2 research outputs found
A Rare Case Report of Duodenal Adenocarcinoma Accompanied by Cerebellar Medulloblastoma
A case of a 6-year-old female with a diagnosis of Duodenal Adenocarcinoma is presented by the authors, in which 24 months subsequent to undergoing radiation therapy for a Cerebellar Medulloblastomas, the mentioned diagnosis has been confirmed. Although, the chance of a secondary malignancy has been recognized to be elevated in children formerly undergone radiation therapy, the incidence of duodenal adenocarcinoma is a highly infrequent condition. As a consideration, observing manifestations like weight loss, vomiting, and icterus in a pediatric patient who has been administered earlier on with radiation therapy, must alert physicians that the risk of a gastrointestinal malignancy exists
Carotid arterial stent implantation follow-up and results in 50 patients: preliminary report
Background: Carotid artery stenting (CAS) is considered as a safe and effective procedure for treatment of
carotid artery stenosis. Evaluation of this procedure’s complications is essential for proper clinical decision- making.
Objective: This study aimed to evaluate the cardiovascular events after CAS among our patients in Isfahan, Iran.
Methods: This case-series study was conducted on fifty patients from December 2013 to May 2016. These
patients were referred to the cardiology centers of Isfahan, Iran by a neurologist, for stenting of extracranial
carotid arteries. The second step was examining the patients by cardiac interventionist. Stenting was performed
on symptomatic patients with carotid artery stenosis of more than 50 percent or asymptomatic patients with more
than 70 percent carotid artery stenosis on Doppler ultrasonography. Neurologic evaluation was performed at
baseline, during hospital stay, and follow-up. Transient ischemic attack (TIA)/Stroke and Myocardial infarction
(MI) questionnaires were filled out by a cardiologist over telephone interviews with the patients, for follow-up of
one month, six months and at the end of study. Carotid Doppler ultrasonography was performed before and 6
months after stenting for evaluation of restenosis. Indeed, during the follow-up study, the major adverse cardiac
events (MACE) were evaluated. All data were analyzed through SPSS v.17.
Results: The mean age of patients was 70.73 (±14.01) years old (range: 48-89 years old). Composite endpoint of
death, stroke, and MI was totally 8 percent. The rate of carotid arterial restenosis (Luminal arterial
narrowing>50%) was 8%.
Conclusions: Despite the fact that carotid stenting is new in our center, our results can be compared to other
important studies