Between November 1980 and September 1985 20 patients in Ireland sustained accidental ocular shotgun injuries severe enough to necessitate hospital admission. Eight patients had contusion injuries and 12 perforating injuries. Contusion damage was disproportionate to the size of the pellet. Through and through perforation of the globe occurred in eight patients; the remaining four patients in thi...

PURPOSE To review our experience with intracranial angioplasty, including the complications we encountered. METHODS During a 3-year period, from 1993 to 1996, 10 patients had intracranial percutaneous transluminal angioplasty (PTA). The stenosed vessels included three internal carotid arteries, one middle cerebral artery, one basilar artery, and five vertebral arteries. Stenosis in all patien...

Venous ulcer is the most advanced stage of chronic venous insufficiency (CVI). Its prevalence is estimated to be between 1% and 3%. Recent articles have suggested that leg ulcers with reflux in superficial veins can be treated by endovenous laser ablation (EVLA). Endovenous laser ablation of the great and/or short saphenous vein has already become the treatment of choice for varicose vein and c...

Basilar bifurcation aneurysms are lately treated frequently with endovascular technique. Microsurgical clipping occlusion technique has, however, still its solid position because of its completeness. This standard technique is required often due to unfeasibility and/or incompleteness at the time of application of the endovascular technique for aneurysms of this location. The authors suggest fol...

BACKGROUND Intrauterine device (IUD) migration and colon perforation is a rare but serious complication occurring sometimes years after insertion. Laparoscopic removal of a colon-perforating device is a seldom-used approach. CASE A 35-year-old presented with right upper quadrant (RUQ) abdominal pain one year following intrauterine device (IUD) insertion. Upon vaginal examination, no IUD strin...

Lens damage is present in 30% of perforating injuries of the anterior segment of the eye. There is no consensus on whether the cataractous lens should be removed at the initial repair of the corneal laceration or later, when the eye has recovered from injury. Twenty-seven consecutive cases with a perforating corneal injury and lens damage were alternatively treated either with simultaneous corn...

Fourteen accessory middle cerebral arteries demonstrated on angiography were reviewed relative to the pertinent literature. The anomalous vessel follows a fairly constant pattern in terms of origin, course, and distribution, and it frequently gives rise to basal perforating arteries. It is suggested that the vessel represents a persistent anastomosis between the anterior and middle cerebral art...

Skin blood supply and the angiosome concept Blood supply to the skin originates from the main artery artery of the leg. They give out branches that pass through the muscle or septum before perforating the deep fascia to supply an area of skin. This small territory of skin that is supplied by a perforator vessel is called an angiosome. The perforators are quite constant in their location and hav...

A 65-year-old man presented with a hyperplastic anomalous anterior choroidal artery (AChA) associated with a ruptured internal carotid artery aneurysm at the origin of a perforating artery manifesting as sudden onset of headache and vomiting. The aneurysm was too small for endovascular embolization, so we performed open surgery via the left pterional approach. Aneurysm clipping with preservatio...