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Abstract

Isolated internal iliac artery aneurysms are rarely described in the available literature. The paper presents a case of a 70-year-old female with idiopathic thrombocytopenia, squamous cell cervical carci-noma, and saccular aneurysm of the left internal iliac artery, detected in magnetic resonance. The review of aneurysm of the common, external and internal iliac arteries is added.
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Authors and Affiliations

Franciszek Burdan
1 2
Krzysztof Czarnocki
1
ORCID: ORCID
Agnieszka Mocarska
1
Maciej Burdan
2
Iwonna Żelazowska-Cieślińska
1
Elżbieta Starosławska
1

  1. St. John’s Cancer Centre, Lublin, Poland
  2. Human Anatomy Department, Medical University of Lublin, Lublin, Poland
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Abstract

CFD technique was used to determine the effect of a stent-graft spatial configuration and hematocrit value on blood flow hemodynamic and the risk of a stent-graft occlusion. Spatial configurations of an endovascular prosthesis placed in Abdominal Aortic Aneurysm (AAA) for numerical simulations were developed on the basis of AngioCT data for 10 patients. The results of calculations showed that narrows or angular bends in the prosthesis as well as increased hematocrit affects blood flow reducing velocity and WSS which might result in thrombus development.

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Authors and Affiliations

Andrzej Polańczyk
Marek Podyma
Ludomir Stefańczyk
Ireneusz Zbiciński
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Abstract

B a c k g r o u n d: The anatomy of arteries supplying blood to the brain often varies among the population. It applies particularly to posterior cerebral circulation. The impact of its anatomy variabilities on the formation of intracranial aneurysms has not been determined yet. The aim was to find out if posterior cerebral circulation anatomy variations coexist with basilar artery aneurysms (BAAs). We retrospectively analyzed 27 patients with BAA and a group of 30 patients matched by gender and age but without BAA. In both groups together most (66.67%) of patients were female and the average age was 59.75 ± 10.91. All of the patients had Computed Tomography performed. We assessed the occurrence of BAA, basilar artery (BA) diameter, vertebral artery (VA) diameter, posterior cerebral artery (PCA) diameter, and if patients had hypoplastic VA or PCA.
R e s u l t s: The presence of right VA hypoplasia significantly increased the risk of BAA occurrence (48.15% vs. 16.67%; p = 0.011). The occurrence of hypoplastic VA on either side was significantly associated with the risk of BAA formation (59.26% vs. 26.67%; p = 0.013). Patients with BAA had slightly larger left PCA diameter 1cm after division (1.96 ± 0.51 vs. 1.64 ± 0.42; p = 0.014) in comparison to those without BAA. Additionally, hypoplastic right PCA occurred more often in patients with BAA (22.22% vs. 0%; p = 0.022).
C o n c l u s i o n s: We can conclude that the anatomy of PCA and VA affects the occurrence of BAA. Hypoplastic VA, the presence of wider left PCA and hypoplastic right PCA may be factors that coexist with BAA occurrence.

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Authors and Affiliations

Małgorzata E. Czuba
1
Maciej J. Frączek
1
Katarzyna Ciuk
1
Jakub Polak
1
Piotr Gabryś
1
Paweł Brzegowy
2
Andrzej Urbanik
2

  1. Students’ Scientific Group at Department of Radiology, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Radiology, Jagiellonian University Medical College, Kraków, Poland

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