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72.
Serial angiographic follow-up of sirolimus-eluting stents for unprotected left main coronary artery revascularization. 总被引:4,自引:0,他引:4
Matthew J Price Ecaterina Cristea Neil Sawhney John A Kao Jeffrey W Moses Martin B Leon Ricardo A Costa Alexandra J Lansky Paul S Teirstein 《Journal of the American College of Cardiology》2006,47(4):871-877
OBJECTIVES: This study was performed to evaluate the clinical and serial angiographic outcomes of patients undergoing sirolimus-eluting stent (SES) implantation for unprotected left main coronary artery (LMCA) stenosis. BACKGROUND: The efficacy of SES has led to their expanded use for off-label indications, including LMCA disease. METHODS: Unprotected LMCA intervention with SES was attempted in 50 patients. Surveillance angiography was performed at three and nine months' follow-up. RESULTS: The target lesion involved the distal LMCA in 47 patients (94%). In-lesion restenosis occurred in 21 patients (42%), was focal in 85% of cases, and in 82% involved the branch ostia, sparing the LMCA itself. Target lesion revascularization (TLR) occurred in 19 patients (38%) over a mean follow-up of 276 +/- 57 days; TLR was ischemia-driven in 7 patients (14%). Late loss was significantly greater within the left circumflex (LCX) ostium compared to the parent vessel (PV) of the LMCA bifurcation (0.83 +/- 0.89 mm vs. 0.49 +/- 0.72 mm, p = 0.04). Late loss continued to increase between three- and nine-month follow-up. Final minimal luminal diameter and maximal balloon pressure were independent predictors of restenosis of the PV. CONCLUSIONS: Restenosis is a frequent finding when serial angiographic follow-up is performed after SES implantation for unprotected distal LMCA lesions. Restenosis is usually focal, most often involves the LCX ostium, and often occurs without symptoms. 相似文献
73.
Ann M Henry Cathy Wilkinson James P Wylie John P Logue Pat Price Vincent S Khoo 《Radiotherapy and oncology》2004,73(1):57-59
On-line imaging of prostate markers can be used to compensate for errors in radiation delivery. This study assessed the patient acceptability and morbidity associated with the trans-perineal route of implantation. A minority experienced acute pain or bleeding. Placement was accurate in all but one subject. An operator related learning curve exists. Although this is an invasive procedure most patients found it acceptable. Implementation for routine clinical practice is feasible. 相似文献
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Severe Malnutrition Associated with α-Heavy Chain Disease: Response to Tetracycline and Intensive Nutritional Support 总被引:1,自引:0,他引:1
S. J. D. O'Keefe M.D. M.Sc M.R.C.P. T. A. Winter M.B. Ch.B. K. A. Newton F.C.P. J. M. Ogden B.Sc G. O. Young Ph.D. S. K. Price M.R.C.Path. 《The American journal of gastroenterology》1988,83(9):995-1001
A 20-yr-old black male was admitted with a 5-month history of profound weight loss and diarrhea. Appetite and dietary intake had been remarkably well preserved up until the week before admission. The severity of his depletion was evidenced by a body weight of only 38% of standard, multiple electrolyte deficiencies, and reduced metabolic expenditure, protein turnover, protein synthesis, and pancreatic function. Immunological defects included diminished lymphocyte numbers, lymphocyte transformation, gamma-globulin concentration, and cell-mediated immunity. A diagnosis of alpha-heavy chain disease (alpha-HCD) was made on endoscopic duodenal biopsy and serology--lymphoma being excluded by scanning and laparotomy. Treatment consisted initially of intravenous nutrition (because of the extreme malnutrition, severe diarrhea, and malabsorption of fluid, electrolytes, carbohydrates, and fat) and oral tetracycline. Response was dramatic, with a doubling of body weight within 6 wk, and resolution of malabsorption. He was discharged on a normal diet and long-term oral tetracycline (250 mg/day), and at 1-yr follow-up, nutritional status and gut function were normal despite persistence of duodenal mucosal abnormalities and markers of alpha-HCD and bacterial overgrowth. These results suggest that the malabsorption initially identified in this patient was not due simply to the mucosal abnormalities that characterize alpha-HCD, but was more a consequence of the superimposition of nutrient maldigestion and absorption resulting from the extreme state of protein deficiency and its effects on gut and pancreatic function. 相似文献
76.
D. L. Price L. C. Walker L. J. Martin S. S. Sisodia 《The American journal of pathology》1992,141(4):767-772
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Ben F. Brammell J. Scott McClain James T. Oris David J. Price Wesley J. Birge Adria A. Elskus 《Archives of environmental contamination and toxicology》2010,58(3):772-782
It has become increasingly apparent that resident fish can develop resistance to chemicals in their environment, thus compromising
their usefulness as sentinels of site-specific pollution. By using a stream system whose resident fish appear to have developed
pollutant resistance (Brammell et al., Mar Environ Res 58:251–255, 2005), we tested the hypothesis that the pollutant-inducible biomarker, cytochrome P4501A (CYP1A), as measured in field-caged
juvenile rainbow trout (Oncorhynchus mykiss), would reflect relative pollution differences between reference and polychlorinated biphenyl (PCB)-contaminated sites. Trout
were caged in the Town Branch/Mud River system (Logan County, KY), a stream system undergoing remediation for PCBs. Fish were
held in remediated (Town Branch), unremeditated (Mud River), and reference sites for 2 weeks during spring 2002. At the end
of this period, gill and hepatic CYP1A expression were measured. To evaluate the relative PCB exposure of caged trout and
provide a reference point against which to calibrate CYP1A response, PCB levels were quantified in sediments from each site.
Hepatic CYP1A expression in caged trout clearly detected the presence of PCBs in the Town Branch/Mud River stream system.
Sediment PCB levels and hepatic CYP1A expression in caged trout produced identical pollution rankings for the study sites.
Gill CYP1A expression, although suggestive of site differences, was not statistically different among sites. Unlike resident
fish, which failed to show site differences in hepatic CYP1A expression in this waterway (Brammell et al. 2005), caged fish proved to be a sensitive discriminator of relative PCB contamination in this system. In summary, we determined
that CYP1A expression in caged fish reflected relative in situ pollutant exposure. The exposure paradigm confirmed that 2 weeks
was a sufficient caging period for evaluating CYP1A response in this species at these temperatures (13–19°C). In addition,
these studies demonstrate that tissue-specific CYP1A expression can provide insights into likely routes of exposure. We conclude
that CYP1A expression in caged trout is a reliable and inexpensive first-pass determination of relative environmental pollutant
exposure and bioavailability in aqueous systems. 相似文献
80.