Abstract book 6th RMS 16.indd

Methods: 68 patients were treated with
a flow remodeling device( Flow diverters)
between January 2009 to May 2012 using
two type of devices; pipeline and Silk.
28 patients were done for treatment of
aneurysms above the internal carotid artery
bifurcation, including middle cerebral and
anterior communicating artery aneurysms.
In 14 patients treatment was done in
the acute rupture phase. in 5 patients
treatment was done for failed previous
coiling
Results: remodeling effect was achieved
in 66 patients immediately(97%). total
occlusion of the aneurysm was achieved in
45 patients at 3 months follow up and in
60 patients at 6 months follow up ( 88%).
immediate complication occurred in 6
patients in the form of thromboembolic/
stroke (9%) . early rebleeding occurred in
4 patients (6%). mortality occurred in 8
patients (11%).
Conclusion: Flow diversion is a new
concept in the treatment of intracerebral
aneurysms. recurrence of the treated
aneurysms and rebleeding has been a
concern with traditional treament of
aneurysms with coils or balloon and stent
assisted coiling. flow diversion provides
a new option for treatment with more
definitive occlusion rate.
121
Palque Debulking (Atherectomy) in
the Management of Critical Limb
Ischemia
Hazem Habboub MD, Dr.Fayek haddadin Dr.
Omar Zoubi Dr. Osama Masanat Dr. Atef Abo
Taha Dr. Maher Al Khawaldeh R/N Tarek Al
Albadi R/N Ali obaidat R/n alla Hammad
Interventional radiology vascular surgery-
King Hussein medical center vascular surgery-
Ministry of Health Jordan
dr_hazem@hotmail.com
Objectives: Critical limb ischemia is a
difficult problem. recanalization and
improvement of the ankle-Brachial
index i associated with better survival
and amputation free survival. Restenosis
and occlusion is the main drawback
of available endovascular and surgical
options. we review the outcome of using
plaque debulking in combination with
conventional techniques in the treatment
of critical limb ischemia
Methods: 65 patients who were referred
for endovascular recanalization for critical
limb ischemia: Rutherford grade >3, or ABI
< 0.3 were treated with atherectomy. in 48
patients debulking was used as the primary
and stand alone option for treatment. in
12 patients assisted balloon dilatation was
performed and in 5 stents were deployed.
Results: successful recabnalization
was achieved in 61 patients ( 94% ).
atherectomy was successful as a standalone
option in 48 patients (74% ). the average
ABI pre treatment was 0.23. average ABI
post treatment was 0.48. 12 patients
were planned for amputation, 2 patients
underwent amputation post atherectomy.
Conclusion: plaque debulking as a
standalone treatment option or in
combination with endovascular angioplasty
or stenting appear to be effective a s a
limb salvage procedure and may reduce
the amputation rate in certain group of
patients.
122
Case-Based Review of Breast Imaging
in The Young Patient
Suha Ghoul MD*, MBBS, MSc, JBR Consultant
Radiologist, King Hussein Cancer Center,
Amman, Jordan
suhag13@yahoo.com
Objectives: To outline the role of
multimodality imaging of breast cancer
in the young patient in diagnosis,
management and follow up.
Methods: Cases of 20 patients diagnosed
with breast Cancer under the age of 50
years will be discussed.
Results: Breast Cancer accounts for 35.6%
of total new cancers in Jordanian females
according to National Cancer registry
report 2005. Unfortunately, current state of
diagnosis of breast cancer in Jordan is in its
late stages (III- IV). The presentation of breast
cancer in the young patient (