Subject(s)
Aneurysm, False/surgery , Aorta/surgery , Aortic Valve , Blood Vessel Prosthesis Implantation/methods , Heart Valve Prosthesis , Aged , Humans , Male , StentsABSTRACT
Metastasis of primary endometrial adenocarcinoma to unusual sites has been occasionally reported. However, the authors believe this to be the first case report of metastasis to the appendix. This occurred more than 10 years after curative resection, and presented as sepsis with an intra-abdominal focus.
Subject(s)
Adenocarcinoma/secondary , Appendiceal Neoplasms/secondary , Endometrial Neoplasms/pathology , Endometrial Neoplasms/surgery , Adenocarcinoma/therapy , Appendectomy , Appendiceal Neoplasms/therapy , Female , Humans , Immunohistochemistry , Middle Aged , Palliative CareABSTRACT
AIM: To determine the feasibility of subintimal angioplasty (SIA), aided by reentry device in iliac artery occlusions. METHODS: Forty-eight patients with severe claudication (Fontaine-III, n = 24) or critical limb ischaemia (Fontaine-IV, n = 24) had SIA, aided with a reentry device, for chronic iliac occlusions TASC C (n =28) and D (n = 20). The primary outcome was arterial patency at duplex follow-up. Secondary outcomes were primary failure, postprocedural complications, stent use, late occlusions, and length of hospital stay. RESULTS: The patency rate was 89% at a mean follow-up of 13 (± 11) months. There were 2 primary failures, no postprocedural complications, and 5 late occlusions. Almost 80% of patients were ready for discharge within 24 hours. CONCLUSIONS: Subintimal angioplasty with a reentry device for long iliac occlusions provides a feasible option with excellent results and short hospital stay. A randomized trial of SIA of iliac occlusion versus open reconstruction is now required.
