Giant Aneurysm of the Extracranial Carotid Artery: Case Report

AbstractWe report a case of giant extracranial carotid aneurysm treated by carotid aneurysmectomy. A 70-year-old female was referred with a palpable swelling on left lateral region of the neck, associated with dizziness and dysarthria. Spiral-CT scan showed a 5-cm aneurysm of the internal carotid artery (ICA), kinking of ICA and increased flow in the right vertebral artery. Angiography showed, a fusiform ICA aneurysm, with lengthening and tortuosity of intracranial vessels. An aneurysmectomy was performed with end-to-end repair of ICA. The patient was discharged on the 12 post-operative day. Twelve months after the operation, the patient showed a complete recovery from the neurological deficit and patency of ICA. We recommend surgical treatment in order to avoid rupture, thromboembolism and cerebrovascular insufficiency

Monitoring inflammation and airway remodeling by fluorescence molecular tomography in a chronic asthma model

Background: Asthma is a multifactorial disease for which a variety of mouse models have been developed. A major drawback of these models is represented by the transient nature of the airway pathology peaking 24-72h after challenge and resolving in 1-2weeks. We characterized the temporal evolution of pulmonary inflammation and tissue remodeling in a recently described mouse model of chronic asthma (8week treatment with 3 allergens: Dust mite, Ragweed, and Aspergillus; DRA). Methods: We studied the DRA model taking advantage of fluorescence molecular tomography (FMT) imaging using near-infrared probes to non-invasively evaluate lung inflammation and airway remodeling. At 4, 6, 8 or 11weeks, cathepsin- and metalloproteinase-dependent fluorescence was evaluated in vivo. A subgroup of animals, after 4weeks of DRA, was treated with Budesonide (100\u3bcg/kg intranasally) daily for 4weeks. Results: Cathepsin-dependent fluorescence in DRA-sensitized mice resulted significantly increased at 6 and 8weeks, and was markedly inhibited by budesonide. This fluorescent signal well correlated with ex vivo analysis such as bronchoalveolar lavage eosinophils and pulmonary inflammatory cell infiltration. Metalloproteinase-dependent fluorescence was significantly increased at 8 and 11weeks, nicely correlated with collagen deposition, as evaluated histologically by Masson's Trichrome staining, and airway epithelium hypertrophy, and was only partly inhibited by budesonide. Conclusions: FMT proved suitable for longitudinal studies to evaluate asthma progression, showing that cathepsin activity could be used to monitor inflammatory cell infiltration while metalloproteinase activity parallels airway remodeling, allowing the determination of steroid treatment efficacy in a chronic asthma model in mice

Azithromycin inhibits nuclear factor-κB activation during lung inflammation : an in vivo imaging study

We studied in vivo the potential involvement of nuclear factor-\u3baB (NF-\u3baB) pathway in the molecular mechanism of the anti-inflammatory and immunomodulatory activity of azithromycin in the lung. Mice transiently transfected with the luciferase gene under the control of a NF-\u3baB responsive element were used to assess in vivo NF-\u3baB activation by bioluminescence imaging. Bioluminescence as well as inflammatory cells and concentrations of proinflammatory cytokines in bronchoalveolar lavage fluids, were monitored in an acute model of pulmonary inflammation resulting from intratracheal instillation of lipopolysaccharide. Lipopolysaccharide (LPS) instillation induced a marked increase in lung bioluminescence in mice transiently transfected with the luciferase gene under the control of an NF-\u3baB responsive element, with significant luciferase expression in resident cells such as endothelial and epithelial cells, as assessed by duoplex immunofluorescence staining. Activation of NF-\u3baB and inflammatory cell lung infiltration linearly correlated when different doses of bortezomib were used to inhibit NF-\u3baB activation. Pretreatment with azithromycin significantly decreased lung bioluminescence and airways cell infiltration induced by LPS, also reducing proinflammatory cytokines concentrations in bronchoalveolar lavages and inhibiting NF-\u3baB nuclear translocation. The results obtained using a novel approach to monitor NF-\u3baB activation, provided, for the first time, in vivo evidence that azithromycin treatment results in pulmonary anti-inflammatory activity associated with the inhibition of NF-\u3baB activation in the lung

Firm adhesion of neutrophils to cerebral vascular endothelium "in vivo": a role for cys-leukotrienes.

Interactions between neutrophils (PMNL) and endothelial cells (EC) are involved in pathological alterations of cerebral blood vessel functions, leading to circulatory disturbances such as stroke [1]. The adhesive process induces PMNL activation, coupled to local bioavailability of oxygen free radicals, proteases, cytokines and arachidonate metabolites of the 5- lipoxygenase pathway, such as leukotriene A4 and B4 (LTA4, LTB4). This contributes to alterations of vasomotor reactivity, occlusion of microvasculature and induction of vascular permeability. The ensuing PMNL emigration through the blood brain barrier represents a critical event in the initiation of cerebral inflammation. Therefore it is clear that the PMNL-EC interaction may be a target for therapeutic interventions. Significant reductions in volume of the lesions and improved physiological functions were found in rats subjected to transient MCA occlusion and treated with anti-ICAM antibody, as well as with selective PMNL depletion in a murine model of reperfused stroke

Trattamento chirurgico simultaneo per aneurisma dell’aorta addominale sottorenale e neoplasie addominali

6noneP. CASTELLI; CARONNO R; PIFFARETTI G; TOZZI M; CARNINI M; LOMAZZI CCastelli, Patrizio; Caronno, R; Piffaretti, G; Tozzi, Matteo; Carnini, M; Lomazzi, C