Orthotopic and living related liver transplantation is an established mode of treatment of end-stage liver disease. One of the major causes of postoperative complications is vascular anastomotic stenosis. One such set of such complications relates to hepatic vein, inferior vena cava (IVC), or portal vein stenosis, with a reported incidence of 1-3%. The incidence of vascular complications is reported to be higher in living donor versus cadaveric liver transplants. We encountered a patient with hepatic venous outflow tract obstruction, where the hepatic vein had been previously stented, but the patient continued to have symptoms due to additional IVC obstruction. The patient required double-balloon dilatation of the IVC simultaneously from the internal jugular vein and IVC.
Kawasaki disease (KD) can result in coronary artery disease in the form of ectasia, aneurysm and stenosis. The final complication can be myocardial infarction. We report a child who presented with severe left ventricular dysfunction following KD and was detected on angiography to have total left anterior descending artery occlusion. Angioplasty was done which resulted in improvement in the flow. Follow up angiography a year later showed recurrence of total occlusion.
Aims and Objective : To calculate the incidence of coronary artery In-stent restenosis and coronary
artery bypass graft stenosis in post myocardial re-vascularised patients in Indian context. ThisMethods :
is an observational study , coronary artery disease patients earlier re-vascularized either by coronary stent implantation or by
coronary artery bypass graft presented with exertional angina , anginal equivalents , symptoms of heart failure or acute
coronary event were enrolled in the study, patient with contraindications to coronary angiogram were excluded. The data
collected from CAG was analysed by using quantitative coronary angiography and statistical analysis was performed using
SPSS version. Study included total 201 patients, 117 in PTCA group , 84 in CABG group. Out of 184 stents, 34 stentsResults :
showed >50% restenosis with incident rate 14.3% for DES and 47.80% for BMS respectively The incidence rate of restenosis
was higher in BMS than DES in PTCA group ,where as the stenosis rate of LIMA graft(8.7%) was minimal in comparison to
SVG graft(43.81%). Statistically no difference in restenosis rate between diabetic and non diabetic population in both PTCA
and CABG group. Our observational study reected the rate of In-stent restenosis and coronary artery bypassConclusion:-
graft stenosis both in PTCA and CABG groups in concordance with previous studies. In PTCA group BMS have higher incidence
of In-stent restenosis in comparison with DES where as in CABG group venous graft have higher stenosis than arterial graft.
There is no difference in restenosis rate among diabetic and non diabetic population in our study.
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