A renal transplant patient presented with a sudden onset of painful left index finger (Figure 1). He had a palpable left radial pulse with an absent ulnar pulse. The left index finger was cold and dusky with reduced capillary refill and sensation. There were multiple splinter haemorrhages visible in the left hand only (Figure 2). He had a non-functional arteriovenous fistula (AVF) at the left w...

The adductor pollicis muscle was studied in fifty hands of Japanese adult cadavers of both sexes. The radial portion of the oblique head of the adductor pollicis muscle has carpal and metacarpal origins and an insertion into the wing tendon of the extensor apparatus. This portion was located dorsal to the palmar metacarpophalangeal articular nerve and superficial palmar metacarpal artery. Thus,...

Spontaneous mediastinal hematoma is exceedingly rare. We described such a case of a 61-year-old male with a posterior mediastinal hematoma from ruptured small aneurysm, which was ascertained via contrast-enhanced computed tomography examination. Subsequent super-selective angiography of left gastric artery revealed a ruptured aneurysm with contrast medium leakage, feeding vessels respectively f...

BACKGROUND The ergotamine tartrate associated with certain categories of drugs can lead to critical ischemia of the extremities. Discontinuation of taking ergotamine is usually sufficient for the total regression of ischemia, but in some cases it could be necessary thrombolytic and anticoagulant therapy to avoid amputation. CASE REPORT A woman of 62 years presented with a severe pain left for...

The contribution of the alpha-1B adrenergic receptor (AR) to vascular smooth muscle contraction has been assessed using a combination of immunological, molecular biological and pharmacological approaches. A subtype-selective antibody detected alpha-1B immunoreactivity in the medial layer of the aorta, caudal, femoral, iliac, mesenteric resistance, renal and superior mesenteric arteries. Recepto...

Background Spinal epidural arteriovenous fistulas (seAVF) are a rare subset of vascular lesions that most commonly found in the cervical levels. Unlike spinal dural AVF, seAVF typically supplied by multiple arteries, including direct branches from vertebral artery, which increases risk nontarget embolization using transarterial endovascular approach. In these cases, transvenous may be preferabl...

BACKGROUND Although numerous experimental models of arterialized venous flaps (AVFs) have been proposed, no single model has gained widespread acceptance. The main aim of this work was to evaluate the survival area of AVFs produced with different vascular constructs in the abdomen of the rat. METHODS Fifty-three male rats were divided into 4 groups. In group I (n = 12), a 5-cm-long and 3-cm-w...

Intraosseous (IO) access is a recommended technique in cases of an emergency situation where IV cannot be obtained. Despite advancements IO devices and FDA approval many types devices, it has various complications that although are rare, can potentially life-threatening. We report case acute tibial osteomyelitis adult female with history polysubstance drug abuse few weeks after from previous ho...