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1

Valentini, Simona, Enrico Bruno, Caterina Nanni, Vincenzo Musella, Michela Antonucci, and Giuseppe Spinella. "Superficial Heating Evaluation by Thermographic Imaging before and after Tecar Therapy in Six Dogs Submitted to a Rehabilitation Protocol: A Pilot Study." Animals 11, no. 2 (January 20, 2021): 249. http://dx.doi.org/10.3390/ani11020249.

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Thermography is a non-invasive diagnostic method commonly used to monitor changes of the body surface temperature potentially induced by different conditions such as fever, inflammation, trauma, or changes of tissue perfusion. Capacitive-resistive diathermy therapy (such as energy transfer capacitive and resistive—Tecar) is commonly used in rehabilitation due to its diathemic effect secondary to blood circulation increase that could accelerate the healing process. The aim of this study was to monitor by thermal camera the diathermic effects induced by Tecar on the surface of the region of application. The investigation was conducted on six dogs referred for Tecar therapy to treat muscle contractures (three dogs) or osteoarthritis (three dogs). Eleven anatomical treated regions were recorded. Thermographic images and relative measurements were obtained by each region immediately before (T0), at conclusion (T1), and sixty seconds after the Tecar application (T2). Data were recorded and statistically analyzed. A comparison of temperature differences (maximum, minimum and mean values) between T0 and T1, T0 and T2, and T1 and T2 was performed by ANOVA test with Bonferroni post hoc (p ≤ 0.05). Statistically significant differences were detected for mean temperature between T0 (32.42 ± 1.57 °C) and T1 (33.36 ± 1.17 °C) (p = 0.040) and between T1 and T2 (32.83 ± 1.31 °C) (p = 0.031). Furthermore, there was no significant difference between the mean temperature at T0 and T2, demonstrating that superficial diathermic effect exhausted within 60 s.
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2

Davari, Ahmadreza, Soheil Mansour Sohani, Javad Sarrafzadeh, and Afsaneh Nikjoui. "Evaluation of the Effects of Tecar Therapy on Acute Symptoms of Athletes Following Lateral Ankle Ligament Sprain." Function and Disability Journal 4, no. 1 (August 7, 2021): 31. http://dx.doi.org/10.32598/fdj.4.31.

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Background and Objectives: Tecar therapy as a modality has been considered due to its reported effects on reducing pain and swelling and finally increasing range of motion and improving function. The aim of this study was to evaluate the effects of tecar therapy on acute symptoms of athletes following lateral ankle ligament sprain in the treatment and control groups between pre-treatment periods, after 6 sessions, and after 12 sessions of treatment. Methods: In this study, 23 patients in each group including athletes with an acute lateral ankle ligament sprain in the acute stage in Tehran. The participant of this study were divided into 2 groups of control with normal treatment and the second group with normal treatment + tecar treatment. Participants were homogenized in terms of age, height, weight, and level of exercise. To evaluate the pain intensity of patients in the two groups and to measure the swelling of the ankle joint, a tape measure (mm) was used. A goniometer was used to measure the degree of ankle motions. The Foot and Ankle Ability Measure (FAAM) questionnaire was also used to collect data. Results: Statistical analyzes showed that the mean numerical visual criterion of pain in both groups was significantly lower after 6 and 12 sessions of treatment (P<0.001). The results of the analysis of variance showed that the mean swelling in the treatment group and in the control group after 6 and 12 sessions of treatment (P<0.001) was significantly lower than the mean swelling before treatment. Also, the mean swelling after 12 sessions of treatment was significantly lower than after 6 sessions of treatment (P<0.001). Regarding daily life activities and the percentage of athlete satisfaction in performing the activity, the test results showed that the athlete’s scores after 6 and 12 sessions of treatment (P<0.001) were significantly higher than before treatment. Also, their scores after 12 sessions of treatment were significantly higher than 6 sessions (P<0.001). The performance scores in both groups after 6 and 12 sessions of treatment (P<0.001) were significantly higher than performance scores before treatment. Also, the performance scores after 12 sessions of treatment were significantly higher than 6 sessions of treatment (P<0.001). Conclusion: The results of the present study showed that tecar therapy in patients with lateral ligament sprain of the ankle joint improves the condition of symptoms after an injury, including swelling, pain, daily life activities, percentage of athlete satisfaction with daily activities, and finally his performance and it can be used as a complementary treatment along with common therapies.
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Gall, Denisa-Laura, Ana-Maria Vutan, Andreea Niţă, and Călin Vutan. "Rehabilitation methods in non-displaced fractures of the proximal humerus." Timisoara Physical Education and Rehabilitation Journal 12, no. 22 (September 1, 2019): 32–38. http://dx.doi.org/10.2478/tperj-2019-0005.

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AbstractFractures of the proximal humerus account for 4% to 5% cases out of all fractures, and about 85% of them are minimally displaced. The purpose of the study was to observe the effectiveness of physiotherapeutic methods used in the proximal fractures of the humerus. Material and method: the research was performed on a group of 13 patients who have been orthopedically treated for fractures at the proximal end of the humerus. Five subjects followed the TECAR therapy and physical exercise, and eight subjects followed classical physiotherapy and physical exercise. The evaluations have been performed at the beginning of the recovery, after 14 days, after 28 days and after 42 days of treatment. Pain intensity (VAS score), joint amplitude (goniometry), muscle strength and functionality (the PENN questionnaire) were assessed in all patients. The results of the evaluations showed a decrease in pain, after the first 14 days, especially for the patients who underwent the Tecar therapy. Also, the results showed that the patients with surgical neck fractures had the best evolution in cases of goniometry evaluation, compared to the rest of the patients. In conclusion, physical therapies for proximal humerus fractures play an important role in the recovery and reintegration of the patients into family and at work.
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Rego Maia, Rafaella, Patricia Froes Meyer, Rodrigo Marcel Valentim Da Silva, Elayne M. Soares, Isabela Cristina F Da Silva, Liliane Santos De Vasconcellos, Julio Davi Costa E. Silva, et al. "EFFECTS OF TECAR THERAPY ASSOCIATED WITH MANUAL THERAPY ON GLUTEAL SKIN FLACCIDITY." International Journal of Advanced Research 9, no. 02 (February 28, 2021): 902–10. http://dx.doi.org/10.21474/ijar01/12533.

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Background: A new technology called Tecar therapy, widely used in the orthopaedic area, has been studied in aesthetics in order to treat skin flaccidity. The equipment allows the association of radiofrequency with manual therapy. This study is an experimental research that aims to analyse the effects of the Tecar therapy associated with manual therapy on skin flaccidity of the gluteal region. Methods:Volunteers were individuals aged between 21 and 54, who presented skin flaccidity in the gluteal region. The sessions/applicationsoccurred once a week, totalling four applications with the TR THERAPY ELITE-6000 BTLTMdevice pre-set underthe following parameters: 500 KHz frequency, 100% duty cycle and 80% power, capacitive mode, in an area corresponding to twelve quarters measuring 7 cm² each, during60 minutes. Results:The evaluations were carried out in all the sessionsand included metric verification, photographic recording with subsequent photo submission to the AutoCAD software, and photogrammetric analysis. At the end of treatment, the volunteers answered anadaptedquestionnaire of satisfaction and a global aesthetic improvement scale form (GAIS). The results regarding AutoCAD, metric measurement, and photogrammetry did not present significant statistical differences. Conclusion:Although the statistical results were not satisfactorydespite its limitations regarding sample size,and possiblydue to the subjective analysis of the resources used as the evaluation methods. Still, the volunteers reported improvement in the texture and firmness of the skin in the treated region, indicating their satisfaction with the performed treatment.
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5

Guimaraes, B., J. Barreto, A. Ú. Martins, J. Silva, J. Matos, R. Cardoso, F. Melo, and C. A. Branco. "The role of tecar therapy in the delayed onset muscle soreness and functional recovery." Annals of Physical and Rehabilitation Medicine 61 (July 2018): e75-e76. http://dx.doi.org/10.1016/j.rehab.2018.05.162.

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6

Callegari, Leonardo, Marco Calvi, Maria Chiara Morgano, Christian Ossola, and Eugenio Annibale Genovese. "Intra-synovial loose bodies ultrasound-guided removal." Beyond Rheumatology 2, no. 1 (April 24, 2020): 31–34. http://dx.doi.org/10.4081/br.2020.31.

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Intra-articular loose bodies can be a non-obvious cause of chronic joint pain. Patients often undergo many conventional treatments, such as nonsteroidal anti-inflammatory drugs (NSAID), physiotherapy, TECAR-therapy, laser-therapy or infiltration therapy, often achieving little or no benefits. In our experience, in such cases, when an intra-articular or intrabursal loose body is detected, it is likely to be the actual source of pain. The aim of our study is to propose a new US-guided technique to remove intra-articular loose bodies, which is mini-invasive, costeffective and can be used to eliminate the source of pain with little or no discomfort for the patient.
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7

IACOB, G. S., D. VRABIE, and V. I. STEGARIU. "THE EFFECTS OF MODERN RADIOFREQUENCY THERAPIES IN THE ACUTE REHABILITATION OF HAMSTRING STRAINS." Series IX Sciences of Human Kinetics 14(63), no. 1 (June 10, 2021): 209–16. http://dx.doi.org/10.31926/but.shk.2021.14.63.1.27.

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Hamstring strains are usually a result of a high mechanical stress produced by a quick extensive contraction or a violent stretch of the muscle group. This study aimed the effectiveness of INDIBA therapy (Group B) compared with the use of TECAR therapy (Group A). The first stage of rehabilitation represented first two weeks which were mainly based on the application of radiofrequency therapies to the posterior level of the thigh, progressive exercises and cryotherapy. Numeric Pain Rating Scale, manual muscle testing and range of motion had been used to evaluate the subjects, a significant advantage being shown for group B in the pain assessment
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8

Morelli, Luca, Simona Carla Bramani, Marco Cantaluppi, Mara Pauletto, and Alessandro Scuotto. "Comparison among different therapeutic techniques to treat low back pain: a monitored randomized study." Ozone Therapy 1, no. 1 (April 5, 2016): 17. http://dx.doi.org/10.4081/ozone.2016.5842.

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Idiopathic low back pain can be considered as a chronic condition, characterized by recurrent episodes of pain and functional limitation. The aim of this study is to compare two therapeutic methods to treat this chronic disease: the oxygen-ozone therapy and the diathermy through Tear<sup>®</sup> therapy. Two groups of 10 patients each who suffered from postural idiopathic low back pain due to different pathologies have been recruited. All selected patients have been evaluated through spinometry and have been given the <em>Oswestry low back pain disability questionnaire</em> to fill in at the beginning of the treatments and at the end of them with a three-month follow-up. The first group underwent a diathermy treatment through Tecar<sup>®</sup> therapy, whilst the second group received an oxygen-ozone therapy treatment through a paravertebral lumbar infiltration; both treatments have been associated with a standard physiokinesitherapy treatment. Data collected through Formetric spinometry show an improvement in both groups, but in the second group (treated with oxygen-ozone therapy+physiokinesitherapy), the improvement is greater (from 6% to 57%) against the first group (from 20% to 38%). In conclusion, the study has cor roborated the validity of both treatments leading to improvement of symptomatology, but while one treatment leads to some relapses after a few months, the second one has a greater healing effect, which preserves over time.
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Lee, Won-Jun, Young-Suk Yoon, Jong-Ho Kim, Keun-Jae Lee, Mi-Hye Kim, Ho-Sun Ryu, Su-Bin Han, et al. "Clinical Study on 1 Case of Cervical Dystonia Treated by Korean Medicine and Transfer Energy Capacitive and Resistive (TECAR) Therapy." Journal of Korean Medicine Rehabilitation 29, no. 4 (October 31, 2019): 109–15. http://dx.doi.org/10.18325/jkmr.2019.29.4.109.

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10

Cho, Jun-heum, Woo-sung Choi, and Jong-duk Choi. "Immediate Effect of TECAR Therapy Integrated into Median Nerve Mobilization on Pain, Range of Motion of Patient with Neck Radiating Pain." Korean Journal of Neuromuscular Rehabilitation 11, no. 2 (August 31, 2021): 32–43. http://dx.doi.org/10.37851/kjnr.2021.11.2.5.

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11

Clijsen, Ron, Diego Leoni, Alessandro Schneebeli, Corrado Cescon, Emiliano Soldini, Lihui Li, and Marco Barbero. "Does the Application of Tecar Therapy Affect Temperature and Perfusion of Skin and Muscle Microcirculation? A Pilot Feasibility Study on Healthy Subjects." Journal of Alternative and Complementary Medicine 26, no. 2 (February 1, 2020): 147–53. http://dx.doi.org/10.1089/acm.2019.0165.

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12

Oh, Dong-Gun, Seon-Ki Kim, and Kyung-Tae Yoo. "Effect of Physiotherapeutic Intervention Using TECAR Therapy on Pain Self-Awareness and Hip Joint Function in Hip Impingement Syndrome: A Case Study." Journal of The Korean Society of Physical Medicine 16, no. 3 (August 31, 2021): 45–53. http://dx.doi.org/10.13066/kspm.2021.16.3.45.

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13

Yeste-Fabregat, Mireia, Luis Baraja-Vegas, Juan Vicente-Mampel, Marcelino Pérez-Bermejo, Iker J. Bautista González, and Carlos Barrios. "Acute Effects of Tecar Therapy on Skin Temperature, Ankle Mobility and Hyperalgesia in Myofascial Pain Syndrome in Professional Basketball Players: A Pilot Study." International Journal of Environmental Research and Public Health 18, no. 16 (August 19, 2021): 8756. http://dx.doi.org/10.3390/ijerph18168756.

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(1) Background: Myofascial pain syndrome (MPS) is a clinical condition characterized by localized non-inflammatory musculoskeletal pain caused by myofascial trigger points. Diathermy or Tecar therapy (TT) is a form of noninvasive electro-thermal therapy classified as deep thermotherapy based on the application of electric currents. This technique is characterized by immediate effects, and its being used by high performance athletes. (2) Methods: A total of thirty-two participants were included in the study who were professional basketball players. There was a 15-person Control Group and a 17-person Intervention Group. TT was applied in the Intervention Group, while TT with the device switched off (SHAM) was applied in the Control Group. The effects were evaluated through the Lunge test, infrared thermography, and pressure threshold algometry at baseline, 15, and 30 min after the intervention. (3) Results: the Intervention Group exhibited a greater increase in absolute temperature (F[1,62] = 4.60, p = 0.040, η2p = 0.13) compared to the Control Group. There were no differences between the groups in the Lunge Test (F[1.68,53.64] = 2.91, p = 0.072, η2p = 0.08) or in pressure algometry (visual analog scale, VAS) (F[3.90] = 0.73, p = 0.539, η2p = 0.02). No significant short-term significant differences were found in the rest of the variables. (4) Conclusions: Diathermy can induce changes in the absolute temperature of the medial gastrocnemius muscle.
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Osti, Raffaella, Carlotta Pari, Giada Salvatori, and Leo Massari. "Tri-length laser therapy associated to tecar therapy in the treatment of low-back pain in adults: a preliminary report of a prospective case series." Lasers in Medical Science 30, no. 1 (November 7, 2014): 407–12. http://dx.doi.org/10.1007/s10103-014-1684-3.

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15

Iida, Yasunori, Susumu Fujii, Hideyuki Shimizu, and Shigeharu Sawa. "Patterns of aortic remodelling after total arch replacement with frozen elephant trunk for acute aortic dissection." Interactive CardioVascular and Thoracic Surgery 29, no. 6 (July 31, 2019): 923–29. http://dx.doi.org/10.1093/icvts/ivz185.

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Abstract OBJECTIVES We investigated the outcomes of total arch replacement with frozen elephant trunk (FET) for Stanford type A acute aortic dissection and the patterns of postoperative aortic remodelling from computed tomographic (CT) findings. METHODS From April 2015 to November 2018, we performed total arch replacement with FET for Stanford type A aortic dissection in 30 patients. Postoperative contrast-enhanced CT showed the position of the FET distal end, the number and the site of communications between the lumina and the presence or absence of aortic remodelling. RESULTS Primary entry tear was found in the ascending aorta (n = 6), proximal arch (n = 6), aortic arch (n = 11) and distal arch (n = 7). The mean diameter and length of FET were 26 ± 2 and 84 ± 18 mm, respectively. Postoperative contrast-enhanced CT was performed in 26 patients. When the number of communications between the lumina was 0, complete aortic remodelling was achieved in all cases (n = 12). In the case of the most proximal tear in the descending aorta (n = 9), aortic remodelling was not recognized in 3 cases, and additional TEVAR was performed because of diameter enlargement. In the remaining 6 patients, neither aortic remodelling nor aortic diameter enlargement was recognized. When the most proximal tear was below the diaphragm (n = 5), aortic remodelling occurred up to the most proximal tear, but not in the periphery. CONCLUSIONS We investigated the patterns of aortic remodelling after total arch replacement with FET for Stanford type A aortic dissection from postoperative CT findings. Regardless of the position of the most proximal tear in the descending aorta, aortic remodelling did not occur as long as the most proximal tear was located in the descending aorta. When the most proximal tear occurred in the descending aorta, TEVAR as a pre-emptive treatment can be effective in preventing postoperative aortic adverse events.
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Kawatani, Yohei, Hirotsugu Kurobe, Yoshitsugu Nakamura, Yuji Suda, and Takaki Hori. "Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury: A Report of Three Cases in Which Surgeries Were Performed at Different Timings." Case Reports in Surgery 2018 (August 8, 2018): 1–6. http://dx.doi.org/10.1155/2018/7061509.

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Introduction. Blunt thoracic aortic injury (BTAI) is a critical condition. Thoracic endovascular aortic repair (TEVAR) is considered a surgical treatment for BTAI. Reports reveal that some patients benefit from conservative and delayed operation rather than emergency operative therapy. Here, we present three BTAI cases that were treated with TEVAR using different timings. Case Presentation. Case 1 involved a 49-year-old man injured in a car accident and who went into shock. After stabilization with Advanced Trauma Life Support in the emergency room, TEVAR was performed immediately. Case 2 involved a 69-year-old man who was injured after falling. His hemodynamic status was stable and enhanced computed tomography revealed intraluminal hematoma. He underwent TEVAR 15 days after the injury occurred, following conservative therapy. Case 3 involved a 60-year-old man who was injured in a car accident and presented BTAI with subarachnoid hemorrhage and diaphragm tear. A pseudoaneurysm was observed in the distal aortic arch. After open abdominal exploration, diaphragm repair, and observation for subarachnoid hemorrhage, TEVAR was performed 8 hours after arrival. All three patients survived. Conclusions. We treated BTAI successfully. We suggest that TEVAR is useful for BTAI. The timing of the operation and therapeutic option, including conservative therapy, should be decided for each patient.
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Hayakawa, Masato, Takaaki Nagano, Isao Nishijima, Kento Shinzato, Ryo Ikemura, Kazufumi Miyagi, Kiyoshi Iha, Shigenobu Senaha, Mitsuyoshi Shimoji, and Mitsuru Akasaki. "Retrograde Type A Aortic Dissection after Thoracic Endovascular Aortic Repair for Type B Dissection." Heart Surgery Forum 23, no. 4 (July 23, 2020): E524—E526. http://dx.doi.org/10.1532/hsf.3009.

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Background: A 64-year-old woman presented with dilatation of the distal aortic arch secondary to chronic type B aortic dissection. Case Report: The patient underwent fenestrated thoracic endovascular aortic repair (TEVAR) for closure of the entry site, and reconstruction of the left subclavian artery with a covered stent. On the 40th postoperative day, a retrograde type A aortic dissection (RTAD) was observed on computed tomography and she underwent emergency surgery. The entry tear, related to the proximal bare metal stent, was located in front of the aortic arch. A partial aortic arch replacement was performed. Conclusion: Consideration of the risk factors of RTAD is important when performing TEVAR.
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Pollmann, Katrin, Stefan Beil, and Dietmar H. Pieper. "Transformation of Chlorinated Benzenes and Toluenes byRalstonia sp. Strain PS12 tecA(Tetrachlorobenzene Dioxygenase) and tecB (Chlorobenzene Dihydrodiol Dehydrogenase) Gene Products." Applied and Environmental Microbiology 67, no. 9 (September 1, 2001): 4057–63. http://dx.doi.org/10.1128/aem.67.9.4057-4063.2001.

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ABSTRACT The tecB gene, located downstream of tecAand encoding tetrachlorobenzene dioxygenase, inRalstonia sp. strain PS12 was cloned into Escherichia coli DH5α together with the tecA gene. The identity of the tecB gene product as a chlorobenzene dihydrodiol dehydrogenase was verified by transformation into the respective catechols of chlorobenzene, the three isomeric dichlorobenzenes, as well as 1,2,3- and 1,2,4-trichlorobenzenes, all of which are transformed by TecA into the respective dihydrodihydroxy derivatives. Di- and trichlorotoluenes were either subject to TecA-mediated dioxygenation (the major or sole reaction observed for the 1,2,4-substituted 2,4-, 2,5-, and 3,4-dichlorotoluenes), resulting in the formation of the dihydrodihydroxy derivatives, or to monooxygenation of the methyl substituent (the major or sole reaction observed for 2,3-, 2,6-, and 3,5-dichloro- and 2,4,5-trichlorotoluenes), resulting in formation of the respective benzyl alcohols. All of the chlorotoluenes subject to dioxygenation by TecA were transformed, without intermediate accumulation of dihydrodihydroxy derivatives, into the respective catechols by TecAB, indicating that dehydrogenation is no bottleneck for chlorobenzene or chlorotoluene degradation. However, only those chlorotoluenes subject to a predominant dioxygenation were growth substrates for PS12, confirming that monooxygenation is an unproductive pathway in PS12.
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ÖZÇELİK, İsmail Bülent, Berkan MERSA, Fatih KABAKAŞ, and Samet Vasfi KUVAT. "Thenar Hammer Syndrome: Case Report." Turkiye Klinikleri Journal of Medical Sciences 32, no. 6 (2012): 1742–45. http://dx.doi.org/10.5336/medsci.2011-23864.

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20

Guo, Baolei, Daqiao Guo, Zhenyu Shi, Zhihui Dong, and Weiguo Fu. "Intravascular Ultrasound–Assisted Endovascular Treatment of Mesenteric Malperfusion in a Multichannel Aortic Dissection With Full True Lumen Collapse." Journal of Endovascular Therapy 26, no. 1 (December 14, 2018): 83–87. http://dx.doi.org/10.1177/1526602818815821.

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Purpose: To describe endovascular treatment of mesenteric malperfusion in a multichannel aortic dissection (MCAD) with full true lumen (TL) collapse following thoracic endovascular aortic repair (TEVAR). Case Report: A 54-year-old man presented with chronic mesenteric ischemia and a previous TEVAR for MCAD complicated by superior mesenteric artery (SMA) malperfusion. Computed tomography angiography (CTA) demonstrated a 3-channel aortic dissection with a “false-true-false” configuration. The SMA was malperfused through the collapsed TL. CTA also showed a secondary entry tear, measuring 18 mm in diameter, at the end of the previous endograft. Direct open surgery or endovascular revascularization of the SMA was not feasible. A plan was devised to improve SMA perfusion by increasing the TL inflow. With the assistance of intravascular ultrasound (IVUS), an endograft was placed through one false lumen in the abdominal aorta and through the TL in the descending thoracic aorta to seal the secondary entry tear. Symptoms of mesenteric ischemia resolved 2 days after the procedure. At 1 year, he is asymptomatic, has gained weight, and has improved SMA perfusion and remodeling of the 3-channel dissection on CTA. Conclusion: IVUS imaging can help evaluate the complex hemodynamics of MCAD. Patient-specific endovascular treatment of MCAD with mesenteric malperfusion seems to be a feasible bailout alternative treatment for urgent, complex cases without reconstruction options.
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Armour, Chlöe Harriet, Claudia Menichini, Kristijonas Milinis, Richard G. J. Gibbs, and Xiao Yun Xu. "Location of Reentry Tears Affects False Lumen Thrombosis in Aortic Dissection Following TEVAR." Journal of Endovascular Therapy 27, no. 3 (May 4, 2020): 396–404. http://dx.doi.org/10.1177/1526602820917962.

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Purpose: To report a study that assesses the influence of the distance between the distal end of a thoracic stent-graft and the first reentry tear (SG-FRT) on the progression of false lumen (FL) thrombosis in patients who underwent thoracic endovascular aortic repair (TEVAR). Materials and Methods: Three patient-specific geometrical models were reconstructed from postoperative computed tomography scans. Two additional models were created by artificially changing the SG-FRT distance in patients 1 and 2. In all 5 models, computational fluid dynamics simulations coupled with thrombus formation modeling were performed at physiological flow conditions. Predicted FL thrombosis was compared to follow-up scans. Results: There was reduced false lumen flow and low time-averaged wall shear stress (TAWSS) in patients with large SG-FRT distances. Predicted thrombus formation and growth were consistent with follow-up scans for all patients. Reducing the SG-FRT distance by 30 mm in patient 1 increased the flow and time-averaged wall shear stress in the upper abdominal FL, reducing the thrombus volume by 9.6%. Increasing the SG-FRT distance in patient 2 resulted in faster thoracic thrombosis and increased total thrombus volume. Conclusion: The location of reentry tears can influence the progression of FL thrombosis following TEVAR. The more distal the reentry tear in the aorta the more likely it is that FL thrombosis will occur. Hence, the distal landing zone of the stent-graft should be chosen carefully to ensure a sufficient SG-FRT distance.
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Chien, Yu-Chen, Nai-Kuan Chou, and I.-Hui Wu. "Hybrid Repair With Endovascular Debranching of the Aberrant Right Subclavian Artery for Complicated Type B Aortic Dissection in Patients With Kommerell’s Diverticulum." Journal of Endovascular Therapy 28, no. 3 (February 22, 2021): 378–81. http://dx.doi.org/10.1177/1526602821996717.

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Purpose: Aberrant right subclavian artery (ARSA) associated with Kommerell’s diverticulum (KD) is a common congenital arch anomaly. It can be complicated by type B aortic dissection (TBAD) or aneurysmal formation at its ostium. Recently, hybrid repair with thoracic endovascular aortic repair (TEVAR) has appeared to be more favorable. Due to the normal anatomic proximity of the ARSA to the left subclavian artery (LSA) orifice in KD, coverage of the bilateral subclavian arteries (SCAs) to obtain an adequate proximal landing zone (PLZ) is usually required, and double cervicotomy for SCA revascularization potentially increases the risk of complications. Technique: This technique was demonstrated on a 50-year-old man presenting with progressive aneurysmal formation of KD with ARSA after chronic TBAD. A 3-step technique, namely left cervical debranching with a left common carotid artery to LSA bypass graft, TEVAR, and an LSA-to-ARSA endovascular debranching with a self-expanding covered stent by a through-and-through wire from the right brachial artery to the bypass graft, was performed in a 1-stage repair to cover the primary tear of TBAD and preserve the bilateral SCAs. The postoperative course was uneventful. Conclusion: This technique can prevent complications from double cervicotomy and achieve an adequate PLZ with preservation of the bilateral SCAs for TEVAR.
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Rakusa, Ilma. "Tränenfabrik und Transformation." osteuropa 70, no. 10-11 (2020): 343. http://dx.doi.org/10.35998/oe-2020-0085.

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Furui, Masato, Shoji Sakaguchi, Bunpachi Kakii, Gaku Uchino, Mai Asanuma, Hiroaki Nishioka, and Takeshi Yoshida. "Distal Neo-Neck Formation for Chronic Type B Dissection: False Lumen Closure After TEVAR." Vascular and Endovascular Surgery 53, no. 3 (December 17, 2018): 199–205. http://dx.doi.org/10.1177/1538574418819296.

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Objectives: Patients with chronic aortic dissection often require repeat interventions due to enlargement of the pressurized false lumen or disseminated intravascular coagulation even after additional thoracic endovascular aortic repair (TEVAR) to occlude the entry tear. Residual false lumen flow can persist even after performing the candy-plug technique or branched stent-graft placement in some cases. We have devised a new method for false lumen closure. Methods: From December 2010 to May 2017, 5 patients (mean age: 57 [13] years, range: 43-77 years) with chronic dissection at the aortic arch and descending aorta, who underwent initial TEVAR, required additional treatment. Using an open surgical approach, the endograft was fixed with an outer felt under cardiopulmonary bypass after the endograft with stent was expanded by fenestration. The false lumen was closed using this procedure, and the aortotomy was repaired by direct closure in 2 cases and by graft replacement in 3 cases. Results: No major operative complications occurred, such as respiratory failure or paraplegia. Postoperative enhanced computed tomography (CT) images showed that the false lumen flow disappeared in all cases. All patients were discharged under normal conditions. They were all followed up and their CT did not indicate any complications for a mean of 33.6 (20.3) months. Conclusions: Our combined procedure was effective and provided a higher success rate compared with endovascular therapy alone. This staged treatment approach, using a combination of TEVAR and false lumen closure, is less invasive compared with open surgery alone and may represent a valid treatment option for chronic type B dissection.
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Akin, I., S. Kische, T. C. Rehders, H. Schneider, H. Ince, and C. A. Nienaber. "TEVAR." Herz 36, no. 6 (September 2011): 539–47. http://dx.doi.org/10.1007/s00059-011-3500-1.

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Freire, Isa Maria. "O olhar da consciência possível sobre o campo científico." Ciência da Informação 32, no. 1 (April 2003): 50–59. http://dx.doi.org/10.1590/s0100-19652003000100006.

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O artigo descreve o exercício de tecer, no tear da ciência da informação, uma rede para apreender e explicar um evento de comunicação da informação no campo científico. Como objeto de estudo, foi selecionado o artigo em que G. Wersig e U. Neveling propõem, em 1975, um fundamento social para a ciência da informação. A pesquisa encontrou os indícios de que os autores compartilhavam com outros cientistas uma visão socialista da ciência da informação, fundada na importância da organização da informação científica e tecnológica e de sua comunicação no campo científico. Contudo, os autores foram além da consciência real do seu grupo, ao antever a relevância da informação para todos os grupos sociais na sociedade contemporânea. Nesse contexto, a proposição de uma "responsabilidade social" é retomada como fundamento à práxis dos cientistas da informação e como 'padrão que une' ciência e ética, no campo da ciência da informação.
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Itoga, Nathan K., Clinton Z. Kakazu, and Rodney A. White. "Enhanced Visual Clarity of Intimal Tear Using Real-Time 3D Transesophageal Echocardiography During TEVAR of a Type B Dissection." Journal of Endovascular Therapy 20, no. 2 (April 2013): 221–22. http://dx.doi.org/10.1583/1545-1550-20.2.221.

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Salzedas, Nelyse Apparecida Melro, and Rivaldo Alfredo Paccola. "A moça tecelã: um texto instigante." Estudos Linguísticos (São Paulo. 1978) 48, no. 2 (July 16, 2019): 1030–43. http://dx.doi.org/10.21165/el.v48i2.2253.

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A construção do texto de Colasanti (2012), “A moça tecelã”, versa sobre tecer um texto, o qual estamos tomando como objeto de análise da construção textual, cujo desenho é traçado pelo movimento das mãos da artífice manipulando a lançadeira, o tear, as linhas que constroem a escrita, a partir de seu grau zero, em decorrência da sua desconstrução. O fazer de um texto instigante como o de Marina Colasanti, apresentado no título, demanda uma série de leituras teóricas para acompanhar seu desenho construtor. Em vista disso, o objetivo deste artigo é analisar o fazer do texto. “Tecer era tudo que fazia. Tecer era tudo o que queria fazer [...] e tecendo ela própria trouxe o tempo.”. Esse enunciado de Colasanti (2012, p. 12) pontua a construção de um texto, no qual cada laçada é um fonema e cada ponto construído é um sentido. Assim, recorremos a Genette (2010, p. 7) que investiga a produção do texto através do palimpsesto. O que é o palimpsesto? Para ele, é “um pergaminho cuja primeira inscrição foi raspada para se traçar outra, que não a esconde de fato, de modo que se pode lê-la por transparência, o antigo sob o novo.”. Essa leitura do antigo sob o novo foi feita no texto de Colasanti (2012), ilustrando a teoria de Genette, quanto à criação do texto. Desse modo, nos permitiu navegar pelo hipertexto e pelo hipotexto, construções da transtextualidade, que podem ser feitas pela transformação e pela imitação. Estudamos Genette também num texto de Borges, uma vez que o mesmo propõe que sempre houve um só texto e um só autor, pensando no hipertexto e no hipotexto. Essa estratégia de leitura permite que o texto não seja contado, mas ele se conte por si mesmo. Com as sucessivas raspagens, o leitor vai encontrar a origem, o texto primígeno; nesse percurso, vai perceber a transtextualidade, um texto entrando em outro texto.
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Baker, Monya, and Paul Tesar. "Paul Tesar." Nature Methods 8, no. 11 (October 28, 2011): 887. http://dx.doi.org/10.1038/nmeth.1746.

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30

Rodríguez, Claudio, and Elizabeth Gamble Miller. "Tear." World Literature Today 75, no. 2 (2001): 294. http://dx.doi.org/10.2307/40156530.

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31

Garrett, Nola. "Tear." Christianity & Literature 62, no. 2 (March 2013): 283. http://dx.doi.org/10.1177/014833311306200210.

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32

Lehman, Melissa, Brian Steward, Haixia Liu, and Carolyn Begley. "TEAR STABILITY WITH ARTIFICIAL TEAR USAGE." Optometry and Vision Science 79, Supplement (December 2002): 256. http://dx.doi.org/10.1097/00006324-200212001-00489.

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33

Cilurzo, Kevin. "Tear Pad: a Paper Tear Tool." Journal of Paper Conservation 18, no. 4 (October 2, 2017): 152–53. http://dx.doi.org/10.1080/18680860.2017.1454695.

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34

Mann, Aisling M., and Brian J. Tighe. "Tear analysis and lens–tear interactions." Contact Lens and Anterior Eye 30, no. 3 (July 2007): 163–73. http://dx.doi.org/10.1016/j.clae.2007.03.006.

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35

Wilson, Jonathan E., Edgar L. Galiñanes, Parker Hu, Viktor Y. Dombrovskiy, and Todd R. Vogel. "Routine revascularization is unnecessary in the majority of patients requiring zone II coverage during thoracic endovascular aortic repair: A longitudinal outcomes study using United States Medicare population data." Vascular 22, no. 4 (September 3, 2013): 239–45. http://dx.doi.org/10.1177/1708538113502649.

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Objective We aimed to evaluate outcomes of thoracic endovascular aortic repair (TEVAR) with left subclavian artery (LSA) coverage without bypass (TEVAR + SUB) to TEVAR with coverage of the LSA with a bypass at the time of the initial procedure or later at a separate procedure (TEVAR + SUB + BYPASS). Methods The Centers for Medicare & Medicaid Services inpatient claims for 2006–2007 were queried using Current Procedural Terminology codes for TEVAR, TEVAR + SUB, TEVAR + SUB + BYPASS or later as a separate procedure. Results A total of 2676 patients underwent TEVAR; 869 (32.5%) underwent TEVAR + SUB and 49 (5.6%) TEVAR + SUB + BYPASS. At the time of the initial procedure, TEVAR + SUB + BYPASS was associated with a higher incidence of stroke compared to TEVAR + SUB (12.8% vs. 3.8 %; p = 0.0033). Among TEVAR + SUB, only 1.93% (50 patients) had a subsequent bypass performed during a one-year follow-up. Overall rates of morbidity ( p = 0.004) and mortality ( p = 0.011) trended towards significance in favor of TEVAR + SUB. Conclusions TEVAR + SUB were associated with lower rates of mortality and complications. Only a small percentage of TEVAR + SUB required a bypass at one year after procedure. Our data suggest that routine LSA bypass during TEVAR is unnecessary and associated with increase morbidity and mortality.
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36

SONGUR, C. Murat, Emir EROL, and Ferit ÇİÇEKÇİOĞLU. "Life Saving Role of TEVAR in a Traumatic Aortic Transection: Case Report." Damar Cerrahi Dergisi 24, no. 3 (2015): 184–86. http://dx.doi.org/10.9739/uvcd.2013-38000.

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37

Gobbur, V. R., and Anvesha Kumar. "Acute Uterine Inversion with 2nd Degree Perineal Tear." Indian Journal of Obstetrics and Gynecology 6, no. 5 (2018): 545–48. http://dx.doi.org/10.21088/ijog.2321.1636.6518.18.

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38

Zhang, Lei, Meng-tao Wu, Guang-lang Zhu, Jia-xuan Feng, Chao Song, Hai-yan Li, Zai-ping Jing, Kak Khee Yeung, and Qing-sheng Lu. "Off-the-Shelf Devices for Treatment of Thoracic Aortic Diseases: Midterm Follow-up of TEVAR With Chimneys or Physician-Made Fenestrations." Journal of Endovascular Therapy 27, no. 1 (December 2, 2019): 132–42. http://dx.doi.org/10.1177/1526602819890107.

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Purpose: To evaluate the midterm outcomes of thoracic endovascular aortic repair (TEVAR) using chimney grafts (ch-TEVAR) or thoracic stent-grafts with fenestrations made on the back table (f-TEVAR) to treat thoracic aortic dissection (TAD) and thoracic aortic aneurysm (TAA). Materials and Methods: A retrospective analysis was conducted of 474 consecutive patients (mean age 62.3±10.7 years; 346 men) treated with either f-TEVAR (n=110) or ch-TEVAR (n=364) for 352 TADs (81 f-TEVAR and 271 ch-TEVAR) or 122 TAAs (29 f-TEVAR and 93 ch-TEVAR) from 2008 to 2016. The primary endpoints at 30 days and during follow-up were overall mortality, aorta-related mortality, and major complications. The secondary endpoints were endoleak and reintervention. The patency of the target branches, cost of hospitalization, and the use of antiplatelet drugs were also analyzed. Results: Intraoperative type I endoleaks were treated in 69 (14.6%) cases (4 f-TEVAR and 65 ch-TEVAR, p<0.01) to achieve 100% technical success. Four (0.8%) patients died within 30 days [1 (0.9%) f-TEVAR and 3 (0.8%) ch-TEVAR]. Perioperative cerebral ischemia (1 fatal stroke) occurred in 9 (1.9%) patients: (1 f-TEVAR and 8 ch-TEVAR, p=0.39). During the mean follow-up of 50.6±20.0 months (49.5±18.3 months in f-TEVAR and 50.9±20.6 months in ch-TEVAR), 11 (2.3%) patients died of an aorta-related event. Type I endoleak was present in 40 (8.4%) patients (1 f-TEVAR and 39 ch-TEVAR, p<0.01). Eleven (2.3%) patients experienced stent-graft migration and 13 (2.7%) had a retrograde dissection. One hundred (16.9%) of the 593 branch stents occluded (4/75 in the f-TEVAR group and 96/518 in the ch-TEVAR group, p<0.01). The branch reintervention rate was 7.2% (34/474). The f-TEVAR group had a significantly higher probability of freedom from branch occlusion (92%) than the ch-TEVAR group (83%, p=0.007). Conclusion: Off-the-shelf techniques employing chimney grafts and homemade fenestrations are both suitable options for TAD and TAA involving the supra-aortic branches, with a low incidence of reintervention. Fenestrated TEVAR seems to have more favorable short- and midterm outcomes. Further study of these off-the-shelf techniques for aortic arch repair is warranted.
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Krimmer, Jane E. "Shirmer Tear Tests: Evaluation of tear formation." Insight - the Journal of the American Society of Ophthalmic Registered Nurses 26, no. 3 (September 2001): 0086–87. http://dx.doi.org/10.1067/min.2001.119799.

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40

Tiffany, J. M., N. Winter, and G. Bliss. "Tear film stability and tear surface tension." Current Eye Research 8, no. 5 (January 1989): 507–15. http://dx.doi.org/10.3109/02713688909000031.

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41

García-Resúa, Carlos, Hugo Pena-Verdeal, Beatriz Remeseiro, Maria J. Giráldez, and Eva Yebra-Pimentel. "Correlation between Tear Osmolarity and Tear Meniscus." Optometry and Vision Science 91, no. 12 (December 2014): 1419–29. http://dx.doi.org/10.1097/opx.0000000000000412.

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42

Grob, S., I. Kozak, and K. Zhang. "Retinal pigment epithelial tear resembling retinal tear." Eye 26, no. 2 (November 11, 2011): 333–34. http://dx.doi.org/10.1038/eye.2011.278.

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43

Lam, Helene, Lauren Bleiden, Cintia S. de Paiva, William Farley, Michael E. Stern, and Stephen C. Pflugfelder. "Tear Cytokine Profiles in Dysfunctional Tear Syndrome." American Journal of Ophthalmology 147, no. 2 (February 2009): 198–205. http://dx.doi.org/10.1016/j.ajo.2008.08.032.

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44

Sihvo, Eero, Jari Räsänen, Tuomo Rantanen, and Jarmo Salo. "Oral PresentationsImag Techr." Diseases of the Esophagus 17, suppl_1 (May 1, 2004): A49—A50. http://dx.doi.org/10.1111/j.1442-2050.2004.403-8.x.

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45

Gokalp, O., L. Yilik, S. Gur, T. Gunes, and A. Gurbuz. "Antegradly Performed TEVAR." European Journal of Vascular and Endovascular Surgery 44, no. 1 (July 2012): 105–6. http://dx.doi.org/10.1016/j.ejvs.2012.03.026.

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46

Yadav, Priyamvada, and Dr Suketu Bhapal. "Ultrasound Biomicroscopic Findings in Eyes with Posterior Capsular Tear." International Journal of Scientific Research 2, no. 2 (June 1, 2012): 325–26. http://dx.doi.org/10.15373/22778179/feb2013/109.

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47

Ștefan, Neonila-Gabriela, Raluca-Anca Tănasă, and Cristina-Elena Moraru. "The Tecar Therapy to Support Sports Traumatology." SPORT AND SOCIETY, December 30, 2019, 69–74. http://dx.doi.org/10.36836/uaic/fefs/10.58.

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The Tecar therapy is evidence of the way in which advanced technology can be used in sports medicine, for the rehabilitation of traumas. The TECAR technology is not painful, invasive or hard to tolerate, without side effects, with a time limit and several sessions being assimilated within the recovery process. The purpose of this paper is to use this therapyin sports traumatology. The subjects of the research were two athletes practicing performance handball with left inguinal ligamentous and muscular sprain and epicondylitis of the higher limb. After applying the Tecar therapy and the physical therapy program, we have noted a favourable recovery of the two athletes. This study confirms the efficiency of this therapy in the recovery of sportstraumas. Whereas this technology is beneficial, with visible results, its use without physical therapy can create a “boomerang effect”.
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48

Iida, Yasunori, Ryota Asano, and Takashi Hachiya. "Successful treatment of chronic type B aortic dissection complicated by disseminated intravascular coagulopathy with recombinant human soluble thrombomodulin after thoracic endovascular aortic repair." Vascular, January 31, 2021, 170853812199012. http://dx.doi.org/10.1177/1708538121990123.

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Objectives We report a case of successful thoracic endovascular aortic repair (TEVAR) of chronic type B aortic dissection complicated by disseminated intravascular coagulopathy. Methods The patient suffered from chronic type B aortic dissection coexisting with a large false lumen and an intimal tear. He underwent TEVAR with left common carotid-left subclavian artery bypass. Results The following day, the patient exhibited a bleeding tendency and marked subcutaneous hemorrhage. He had a low fibrinogen level, a low platelet count, and high levels of fibrin dimer product and D-dimer. We diagnosed the condition as disseminated intravascular coagulopathy and administered recombinant human soluble thrombomodulin (rhTM). The patient recovered successfully from disseminated intravascular coagulopathy and was discharged on postoperative day 6. Conclusions We successfully treated a patient with chronic type B aortic dissection with a large intimal tear complicated by postoperative disseminated intravascular coagulopathy using TEVAR followed by rhTM administration. rhTM may be considered in patients with large intimal tear and false lumen.
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Iida, Yasunori, Takashi Hachiya, Ryota Asano, Shinya Inoue, Susumu Fujii, Shigeharu Sawa, and Hideyuki Shimizu. "Extended thoracic endovascular aortic repair for residual aortic dissection after type A aortic dissection repair." Vascular, January 21, 2021, 170853812098841. http://dx.doi.org/10.1177/1708538120988418.

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Objective We investigated the outcomes of extended coverage of the descending thoracic aorta by thoracic endovascular aortic repair (TEVAR) for residual chronic type B aortic dissection after type A aortic dissection (TAAD) repair. Methods From November 2015 to August 2020, 36 patients underwent extended TEVAR for residual intimal tear after TAAD repair. We specifically investigated the methods and outcomes of this procedure. Results TEVAR consisted of isolated TEVARs ( n = 29), single-vessel debranching TEVAR (6), and two-vessel debranching TEVAR (1). The mean time from TAAD repair to TEVAR was 27 ± 33 months (2–86 months). The TEVAR devices used were Valiant (28 cases), GORETAG (4), Relay plus (2), and TX2 (2). Technical success of TEVAR was 100%. The distal ends of the stent grafts were T 8 (1 case), T 9 (5), T 10 (6), T 11 (9), and T 12 (15), with an average of T 11 ± 1. The average length of hospital stay after TEVAR was 9 ± 3 days (5–17 days). There were no surgical/hospital deaths or complications. The average postoperative follow-up period was 21 ± 15 months without death or reintervention. Conclusions The short-term outcomes of extended TEVAR for residual chronic type B aortic dissection after TAAD repair were acceptable without perioperative SCI. Aggressive descending thoracic aorta coverage may prevent aortic events, and extended TEVAR may be a preemptive treatment for the downstream aorta. Mid- to long-term results should be clarified.
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Inoue, Yosuke, Hitoshi Matsuda, Jiro Matsuo, Takayuki Shijo, Atsushi Omura, Yoshimasa Seike, Kyokun Uehara, Hiroaki Sasaki, and Junjiro Kobayashi. "Efficacy of entry exclusion strategy for DeBakey type III retrograde Stanford type A acute aortic dissection." European Journal of Cardio-Thoracic Surgery, November 17, 2020. http://dx.doi.org/10.1093/ejcts/ezaa329.

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Abstract OBJECTIVES Resection of a primary entry tear is essential for the treatment of Stanford type A acute aortic dissection (AAAD). In DeBakey type III retrograde AAAD (DBIII-RAAAD), resection of the primary entry tear in the descending aorta is sometimes difficult. The frozen elephant trunk technique and thoracic endovascular aortic repair (TEVAR) enable the closure of the primary entry in the descending aorta. The aim of this study was to investigate the efficacy of resection or closure of primary entry, i.e. entry exclusion, in patients with DeBakey type III retrograde-AAAD. METHODS The medical records of 654 patients with AAAD who underwent emergency surgery between January 2000 and March 2019 were retrospectively reviewed, and 80 eligible patients with DeBakey type III retrograde-AAAD were divided into the excluded (n = 50; age, 62 ± 12 years) and residual (n = 30; age, 66 ± 14 years) groups according to postoperative computed tomography angiographic data of the false lumen around the primary entry. The excluded group was defined as having a postoperative false lumen at the level of the elephant trunk or thrombosis of the endograft including primary entry. Patients with early false lumen enhancement around the elephant trunk or an unresected primary entry tear after isolated hemiarch replacement were included in the residual group. The early and long-term surgical outcomes were compared between the groups. RESULTS The in-hospital mortality rate was 8% (6/80), with no significant difference observed between the excluded and the residual groups (10% and 7%, respectively; P &gt; 0.99). Ninety-five percentage of the patients (20/21) achieved entry exclusion with stent grafts including the frozen elephant trunk procedure and TEVAR. Spinal cord ischaemia was not observed in either group. The cumulative overall survival at 5 years was comparable between the 2 groups (76% and 81% in the excluded and residual groups, respectively; P = 0.93). The 5-year freedom from distal aortic reoperation rate was significantly higher in the excluded group (97%) than in the residual group (97% vs 66%; P = 0.008). CONCLUSIONS Not only resection but also closure using the entry exclusion approach for DeBakey type III retrograde-AAAD utilizing new technologies including the frozen elephant trunk technique and TEVAR might mitigate dissection-related reoperations.
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