To compare cost of percutaneous cryoablation vs open and robot-assisted partial nephrectomy T1a renal masses from the hospital perspective.We retrospectively compared cost, clinical tumor data 37 cryoablations to 26 102 nephrectomies. Total was sum direct indirect procedural periprocedural variables. Clinical included demographics, Charlson Comorbidity Index (CCI), hospitalization time, complication rate, ICU admission 30-day readmission rates. Tumor size, RENAL nephrometry score, malignancy...

Backgroud/rationale of study. Analyze safety and efficacy angiographic-occlusion-with-sclerotherapy/ embolotherapy-without-transjugular-intrahepatic-portosystemic-shunt (TIPS) for duodenal varices. Although TIPS is considered the best intermediate-to-long term therapy after failed endoscopic bleeding varices, options are not well-defined when relatively contraindicated, with scant data on alternative therapies due to relative rarity Prior cases were identified by computerized literature...

Ureteroarterial fistula is a rare, potentially life-threatening cause of hematuria characterized by an abnormal channel between ureter and artery. The rarity this condition, complexity predisposing risk factors intermittence symptoms may delay or obscure its diagnosis. With high index suspicion careful angiographic evaluation, embarking on condition not only possible but sets the stage for curative intervention. We report case ureteroarterial presenting with intermittent hematuria,...

We present the case of a 59-year-old male with massive hemoptysis secondary to bronchopulmonary artery fistula formed as result perihilar lung cancer. The was successfully treated by Amplatzer Plug (St. Jude Medical) embolization supplying pulmonary branch. At same time, bronchoscopy performed tamponade patients bleeding and avoid exsanguination. Biopsy mass demonstrated poorly differentiated non small cell carcinoma. Post procedure day 13 patient underwent staging PET CT which showed...

This is the third reported case of a posterior inferior cerebellar artery (PICA) aneurysm presenting as intractable hiccups (IH). A previously healthy 29-year-old woman was admitted with 2-week history occurring >100 times per minute. Symptoms persisted despite numerous noninvasive therapies. Magnetic resonance imaging and magnetic angiogram brain showed left PICA that confirmed by catheter angiography. resolved following suboccipital craniotomy resection. Although rare, potentially curable cause IH.

Background Many CT angiography (CTA) collateral scoring systems are either subjective or complex and time consuming. Objective To evaluate the correlation between a CTA system—the Opercular Index Score (OIS)—with neurological outcomes at 90 days following endovascular treatment for acute ischemic stroke (AIS) secondary to large vessel occlusion. Methods Fifty-five patients with AIS due distal internal carotid artery, M1, proximal M2 occlusions who underwent were included. OIS was...

Systemic Mastocytosis is a rare condition characterized by the abnormal proliferation of Mast Cells. Presentation as solitary vertebral body lesion extremely uncommon and may be confused with more ominous conditions such metastasis. Familiarity can heighten clinical suspicion, direct tissue diagnosis, guide management indicate appropriate follow up. We present case 64-year-old woman undergoing staging for recently diagnosed breast cancer who was found to have single body.

<h3>Purpose</h3> To determine the negative predictive value of CT perfusion (CTP) imaging in excluding lesions amenable to endovascular reperfusion patients who present with symptoms acute ischemic stroke. <h3>Materials and methods</h3> We retrospectively reviewed CTP studies performed between February 2013 2015 had follow up MRI within 10 days. Patients received intervenous thrombolysis were excluded. True was defined as a study that had: no mismatch, fixed matched defect or small mismatch...

<h3>Introduction</h3> CT perfusion imaging is commonly used in evaluation of patients who present with symptoms acute ischemic stroke. Numerous entities can simulate an cerebral infarct. Knowledge the common manifestations non- prevent misdiagnosis and facilitate appropriate therapy. We a review findings non-ischemic on imaging. <h3>Materials methods</h3> several cases diagnosis their CTP. This includes: malignancy, Todd's paralysis, Multiple Sclerosis, migraine headaches, Bell's palsy,...

<h3>Purpose</h3> Assessment of collaterals is imperative in patient selection for endovascular reperfusion acute ischemic stroke (AIS). The purpose this study was to evaluate the correlation between a novel CTA based collateral scoring system: Opercular IndexScore (OIS), with capillary index score (CIS) at angiography and neurologic outcomes 90 days following treatment stroke. <h3>Materials methods</h3> Data from 58 patients AIS who underwent clinical assessment, institutional CT imaging...

A 41 year-old male with no significant past medical history was admitted for nausea, hematemesis, and abdominal pain. On presentation, hemoglobin 12.5 mg/dL (baseline 15 mg/dL), ALP 64 U/L, AST 21 ALT 16 lipase 32 total bilirubin 0.6 mg/dL. Stool guaiac mildly positive. The patient denied any recent aspirin or ibuprofen use. He used tobacco intermittently but current alcohol Computed tomography (CT) intravenous oral contrast showed a 5 cm lobular mass that projected superiorly from the...