2006 - UZ Leuven

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distal protection from the Interceptor Filter System is effective andsafe.MALEUX G., DEMAEREL P., VERBEKEN E., DAENENS K., HEYE S., VANSONHOVEN F., NEVELSTEEN A., WILMS G.: Cerebral ischemia afterfilter-protected carotid artery stenting is common and cannot bepredicted by the presence of substantial amount of debris captured bythe filter device. Am. J. Neuroradiol., 2006; 27(9): 1830-1833.Purpose: Protected carotid artery stent placement is currently underclinical evaluation as a potential alternative to carotid endarterectomy.The current study was undertaken to determine the incidence of newischemic lesions found on diffusion-weighted MR imaging (DWI) innonselected patients after protected carotid artery stent placementusing a filter device and to determine the potential relationshipbetween these new ischemic lesions and the presence or absence ofa clear amount of debris captured by the neuroprotection filter device.Materials and methods: A nonrandomized cohort of 52 patients (40men, 12 women) presenting with carotid occlusive disease underwentprotected carotid artery stent placement using a filter device. DWIobtained 1 day before stent placement was compared with thatobtained 1 day after stent placement. In addition, the macroscopic andmicroscopic analysis of debris captured by the filter device during thecarotid stent placement procedure was assessed.Results: Neuroprotected carotid stent placement was technicallysuccessful in all 53 procedures but was complicated by a transientischemic attack in 3 patients (5.6%). In 22 patients (41.5%), newischemic lesions were found on DWI, and in 21 filter devices (39.6%),a substantial amount of atheromatous plaque and/or fibrin was found.No clear relationship between the presence of debris captured by thefilter device and new lesions detected by DWI was found (P = .087;odds ratio 3.067).Conclusion: Neuroprotected carotid artery stent placement will notavoid silent cerebral ischemia. Systematic microscopic analysis ofdebris captured by the filter device has no predictive value forpotential cerebral ischemia after carotid artery stent placement.MEESTER D.J., VAN MUISWINKEL K.W., AMEYE F., FRANSEN H.,STOCKX L., MERCKX L., NEVELSTEEN A.: Endovascular treatment of aureteroiliac fistula associated with ureteral double J-stenting and anaortic-bifemoral stent graft for an inflammatory abdominal aorticaneurysm. Ann. Vasc. Surg., 2006; 20: 408-410.166
We report an unusual case of a ureteroiliac fistula due to prolongedureteral stenting for hydronephrosis combined with an aortic-bifemoralstent graft in an inflammatory abdominal aortic aneurysm (AAA),treated with an endovascular stent graft. In a 77-year-old man ureteralJ-stents were placed for bilateral hydronephrosis due toretroperitoneal fibrosis caused by an inflammatory AAA. Theaneurysm was treated with an endovascular aortic-bifemoral stentgraft. Three months later, the patient suffered from severehypovolemic shock. Emergency angiography showed a fistulabetween the right ureter and the right common iliac artery just distal tothe right leg of the stent graft. The ureteroiliac fistula was treated witha wall graft (10F). The patient recovered well and remainedasymptomatic. Ureteroiliac fistula remains a rare complication ofureteral stenting. Several risk factors have been described before.This case emphazes the increased risk of an arterial-ureteral fistuladue to an indwelling ureteral stent and an inflammatory AAA,especially in combination with an additional stent graft for thisinflammatory AAA.NEVELSTEEN A.: The role of TASC classification in managing patientswith aorto-iliac disease. In: Vascular Surgery Highlights 2005-2006, Editor:Alun H. Davies, Health Press, 2006:pp. 57-64.In 2000, the TransAtlantic Inter-Society Consensus (TASC) WorkingGroup published a historical document on the treatment of peripheralarterial disease (PAD). This classified aorto-iliac disease into fourcategories based on severity, and recommended that minor lesions(TASC A) should be treated by endovascular means, and extensivelesions (TASC D) by open surgery. No consensus was reached on thetreatment of “intermediate lesions” (TASC B and C); more evidencewas needed in order to recommend either endovascular techniques oropen surgery for these. Over the last 5 years, great developments inboth open surgery and, particularly, endovascular treatment havemeant that the TASC document might be reconsidered. This issuewas discussed at length in a multidisciplinary session betweensurgeons, interventionalists and radiologists at the Charing CrossMeeting in May 2005.NEVELSTEEN A., DAENENS K., FOURNEAU I.: Trauma of the thoracicaorta. In: European Manual of Medicine. Vascular Surgery. Eds.: LiapisC.D., Balzer K., Benedetti-Valentini F., Fernandes e Fernandes J., Springer,2006: 299-314.167
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CYRURGIE2006
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Heelmeesters allerhande, verenig u!
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INHOUDSOPGAVEAbdominale Heelkunde 1
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De resultaten van een grote Noord-A
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VEGF (P = 0.008) correlate with a p
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severe ulcerative ileitis and jejun
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tekens op CT en/of MRI kunnen een b
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data we propose a scoring system in
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ABDOMINALETRANSPLANTATIECHIRURGIECA
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DYCKMANS K., LERUT E., GILLARD P.,
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LERUT J., ORLANDO G., ADAM R., SABB
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histopathologic diagnostic process.
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additional stimulants that the inna
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ARTIKELS UIT HETLEUVENSE NETCREVITS
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PRUYT M., DEVRIENDT D., VANNESTE A.
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BOSHOFF D., BUDTS W., MERTENS L., E
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FLAMENG W., MEURIS B., HERIJGERS P.
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prosthetic valve endocarditis who w
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in these patients We present a case
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SERCA2a. In SKO mice, gene-targeted
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MULTIDISCIPLINAIRBORSTCENTRUMMORALE
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east implant. Only two other cases
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Object: Based on data from primate
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SISCOM hyperperfusion cluster and M
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ONCOLOGISCHEHEELKUNDEBROUNS F., SCH
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infiltrative multilobular spindle c
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multivariable Cox model adjusted fo
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We retrospectively evaluated a surg
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We performed resection arthroplasty
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earing posterior-stabilised. To do
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age and key pinch strength. The dif
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FABRY K., LAMMENS J., DELHEY P., ST
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cases. The mean Knee Society’s kn
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short-term solution for his fractur
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the foot and result in major septic
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SAEGEMAN V., LISMONT D., VERDUYCKT
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Objective: The objective of this st
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VICTOR J., BELLEMANS J.: Physiologi
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skin construct displays authentic f
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Bewertung des Spenderdefektes ergab
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HIERNER R., BERGER A.: Options and
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vascularized ulnar nerve graft and
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cranial bone and dura which cannot
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defects.Adequate debridement, early
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Patients and Methods: Between 1995
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MASSAGE P., VANDENHOF B., VRANCKX J
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Background: High pressure injuries
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VERMEULEN P., DICKENS S., VRANCKX J
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inhibitors that neutralize the impa
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internship. These components repres
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Objective: To evaluate the expressi
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patients were diagnosed with acute
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Conclusions: This study demonstrate
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progressive accumulation of FVIII a
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his name to this condition through
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gevallen, beschouwen wij de minimaa
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Table 1Reperfusion time(min)PVR(dyn
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transplantation; dehiscence (n = 25
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upon reperfusion results from a red
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Page 125 and 126: Bronchiolitis obliterans syndrome (
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Page 131 and 132: of debate. A good pain relief can b
Page 133 and 134: VAN GESTEL L., NIJS S., BROOS P.: T
Page 135 and 136: UROLOGIEALBERSEN M., JONIAU S., VAN
Page 137 and 138: children achieve bladder and bowel
Page 139 and 140: Results: Ninety-five percent of the
Page 141 and 142: esistant to degradation, but at 365
Page 143 and 144: Results: Although the surgery was m
Page 145 and 146: DE RIDDER D.: Conservatieve aanpak
Page 147 and 148: pressures were measured. The effect
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Page 151 and 152: pelvic lymph node status were not w
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Page 155 and 156: on overall survival was studied. Su
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Page 159 and 160: Material und Methoden: Von 13 Zentr
Page 161 and 162: a remarkable higher number of forei
Page 163 and 164: VAN CALSTEREN K., VAN MENSEL K., JO
Page 165 and 166: VANDE WALLE J.G.J., BOGAERT G.A., M
Page 167 and 168: Introduction & Objectives: Control
Page 169 and 170: VAATHEELKUNDEBLADT O., MALEUX G., H
Page 171 and 172: FOURNEAU I., SABBE T., DAENENS K.,
Page 173: computed tomography (CT) and magnet
Page 177: during GPIb stimulation, its activa
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2006 - UZ Leuven

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