Dedinje Cardiovascular Institute, School of Medicine, University of Belgrade, Belgrade, Serbia
| | - Nada Pejnovic
- Center for Molecular Medicine and Stem Cell Research, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Miodrag L Lukic
- Center for Molecular Medicine and Stem Cell Research, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.
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Stankovic M, Ljujic B, Radak D, Mitrovic S, Babic S, Arsenijevic N, Lukic M, Pejnovic N. Circulating IL-10 Levels in Carotid Artery Disease. Serbian Journal of Experimental and Clinical Research 2019. [DOI: 10.1515/sjecr-2017-0040] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Abstract
Carotid atherosclerosis may be associated with neurosymptoms including cerebral infarction. IL-10 exerts atheroprotective effects, but its role in carotid disease is not fully defined. We aimed to investigate serum IL-10 levels in patients undergoing endarterectomy and their relation to the degree of carotid stenosis, plaque types and neurosymptoms.
Two hundred consecutive patients with atherosclerotic carotid stenosis and 29 healthy controls were enrolled in this study. Plaque types were classified according to AHA criteria. Serum IL-10 levels were determined by ELISA.
Patients undergoing endarterectomy had significantly higher circulating IL-10 levels (18.7 ± 3.2 pg/ml) in comparison with healthy controls (7.2 ± 1.8pg/ml; P =0.0001) and IL- 10 has good discriminatory efficacy between these two groups (ROC curve, AUC = 0.723, P=0.0001). Patients with < 70% and those with > 70% of carotid stenosis did not differ in terms of age, sex, cardiovascular risk factors except hypertension, neurosymptoms and AHA plaque types. Circulating IL-10 levels differed significantly among patients with different carotid plaque types (P = 0.002). Patients with uncomplicated plaques had significantly higher serum levels of IL-10 (23.0 ± 6.1 pg/ml) compared to those with complicated plaques (13.0 ±1.4 pg/ml, P=0.035) and IL-10 can differentiate patients between these two groups (ROC curve, AUC = 0.413, P= 0.035).
Our findings reveal an important role for IL-10 in carotid atherosclerosis. IL-10 might be a potential biomarker in discriminating patients with carotid disease from healthy controls. Decreased serum levels of IL-10 are related to complicated carotid plaques.
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Affiliation(s)
- Milos Stankovic
- Department of Surgery. Clinical Center Kragujevac , Kragujevac , Serbia
| | - Biljana Ljujic
- Department of Genetics, Faculty of medical sciences , University of Kragujevac , Kragujevac , Serbia
| | - Djordje Radak
- Dedinje Cardiovascular Institute, School of Medicine , University of Belgrad , Belgrade , Serbia
| | - Slobodanka Mitrovic
- Department of pathology, Faculty of medical sciences , University of Kragujevac , Kragujevac , Serbia
| | - Srdjan Babic
- Dedinje Cardiovascular Institute, School of Medicine , University of Belgrad , Belgrade , Serbia
| | - Nebojsa Arsenijevic
- Center for Molecular Medicine and Stem Cell Research, Faculty of Medical Sciences , University of Kragujevac , Kragujevac , Serbia
| | - Miodrag Lukic
- Center for Molecular Medicine and Stem Cell Research, Faculty of Medical Sciences , University of Kragujevac , Kragujevac , Serbia
| | - Nada Pejnovic
- Department of pathophysiology, Faculty of medical sciences , University of Kragujevac , Kragujevac , Serbia
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Unic-Stojanovic D, Milicic B, Radak D, Radak S, Babic S, Rankovic-Nicic L, Bučić A, Jovic M. The prognostic value of perioperative copeptin levels in patients undergoing carotid surgery. J Cardiothorac Vasc Anesth 2018. [DOI: 10.1053/j.jvca.2018.08.081] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Radak D, Tanaskovic S, Sagic D, Antonic Z, Gajin P, Babic S, Neskovic M, Matic P, Kovacevic V, Nenezic D, Ilijevski N. A Novel Antegrade Approach for Simultaneous Carotid Endarterectomy and Angioplasty of Proximal Lesions in Patients with Tandem Stenosis of Supraaortic Arch Vessels. Ann Vasc Surg 2017; 44:368-374. [DOI: 10.1016/j.avsg.2017.05.023] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2017] [Revised: 05/01/2017] [Accepted: 05/07/2017] [Indexed: 11/26/2022]
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Lazovski N, Jovev S, Babic D, Babic S, Dzemali O. Transposition of Subclavian Artery - Is It the Appropriate Choice? Pril (Makedon Akad Nauk Umet Odd Med Nauki) 2017; 38:47-51. [PMID: 28593884 DOI: 10.1515/prilozi-2017-0006] [Citation(s) in RCA: 0] [Impact Index Per Article: 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] [Indexed: 11/15/2022]
Abstract
INTRODUCTION To present patients with symptomatic subclavian artery disease and treatment possibility. CASE REPORT A 53-year-old female was admitted with vertigo and left arm claudication. Duplex-scan and MSCT arteriography verified subclavian artery occlusion. After the endovascular treatment failure, the patient was switched to surgical treatment - subclavian artery transposition. After the successful surgical treatment, the patient was discharged on the second postoperative day. If the patient is a candidate for surgery, the literature review shows good initial and long-term results after the subclavian artery transposition, and emphasizes this technique as superior. CONCLUSION Subclavian carotid transposition is a safe and effective method of treatment in patients after endovascular treatment failure or other indication. Also, the surgical treatment is technically demanding because of the difficult access to the vessel origin, and it requires experienced surgeons.
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Affiliation(s)
| | - Sasko Jovev
- University Clinic for Cardiac Surgery, Skopje
| | - Dusan Babic
- Institute for Cardiovascular diseases, Dedinje, Belgrade
| | - Srdjan Babic
- Institute for Cardiovascular diseases, Dedinje, Belgrade
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Begovic N, Paunovic Z, Djuraskovic Z, Lazovic L, Mijovic T, Babic S. Lateral pinning versus others procedures in the treatment of supracondylar humerus fractures in children. Acta Orthop Belg 2016; 82:866-871. [PMID: 29182131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
We compared results of lateral pinning procedure with crossed pinning, closed reduction, and open reduction in a retrospective review of 184 patients with displaced supracondylar humeral fractures. All patients had a minimum of 2 years follow-up (range 36-90 months). Patients were separated into 4 groups. Success was estimated by Flynn's criteria. We compared success of the lateral pinning to others procedures. Incidence of nerve palsy was recorded and compared. Esthetic effect of lateral pinning is significantly better than closed reduction (p=0.0007), but no significant difference was found comparing with cross pinning and open reduction. Elbow function was similar. Cross pinning procedure was followed with ulnar nerve palsy in ten patients (20.8%). There was 1 case (5%) of combined nerve palsy including ulnar, median and radial nerve after open reduction procedure. Lateral pinning is safe and effective method of therapy for Gartland type II and III supracondylar humeral fractures.
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Unic-Stojanovic D, Maravic-Stojkovic V, Babic S, Gajin P, Parojcic A, Milicic B, Jovic M. Abstract PR171. Anesth Analg 2016. [DOI: 10.1213/01.ane.0000492572.69282.9f] [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: 11/05/2022]
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16
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Matic P, Tanaskovic S, Zivic R, Jocic D, Gajin P, Babic S, Soldatovic I, Vucurevic G, Nenezic D, Radak D. Negative-pressure wound therapy for deep groin vascular infections. SRP ARK CELOK LEK 2016. [DOI: 10.2298/sarh1612621m] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Introduction. Infection of synthetic graft in the groin is a rare but
devastating complication. When it occurs, several possibilities of treatment
are available. Extra-anatomic reconstruction and in-situ implantation of new,
infection resistant grafts are associated with high mortality and morbidity.
Therefore, more conservative approach is needed in some cases.
Negative-pressure wound therapy is one of the options in treating such
patients. Objective. The aim of this study was to assess the outcome for deep
groin vascular graft infection treated with negative-pressure wound therapy.
Methods. Seventeen patients (19 wounds), treated for Szilagyi grade III groin
infections between October 2011 and June 2014, were enrolled into this
observational study. Results. Majority of the wounds (11/19) were healed by
secondary intention, and the rest of the wounds (8/19) were healed by primary
intention after initial negative-pressure wound therapy and graft
substitution with silver-coated prostheses or autologous artery/vein
implantation. No early mortality was observed. Minor bleeding was observed in
one patient. Reinfection was noted in three wounds. Only one graft occlusion
was noted. Late mortality was observed in three patients. Conclusion.
Negative-pressure wound therapy seems to be safe for groin vascular graft
infections and comfortable for both patient and surgeon. However, the rate of
persistent infection is high. This technique, in our opinion, can be used as
a ?bridge? from initial wound debridement to definitive wound management,
when good local conditions are achieved for graft substitution, either with
new synthetic graft with antimicrobial properties or autologous artery/vein.
In selected cases of deep groin infections it can be used as the only
therapeutic approach in wound treatment.
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Affiliation(s)
- Predrag Matic
- Dedinje Cardiovascular Institute, Belgrade + School of Medicine, Belgrade
| | | | - Rastko Zivic
- School of Medicine, Belgrade + Clinical Center „Dr Dragiša Mišović“, Belgrade
| | | | - Predrag Gajin
- Dedinje Cardiovascular Institute, Belgrade + School of Medicine, Belgrade
| | - Srdjan Babic
- Dedinje Cardiovascular Institute, Belgrade + School of Medicine, Belgrade
| | - Ivan Soldatovic
- School of Medicine, Institute of Medical Statistics and Informatics, Belgrade
| | | | - Dragoslav Nenezic
- Dedinje Cardiovascular Institute, Belgrade + School of Medicine, Belgrade
| | - Djordje Radak
- Dedinje Cardiovascular Institute, Belgrade + School of Medicine, Belgrade
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Babic S, Radak D. Letter to the Editor: Surgical treatment of VA stenosis in the endovascular era. J Neurosurg 2015; 123:1611. [PMID: 26430842 DOI: 10.3171/2015.4.jns15360] [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] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Srdjan Babic
- Institute for Cardiovascular Disease "Dedinje," Belgrade, Serbia; and Belgrade University School of Medicine, Belgrade, Serbia
| | - Djordje Radak
- Institute for Cardiovascular Disease "Dedinje," Belgrade, Serbia; and Belgrade University School of Medicine, Belgrade, Serbia
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Franklin M, Hlavacova N, Babic S, Bermudez I, Jezova D. Pineal Melatonin in a Sub-chronic Tryptophan Depletion Female Rat Model of Treatment-resistant Depression. Pharmacopsychiatry 2015; 48:e3. [PMID: 26121282 DOI: 10.1055/s-0035-1555824] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- M Franklin
- School of Life Sciences, Oxford Brookes University, Oxford OX3 0BP, UK
| | - N Hlavacova
- Institute of Experimental Endocrinology, Laboratory of Pharmacological Neuroendocrinology, Slovak Academy of Sciences, Bratislava, Slovakia
| | - S Babic
- Institute of Experimental Endocrinology, Laboratory of Pharmacological Neuroendocrinology, Slovak Academy of Sciences, Bratislava, Slovakia
| | - I Bermudez
- School of Life Sciences, Oxford Brookes University, Oxford OX3 0BP, UK
| | - D Jezova
- Institute of Experimental Endocrinology, Laboratory of Pharmacological Neuroendocrinology, Slovak Academy of Sciences, Bratislava, Slovakia
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Franklin M, Hlavacova N, Babic S, Bermudez I, Jezova D. Pineal Melatonin in a Sub-chronic Tryptophan Depletion Female Rat Model of Treatment-resistant Depression. Pharmacopsychiatry 2015; 48:181-3. [PMID: 26091279 DOI: 10.1055/s-0035-1554711] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- M Franklin
- School of Life Sciences, Oxford Brookes University, Oxford OX3 0BP, UK
| | - N Hlavacova
- Institute of Experimental Endocrinology, Laboratory of Pharmacological Neuroendocrinology, Slovak Academy of Sciences, Bratislava, Slovakia
| | - S Babic
- Institute of Experimental Endocrinology, Laboratory of Pharmacological Neuroendocrinology, Slovak Academy of Sciences, Bratislava, Slovakia
| | - I Bermudez
- School of Life Sciences, Oxford Brookes University, Oxford OX3 0BP, UK
| | - D Jezova
- Institute of Experimental Endocrinology, Laboratory of Pharmacological Neuroendocrinology, Slovak Academy of Sciences, Bratislava, Slovakia
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20
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Babic S, Radak D. Regarding "Significant long-term predictors of reintervention following percutaneous subclavian artery revascularization". J Vasc Surg 2015; 61:1657. [PMID: 26004337 DOI: 10.1016/j.jvs.2014.12.066] [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] [Subscribe] [Scholar Register] [Received: 12/05/2014] [Accepted: 12/14/2014] [Indexed: 10/23/2022]
Affiliation(s)
- Srdjan Babic
- Department of Vascular and Endovascular Surgery, Institute for Cardiovascular Disease "Dedinje", Belgrade University School of Medicine, Belgrade, Serbia
| | - Djordje Radak
- Department of Vascular and Endovascular Surgery, Institute for Cardiovascular Disease "Dedinje", Belgrade University School of Medicine, Belgrade, Serbia
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Abstract
Atosiban, an oxytocin/vasopressin receptor antagonist, is used to decrease preterm uterine activity. The risk of preterm delivery is undoubtedly associated with stress, but potential side effects of atosiban on neuroendocrine functions and stress-related pathways are mostly unknown. These studies were designed to test the hypothesis that the chronic treatment of rats with atosiban modulates neuroendocrine functions under stress conditions. Male rats were treated (osmotic minipumps) with atosiban (600 μg/kg per day) or vehicle and were restrained for 120 min/day for 14 days. All animals were treated with a marker of cell proliferation 5-bromo-2-deoxyuridine. Anxiety-like behavior was measured using an elevated plus-maze. Treatment with atosiban failed to modify plasma concentrations of the stress hormones ACTH and corticosterone, but led to a rise in circulating copeptin. Atosiban increased prolactin levels in the non-stressed group. Oxytocin receptor mRNA levels were increased in rats exposed to stress. Treatment with atosiban, in both control and stressed animals, resulted in a decrease in oxytocin receptor gene expression in the hypothalamus. No changes were observed in vasopressin receptor 1A and 1B gene expression. The decrease in hippocampal cell proliferation induced by stress exposure was not modified by atosiban treatment. This study provides the first data, to our knowledge, revealing the effect of atosiban on gene expression of oxytocin receptors in the brain. Atosiban-induced enhancement of plasma copeptin indicates an elevation in vasopressinergic tone with potential influence on water-electrolyte balance.
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Affiliation(s)
- S Babic
- Laboratory of Pharmacological NeuroendocrinologyInstitute of Experimental Endocrinology, Slovak Academy of Sciences, Vlarska 3, 833 06 Bratislava, SlovakiaDepartment of Pharmacology and ToxicologyFaculty of Pharmacy, Comenius University, Odbojarov 10, 832 32 Bratislava, SlovakiaBiotechnology CenterNational Taiwan University, 50, Lane 155, Keelong Road, Section 3, Taipei, Taiwan
| | - M Pokusa
- Laboratory of Pharmacological NeuroendocrinologyInstitute of Experimental Endocrinology, Slovak Academy of Sciences, Vlarska 3, 833 06 Bratislava, SlovakiaDepartment of Pharmacology and ToxicologyFaculty of Pharmacy, Comenius University, Odbojarov 10, 832 32 Bratislava, SlovakiaBiotechnology CenterNational Taiwan University, 50, Lane 155, Keelong Road, Section 3, Taipei, Taiwan
| | - V Danevova
- Laboratory of Pharmacological NeuroendocrinologyInstitute of Experimental Endocrinology, Slovak Academy of Sciences, Vlarska 3, 833 06 Bratislava, SlovakiaDepartment of Pharmacology and ToxicologyFaculty of Pharmacy, Comenius University, Odbojarov 10, 832 32 Bratislava, SlovakiaBiotechnology CenterNational Taiwan University, 50, Lane 155, Keelong Road, Section 3, Taipei, Taiwan Laboratory of Pharmacological NeuroendocrinologyInstitute of Experimental Endocrinology, Slovak Academy of Sciences, Vlarska 3, 833 06 Bratislava, SlovakiaDepartment of Pharmacology and ToxicologyFaculty of Pharmacy, Comenius University, Odbojarov 10, 832 32 Bratislava, SlovakiaBiotechnology CenterNational Taiwan University, 50, Lane 155, Keelong Road, Section 3, Taipei, Taiwan
| | - S T Ding
- Laboratory of Pharmacological NeuroendocrinologyInstitute of Experimental Endocrinology, Slovak Academy of Sciences, Vlarska 3, 833 06 Bratislava, SlovakiaDepartment of Pharmacology and ToxicologyFaculty of Pharmacy, Comenius University, Odbojarov 10, 832 32 Bratislava, SlovakiaBiotechnology CenterNational Taiwan University, 50, Lane 155, Keelong Road, Section 3, Taipei, Taiwan
| | - D Jezova
- Laboratory of Pharmacological NeuroendocrinologyInstitute of Experimental Endocrinology, Slovak Academy of Sciences, Vlarska 3, 833 06 Bratislava, SlovakiaDepartment of Pharmacology and ToxicologyFaculty of Pharmacy, Comenius University, Odbojarov 10, 832 32 Bratislava, SlovakiaBiotechnology CenterNational Taiwan University, 50, Lane 155, Keelong Road, Section 3, Taipei, Taiwan
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22
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Jovic M, Unic-Stojanovic D, Isenovic E, Manfredi R, Cekic O, Ilijevski N, Babic S, Radak D. Anesthetics and cerebral protection in patients undergoing carotid endarterectomy. J Cardiothorac Vasc Anesth 2014; 29:178-84. [PMID: 25287749 DOI: 10.1053/j.jvca.2014.05.019] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/02/2014] [Indexed: 12/23/2022]
Affiliation(s)
- Miomir Jovic
- Department of Anesthesiology and Critical Care, Cardiovascular Institute "Dedinje", Belgrade, Serbia; School of Medicine, Institute Vinca, University of Belgrade, Belgrade, Serbia
| | - Dragana Unic-Stojanovic
- Department of Anesthesiology and Critical Care, Cardiovascular Institute "Dedinje", Belgrade, Serbia.
| | - Esma Isenovic
- Laboratory of Radiobiology and Molecular Genetics, Institute Vinca, University of Belgrade, Belgrade, Serbia
| | - Rizzo Manfredi
- Department of Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy
| | - Olivera Cekic
- Department of Anesthesiology and Critical Care, Cardiovascular Institute "Dedinje", Belgrade, Serbia
| | - Nenad Ilijevski
- School of Medicine, Institute Vinca, University of Belgrade, Belgrade, Serbia; Department of Vascular Surgery, Cardiovascular Institute "Dedinje", Belgrade, Serbia
| | - Srdjan Babic
- Department of Vascular Surgery, Cardiovascular Institute "Dedinje", Belgrade, Serbia
| | - Djordje Radak
- School of Medicine, Institute Vinca, University of Belgrade, Belgrade, Serbia; Department of Vascular Surgery, Cardiovascular Institute "Dedinje", Belgrade, Serbia
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Radak D, Tanaskovic S, Sagic D, Antonic Z, Babic S, Popov P, Matic P, Rancic Z. Carotid angioplasty and stenting is safe and effective for treatment of recurrent stenosis after eversion endarterectomy. J Vasc Surg 2014; 60:645-51. [DOI: 10.1016/j.jvs.2014.03.288] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2014] [Accepted: 03/27/2014] [Indexed: 11/26/2022]
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Radak D, Davidovic L, Tanaskovic S, Banzic I, Matic P, Babic S, Kostic D, Isenovic ER. A tailored approach to operative repair of extracranial carotid aneurysms based on anatomic types and kinks. Am J Surg 2014; 208:235-42. [DOI: 10.1016/j.amjsurg.2013.10.025] [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] [Received: 08/19/2013] [Revised: 10/21/2013] [Accepted: 10/24/2013] [Indexed: 11/24/2022]
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25
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Babic S, Jezova D. Effect of phenytoin treatment on cell proliferation in the hippocampus and the heart and related neuroendocrine changes under non-stress and stress conditions. Neurol Res 2013; 36:112-7. [DOI: 10.1179/1743132813y.0000000278] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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26
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Unic-Stojanovic D, Babic S, Neskovic V. General Versus Regional Anesthesia for Carotid Endarterectomy. J Cardiothorac Vasc Anesth 2013; 27:1379-83. [DOI: 10.1053/j.jvca.2012.09.021] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2012] [Indexed: 11/11/2022]
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Lozuk B, Tanaskovic S, Radak D, Babic S, Kovacevic V, Matic P. Infrarenal abdominal aorta aneurysm: a rare cause of anterior nutcracker syndrome with associated pelvic congestion. Ann Vasc Surg 2013; 28:263.e17-20. [PMID: 24200129 DOI: 10.1016/j.avsg.2012.11.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2012] [Revised: 11/04/2012] [Accepted: 11/18/2012] [Indexed: 11/28/2022]
Abstract
We present a rare case of anterior nutcracker syndrome caused by an abdominal aorta aneurysm (AAA). A 61-year-old woman was admitted to our institution for computed tomography angiography. It revealed an AAA 51 mm in diameter that was lifting off of the left renal vein toward the superior mesenteric artery, causing anterior nutcracker syndrome with consequent left renal vein compression and left ovarian vein congestion. Aneurysm resection was performed, followed by left ovarian vein ligation and left adnexectomy to prevent vein conglomerate rupture. This is the first case that describes anterior nutcracker syndrome caused by AAA, which was successfully treated by aneurysm resection.
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Affiliation(s)
- Branko Lozuk
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
| | - Slobodan Tanaskovic
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
| | - Djordje Radak
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
| | - Srdjan Babic
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
| | - Vladimir Kovacevic
- Clinic for Radiology, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
| | - Predrag Matic
- Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
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28
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Matic P, Tanaskovic S, Babic S, Gajin P, Jocic D, Nenezic D, Ilijevski N, Vucurevic G, Radak D. In situ revascularisation for femoropopliteal graft infection: ten years of experience with silver grafts. Vascular 2013; 22:323-7. [DOI: 10.1177/1708538113504399] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Purpose The purpose of this study was to analyze clinical outcome of patients for femoropopliteal graft infection who were treated by in situ reconstruction with a silver-coated prosthesis. Basic methods From December 2001 to December 2011, 27 patients were treated for femoropopliteal graft infection. Twenty patients (74%) were male and seven (26%) were female. Mean age was 65 years. The primary endpoint was recurrence of infection. Secondary endpoints were early and late mortality and morbidity, primary graft patency, major amputation rates and patient survival. Principal findings Early reinfection occurred in 11% and late in 8% of patients. Perioperative mortality was 7% and late was 4%. Above-knee amputation was performed in 4% of patients during early postoperative course and in 12% of patients during follow-up. Early and late graft patency was 96% and 72%, respectively. Conclusions Results of in situ implantation of silver-coated grafts for femoropopliteal prosthesis infection are according to our opinion acceptable, but the risk of reinfection remains.
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Affiliation(s)
- P Matic
- Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia
| | - S Tanaskovic
- Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia
| | - S Babic
- Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia
| | - P Gajin
- Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia
| | - D Jocic
- Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia
| | - D Nenezic
- Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia
| | - N Ilijevski
- Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia
| | - G Vucurevic
- Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia
| | - Dj Radak
- Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia
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Pombo S, Jakovljevic M, Jovanovic M, Babic S, Rancic N, Lesch O, Salem B, Karam E, Walter H, Patek K. S08 * SUBGROUPS OF ADDICTION AND THEIR SPECIAL TREATMENT. Alcohol Alcohol 2013. [DOI: 10.1093/alcalc/agt081] [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: 11/15/2022] Open
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Gajin P, Radak D, Tanaskovic S, Babic S, Nenezic D. Urgent carotid endarterectomy in patients with acute neurological ischemic events within six hours after symptoms onset. Vascular 2013; 22:167-73. [DOI: 10.1177/1708538113478760] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
To analyze the outcome of urgent carotid endarterectomy (CEA) performed within less than six hours in patients with crescendo transient ischemic attack (TIA) and stroke in progression. From January 1998 to December 2008, 58 urgent CEAs were done for acute neurological ischemic events – 46 patients with crescendo TIA and 12 patients with stroke in progression. Brain computed tomography (CT) was done prior and after the surgery. Disability level was assessed prior to and after urgent CEA using modified Rankin scale. Median follow-up was 42.1 ± 16.6 months. In the early postoperative period stroke rate was 0% for the patients in crescendo TIA group while in patients with stroke in progression group 3 patients (25%) had positive postoperative brain CT, yet neurological status significantly improved. Mid-term stroke rate was 2.2% in crescendo TIA group and 8.3% in stroke in progression group. In the early postoperative period there were no lethal outcomes, mid-term mortality was 8.3% in stroke in progression while in crescendo TIA group lethal outcomes were not observed. In conclusion, based on our results urgent CEA is a safe and effective treatment option for patients with crescendo TIA and stroke in progression with acceptable rate of postoperative complications.
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Radak D, Kolar J, Sagic D, Ilijevski N, Tanaskovic S, Aleksic N, Marinkovic J, Mitrasinovic A, Radak S, Babic S, Matic P, Vlajinac H. Percutaneous angioplasty of internal jugular and azygous veins in patients with chronic cerebrospinal venous insufficiency and multiple sclerosis: early and mid-term results. Phlebology 2013; 29:367-75. [PMID: 23563645 DOI: 10.1177/0268355513481766] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE To assess the safety of endovascular treatment of chronic cerebrospinal venous insufficiency (CCSVI) in patients with multiple sclerosis (MS). MATERIALS AND METHODS A total of 72 patients with CCSVI and MS (44 with relapsing remitting--RR, 4 with primary progressive, 20 with secondary progressive and 4 with benign MS) underwent percutaneous angioplasty. Outcome measures were colour Doppler ultrasonography parameters, gradient pressure at the vein abnormality level, postoperative complications, re-stenosis, disease severity scored by means of Expanded Disability Status Scale (EDSS) and patients' assumption of disease status. Controls were done after one month on 72 patients, six months on 69 patients and one year on 61 patients, respectively (the average follow-up was 11 months). RESULTS There were no postoperative complications. Colour Doppler ultrasonography showed significant improvement in cross-sectional area parameters (P < 0.05) and significant decrease in confluence velocity values (P < 0.05). Postoperative gradient pressure decreased, in internal jugular vein (IJV) significantly (P < 0.05). Re-stenosis appeared in 5.3% of patients. EDSS score was significantly improved (P < 0.01) and about half of patients reported significant or mild improvement in disease status and none of them worsening of symptoms. CONCLUSION Endovascular treatment of the IJV and azygous veins in patients with CCSVI and MS is a safe procedure with no post-procedural complications followed by significant improvement of IJV flow haemodynamic parameters and decrease in the EDSS score. Whether CCSVI percutaneous treatment might affect clinical improvement in patients suffering from MS is yet to be seen after completion of major multicentric clinical trials, still it seems like that this procedure is not negligible.
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Affiliation(s)
- Djordje Radak
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, Belgrade, Serbia Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Jovo Kolar
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, Belgrade, Serbia
| | - Dragan Sagic
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, Belgrade, Serbia Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Nenad Ilijevski
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, Belgrade, Serbia Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | | | - Nikola Aleksic
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, Belgrade, Serbia
| | - Jelena Marinkovic
- Institute of Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Anka Mitrasinovic
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, Belgrade, Serbia
| | - Sandra Radak
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, Belgrade, Serbia
| | - Srdjan Babic
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, Belgrade, Serbia
| | - Predrag Matic
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, Belgrade, Serbia
| | - Hristina Vlajinac
- Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Nenezic D, Tanaskovic S, Radak D, Babic S, Gajin P. Primary repair of internal carotid artery aneurysm secondary to kinking and cystic medial degeneration. Vasc Endovascular Surg 2013; 47:304-9. [PMID: 23475572 DOI: 10.1177/1538574413481119] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
INTRODUCTION In this report, we aim to present a very rare case of internal carotid artery (ICA) aneurysm secondary to kinking and cystic medial degeneration. CASE REPORT A 66-year-old female patient was admitted to our institution for multidetector computed tomography (MDCT) angiography of supra-aortic trunks. On admission, she complained of occasional dizziness; 2 months earlier ascending aorta reconstruction was done for aneurysmal disease. Color Doppler ultrasonography and MDCT arteriography revealed significant right ICA kinking associated with large aneurysm, 24.6 × 24.5 mm(2) in diameter. Aneurysm resection was done followed by ICA reconstruction by end-to-end anastomosis. Pathohistological findings of aneurysmal sac revealed cystical medial degeneration with inflammatory infiltrate mostly consisting of lymphocytes and fibrovascular proliferation. CONCLUSION This is the first case that describes mutual contribution of cystic medial degeneration and ICA kinking in carotid aneurysm disease etiology successfully treated by aneurysm resection.
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Babic S, Nezic D, Radak D. Is the routine screening for significant atherosclerotic renal artery stenosis during coronary angiography/intervention indispensable? J Zhejiang Univ Sci B 2013; 14:83. [PMID: 23303635 DOI: 10.1631/jzus.b1200240] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Abstract
Use of thoracic epidurals is widespread for intraoperative and postoperative analgesia. Thoracic epidural anaesthesia (TEA) reduces sympathetic activity and thereby influences perioperative function of vital organ systems. A results of recent studies suggest that TEA decreases postoperative morbidity and mortality. There is better pain control with TEA in a wide range of surgical procedures. Use of TEA is associated with the risk of harm, but also the other methods used to control perioperative pain and stress response carry specific risks. Timely diagnosis and treatment of spinal compression or infection are crucial to ensure patient safety with TEA. The benefits of TEA outweigh the risks with respect to the perioperative outcome and organ protection, if basic guidelines are followed.
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Affiliation(s)
- Dragana Unic-Stojanovic
- Department of Anesthesiology and Intensive Care, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.
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Franklin M, Bermudez I, Hlavacova N, Babic S, Murck H, Schmuckermair C, Singewald N, Gaburro S, Jezova D. Aldosterone increases earlier than corticosterone in new animal models of depression: is this an early marker? J Psychiatr Res 2012; 46:1394-7. [PMID: 22901774 DOI: 10.1016/j.jpsychires.2012.07.010] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2012] [Revised: 07/13/2012] [Accepted: 07/16/2012] [Indexed: 11/26/2022]
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Radak D, Davidovic L, Tanaskovic S, Koncar I, Babic S, Kostic D, Ilijevski N. Surgical Treatment of Carotid Restenosis After Eversion Endarterectomy—Serbian Bicentric Prospective Study. Ann Vasc Surg 2012; 26:783-9. [DOI: 10.1016/j.avsg.2012.01.021] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2011] [Revised: 12/25/2011] [Accepted: 01/31/2012] [Indexed: 10/28/2022]
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Babic S, Ondrejcakova M, Bakos J, Racekova E, Jezova D. Cell proliferation in the hippocampus and in the heart is modified by exposure to repeated stress and treatment with memantine. J Psychiatr Res 2012; 46:526-32. [PMID: 22297273 DOI: 10.1016/j.jpsychires.2012.01.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2011] [Revised: 12/21/2011] [Accepted: 01/05/2012] [Indexed: 12/28/2022]
Abstract
The present studies were aimed to verify the hypothesis that treatment with memantine, a low affinity NMDA glutamate receptor antagonist, can reduce possible stress-induced alterations in cell proliferation in the hippocampus and in the heart and has consequences on stress hormone release. Adult male Wistar rats were exposed to repeated hypokinesis (movement restraint, 2 h daily) or remained undisturbed and they were treated with memantine (5 mg/kg/day, s.c.) or vehicle for 8 days. On the day 7, all animals were injected with 5-bromo-2'-deoxyuridine (BrdU), a marker of cell proliferation. The mild form of chronic stress used resulted only in moderate decrease in BrdU incorporation into DNA in the hippocampus, while the same stimulus caused a pronounced reduction of the new cells formed in left heart ventricle. In both tissues, stress-induced reduction in cell proliferation was more evident in memantine-treated rats. Memantine failed to modify hormones of the hypothalamic-pituitary-adrenocortical axis, while the treatment increased plasma renin activity. The present study demonstrates that treatment with memantine potentiated rather than prevented stress-induced reduction of cell proliferation. We have shown that stress exposure may induce a reduction in cell proliferation in the heart, even in a higher extent than that in the hippocampus. Effects of memantine under stress conditions might be relevant with respect to clinical use of memantine, which is being used in the treatment of neurodegenerative diseases.
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Affiliation(s)
- S Babic
- Laboratory of Pharmacological Neuroendocrinology, Institute of Experimental Endocrinology, Slovak Academy of Sciences, Vlarska 3, Bratislava 833 06, Slovakia
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Radak D, Babic S, Peric M, Popov P, Tanaskovic S, Babic D, Jocic D, Otasevic P. Distribution of risk factors in patients with premature coronary, supra-aortic branches and peripheral atherosclerotic disease. Med Princ Pract 2012; 21:228-33. [PMID: 22222608 DOI: 10.1159/000334617] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2011] [Accepted: 10/19/2011] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE The aim of this study was to determine the distribution of major risk factors among patients with atherosclerotic disease aged ≤50 years. SUBJECTS AND METHODS The study population comprised 944 patients aged ≤50 years with clinically significant manifestations of atherosclerotic disease compared with 350 consecutive (control) older patients (age >50 years). RESULTS The most significant risk factors for atherosclerotic disease of the supra-aortic branches were: smoking (87.5%, p < 0.001), family history of atherosclerosis (52.3%, p < 0.001), diabetes mellitus (28.5%) and being male (56.9%) (p < 0.05 for both). In patients with coronary artery disease, there was considerable disparity in the prevalence of smoking (85.4%), hyperlipoproteinemia (67.4%), and family history of atherosclerosis (68%) (p < 0.001). For peripheral artery disease, the most significant risk factors were smoking (97%, p < 0.001), hyperlipidemia (p < 0.01), and family history of atherosclerotic disease (p < 0.01). When compared to controls, patients with premature atherosclerosis smoked more frequently, had hyperlipidemia, had a family history of atherosclerosis, and were more frequently of male sex. CONCLUSION Premature atherosclerosis was most frequently associated with smoking, hyperlipidemia, family history of atherosclerotic disease, and male sex.
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Affiliation(s)
- Djordje Radak
- Department of Vascular Surgery, Institute for Cardiovascular Disease Dedinje, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Aleksic N, Tanaskovic S, Radak S, Mitrasinovic A, Kolar J, Babic S, Otasevic P, Radak D. Color duplex sonography in the detection of internal carotid artery restenosis after carotid endarterectomy: comparison with computed tomographic angiography. J Ultrasound Med 2011; 30:1677-1682. [PMID: 22124003 DOI: 10.7863/jum.2011.30.12.1677] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
OBJECTIVES Internal carotid artery restenosis after carotid endarterectomy is a major postoperative event, but the clinically best suited means for diagnosis of restenosis are still debated. The objective of this study was to evaluate the sensitivity and specificity of color duplex sonography for detection of substantial internal carotid artery restenosis, verified by computed tomographic (CT) angiography. METHODS The study group consisted of 210 consecutive patients with internal carotid artery restenosis, defined as restenosis of 50% or greater, verified by color duplex sonography. The degree of restenosis was calculated according to the European Carotid Surgery Trial guidelines. All patients underwent CT angiography. The specificity, sensitivity, positive predictive value, and negative predictive value of color duplex sonography were calculated. RESULTS In 85 patients, internal carotid artery restenosis on color duplex sonography was 50% to 69%, whereas in 125 patients it was 70% or greater. When color duplex sonography was compared with CT angiography, only 2 patients in the group with restenosis of 50% to 69% were misclassified by color duplex sonography, in whom CT angiography showed stenosis of 70% or greater. No patient with stenosis of 70% or greater on color duplex sonography was shown to have a lesser degree of restenosis on CT angiography. When compared with CT angiography, color duplex sonography had specificity of 97.7%, sensitivity of 100%, a positive predictive value of 98.4%, and a negative predictive value of 100% for the detection of internal carotid artery restenosis. CONCLUSIONS Color duplex sonography can be effectively used as a primary diagnostic tool for evaluation of patients with suspected internal carotid artery restenosis after carotid endarterectomy.
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Affiliation(s)
- Nikola Aleksic
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, Milana Tepića 1, 11040 Belgrade, Serbia.
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Radak D, Babic S, Ilijevski N, Jocic D, Aleksic N, Gajin P, Tanaskovic S, Lozuk B, Otasevic P. Surgical reconstruction for unilateral iliac artery lesions in patients younger than 50 years. VASA 2011; 40:474-81. [PMID: 22090181 DOI: 10.1024/0301-1526/a000151] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND To evaluate safety, short and long-term graft patency, clinical success rates, and factors associated with patency, limb salvage and mortality after surgical reconstruction in patients younger than 50 years of age who had undergone unilateral iliac artery bypass surgery. PATIENTS AND METHODS From January 2000 to January 2010, 65 consecutive reconstructive vascular operations were performed in 22 women and 43 men of age < 50 years with unilateral iliac atherosclerotic lesions and claudication or chronic limb ischemia. All patients were followed at 1, 3, 6, and 12 months after surgery and every 6 months thereafter. RESULTS There was in-hospital vascular graft thrombosis in four (6.1 %) patients. No in-hospital deaths occurred. Median follow-up was 49.6 ± 33 months. Primary patency rates at 1-, 3-, 5-, and 10-year were 92.2 %, 85.6 %, 73.6 %, and 56.5 %, respectively. Seven patients passed away during follow-up of which four patients due to coronary artery disease, two patients due to cerebrovascular disease and one patient due to malignancy. Limb salvage rate after 1-, 3-, 5-, and 10-year follow-up was 100 %, 100 %, 96.3 %, and 91.2 %, respectively. Cox regression analysis including age, sex, risk factors for vascular disease, indication for treatment, preoperative ABI, lesion length, graft diameter and type of pre-procedural lesion (stenosis/occlusion), showed that only age (beta - 0.281, expected beta 0.755, p = 0.007) and presence of diabetes mellitus during index surgery (beta - 1.292, expected beta 0.275, p = 0.026) were found to be significant predictors of diminishing graft patency during the follow-up. Presence of diabetes mellitus during index surgery (beta - 1.246, expected beta 0.291, p = 0.034) was the only variable predicting mortality. CONCLUSIONS Surgical treatment for unilateral iliac lesions in patients with premature atherosclerosis is a safe procedure with a low operative risk and acceptable long-term results. Diabetes mellitus and age at index surgery are predictive for low graft patency. Presence of diabetes is associated with decreased long-term survival.
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Affiliation(s)
- D Radak
- Institute for Cardiovascular Disease, Dedinje, Belgrade, Serbia
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Radak D, Kolar J, Tanaskovic S, Sagic D, Antonic Z, Mitrasinovic A, Babic S, Nenezic D, Ilijevski N. Morphological and haemodynamic abnormalities in the jugular veins of patients with multiple sclerosis. Phlebology 2011; 27:168-72. [DOI: 10.1258/phleb.2011.011004] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Objectives Multiple areas of stenosis and different levels of obstruction of internal jugular and azygous veins (a condition known as cronic cerebrospinal venous insufficiency) recently emerged as an additional theory to the well-known autoimmune concept, explaining etiology of multiple sclerosis (MS). The aim of our study was to evaluate internal jugular vein (IJV) morphology and haemodynamic characteristics in patients with MS and compare it with well-matched healthy individuals and to evaluate the prevalence of venous flow abnormalities in both groups. Methods Sixty-four patients with clinically proven MS and 37 healthy individuals were included in our study. In all patients, IJV morphology and haemodynamic characteristics were evaluated by colour Doppler sonography as well as venous flow disorder. The patients were classified into four groups according to MS clinical form presentation. The prevalence of morphological and haemodynamic abnormalities in the IJV were assessed. Results The presence of stenosing lesion, mostly intraluminal defects like abnormal IJV valves, were observed in 28 patients (43%) in the MS group, and in 17 patients (45.9%) in the control group ( P = NS). By adding haemodynamic Doppler information in the IJV venous outflow was significantly different in 42% of MS patients showing flow abnormalities (27/64), as compared with 8.1% of the controls (3/37), P < 0.001. Conclusion In our group of patients, patients suffering from MS had significantly more IJV morphological changes and haemodynamic abnormalities when compared with healthy individuals not suffering from MS. These findings can be well demonstrated by non-invasive and cost-effective Doppler ultrasound.
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Affiliation(s)
- D Radak
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, School of Medicine, Belgrade University, Heroja Milana Tepića 1 Street, Belgrade, Serbia
| | - J Kolar
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, School of Medicine, Belgrade University, Heroja Milana Tepića 1 Street, Belgrade, Serbia
| | - S Tanaskovic
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, School of Medicine, Belgrade University, Heroja Milana Tepića 1 Street, Belgrade, Serbia
| | - D Sagic
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, School of Medicine, Belgrade University, Heroja Milana Tepića 1 Street, Belgrade, Serbia
| | - Z Antonic
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, School of Medicine, Belgrade University, Heroja Milana Tepića 1 Street, Belgrade, Serbia
| | - A Mitrasinovic
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, School of Medicine, Belgrade University, Heroja Milana Tepića 1 Street, Belgrade, Serbia
| | - S Babic
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, School of Medicine, Belgrade University, Heroja Milana Tepića 1 Street, Belgrade, Serbia
| | - D Nenezic
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, School of Medicine, Belgrade University, Heroja Milana Tepića 1 Street, Belgrade, Serbia
| | - N Ilijevski
- Vascular Surgery Clinic, Dedinje Cardiovascular Institute, School of Medicine, Belgrade University, Heroja Milana Tepića 1 Street, Belgrade, Serbia
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Babic S, Hajdok G, Jordan K. SU-E-T-408: RapidArc Dose Verification Using Ferrous Xylenol-Orange Gels and Optical CT. Med Phys 2011. [DOI: 10.1118/1.3612362] [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: 11/07/2022] Open
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Babic S, Mitrasinovic A, Gajin P, Ilijevski N, Radak D. Missed dissection as a result of the ascending pharyngeal artery arising from the internal carotid artery. Ann Vasc Surg 2011; 25:701.e5-8. [PMID: 21546212 DOI: 10.1016/j.avsg.2011.02.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2010] [Revised: 11/30/2010] [Accepted: 02/08/2011] [Indexed: 11/29/2022]
Abstract
Unlike high-grade stenosis, dissections of craniocervical arteries are a rare cause of cerebrovascular infarction. If the internal carotid artery (ICA) dissection is verified by duplex scanning or computed tomography angiography (CTA), the therapies of choice are antiplatelet and anticoagulation drugs, and surgical treatment is rarely performed. However, despite distinct clinical and radiological manifestation, carotid dissections are still under-recognized. In this study, we demonstrate the case of a 66-year-old man with dissection of ICA verified by duplex scanning and computed tomography angiography. The cause of missed diagnosis was an ascending pharyngeal artery originating from the ICA that runs parallel to it. Other than being a rare variation, this case may be interesting as a cause of misdiagnosis.
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Affiliation(s)
- Srdjan Babic
- Department of Vascular Surgery, Institute for Cardiovascular Disease Dedinje, Belgrade, Republic of Serbia.
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Radak D, Milojevic P, Babic S, Matic P, Tanaskovic S, Vukotic V, Pejcic T, Hadzi-Djokic J. Renal tumor with tumor thrombus in inferior vena cava and right atrium: the report of five cases with long-term follow-up. Int Urol Nephrol 2011; 43:1033-8. [DOI: 10.1007/s11255-011-9937-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2011] [Accepted: 03/08/2011] [Indexed: 10/18/2022]
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Babic S, Sagic D, Radak D, Antonic Z, Otasevic P, Kovacevic V, Tanaskovic S, Ruzicic D, Aleksic N, Vucurevic G. Initial and Long-Term Results of Endovascular Therapy for Chronic Total Occlusion of the Subclavian Artery. Cardiovasc Intervent Radiol 2011; 35:255-62. [DOI: 10.1007/s00270-011-0144-8] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2010] [Accepted: 02/25/2011] [Indexed: 12/31/2022]
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Babic S, Jordan K. Poster - Thur Eve - 06: Radiochromic Film Densitometry with Vista15 Optical Cone Beam CT Scanner. Med Phys 2010. [DOI: 10.1118/1.3476111] [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: 11/07/2022] Open
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Babic S, Battista J, Jordan K. Sci-Fri PM: Planning-07: A low diffusion radiochromic gel dosimeter for three-dimensional radiation dosimetry. Med Phys 2008; 35:3413. [DOI: 10.1118/1.2965979] [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: 11/07/2022] Open
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Jordan K, Babic S, Chen J, Battista J. SU-FF-T-117: Comparison of 3D Dose Measurements in Ferrous Xylenol Orange Gels with Mapcheck Diode Array and Pinnacle3 Dose Calculations. Med Phys 2007. [DOI: 10.1118/1.2760774] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Babic S, Battista J, Jordan K. SU-FF-T-72: An Intercomparison of RPC Verified IMRT Plans with Ferrous Xylenol Orange Gels and Optical CT Scanners. Med Phys 2007. [DOI: 10.1118/1.2760723] [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: 11/07/2022] Open
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McNiven A, Babic S, Jordan K, Battista J. SU-FF-T-03: 3D Characterization of Small Megavoltage Radiation Fields Using An Optical CT Scanner with Ferrous Xylenol Orange Gels. Med Phys 2007. [DOI: 10.1118/1.2760648] [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: 11/07/2022] Open
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