BACKGROUND AND PURPOSE Devices to close a femoral arteriotomy are frequently used after catheterization for interventional radiology and cardiac procedures to decrease the time to hemostasis and ambulation and, potentially, to decrease local complications. The Mynx vascular closure device uses a sealant designed to occlude the access tract, resulting in hemostasis. MATERIALS AND METHODS We re...

A9-year-old boy was shot with a pellet shotgun and developed a visual field deficit. Head CT revealed a pellet in the left ambien cistern, in the left posterior cerebral artery on catheter angiography (figure). Chest fluoroscopy revealed multiple thoracic pellets, including a mobile cardiac pellet (video on the Neurology® Web site at Neurology.org). There was no clear cardiac injury, patent for...

A study of 3,193 arterial entries of various types disclosed 66 major complications and 321 minor complications for a total complication rate of 13%. The Seldinger technique of percutaneous arterial catheterization was followed by the highest incidence of complications, the percutaneous needle puncture method was associated with an intermediate complication rate, and the cutdown arteriotomy wit...

1010-7940/$ see front matter q 2003 Elsevier B.V. All rights reserved. doi:10.1016/j.ejcts.2004.01.020 Fig. 2. (a) Right atrial exposure of the tumor (white arrow) showing its direct attachment to the IVC. (b) Another intraoperative view shows the right atrial and the pulmonary arterial extensions of the tumor (white arrows). The pulmonary arterial extension was removed through a longitudinal p...

A 61-year-old man was referred to us for massive left haemothorax (Fig. 1) following a penetrating thoracic gunshot wound. The entrance wound was between the scapula and the spine; no exit wound was evident. Left coxofemoral X-ray demonstrated the presence of the retained bullet in the left femoral region (Fig. 2). An emergency left thoracotomy was performed and a small regular round laceration...

are reported in asymptomatic patients 15 and 27 years of age, bringing to 30 the total number of cases of this anomaly reported in the postinfantile age group. ECG exercise tests demonstrated marked ischemic changes in both patients, but angina or abnormal shortness of breath did not develop in either patient during or after exercise. The anomalous vessel was interrupted by closure of its ostiu...