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Introduction: Smooth muscle cells (SMCs) with an origin separate from the local vein wall contribute to formation of intimal hyperplasia (IH) in mouse vein grafts. The recruitment pathway of these cells has not been defined, but circulating progenitor cells and cells from the surrounding tissue or adjacent artery to which the vein graft is anastomosed are potential sources. The aim of this study was to clarify if cells from the adjacent artery contribute to neointimal formation in vein grafts.
Methods: Aortic segments from donor SM22α-LacZ mice were anastomosed to vein segments from wild-type (WT) C57BL/6 mice ex vivo followed by implantation of the composite grafts to the right common carotid arteries of WT recipient mice. Six weeks after surgery, the composite grafts were harvested, and histology was analyzed in longitudinal sections. SMCs with origin in the SM22α-LacZ arterial segments were identified with X-gal staining.
Results: LacZ-positive cells were found in the medial layer of the SM22α-LacZ arterial segments but were not found in the IH in the vein graft segment.
Conclusion: SMCs in vein grafts are not recruited from the adjacent artery through migration across the anastomosis.
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http://dx.doi.org/10.1159/000546237 | DOI Listing |
J Am Coll Health
September 2025
Department of Family Medicine (Student Health), Duke University, Durham, North Carolina, USA.
The authors describe a case of vertebral artery dissection in a patient with Turner Syndrome presenting to a university student health center. Cervical artery dissection (CeAD) is the most common cause of stroke in young adults and should be considered in patients with underlying risk factors. It usually presents with local symptoms caused by compression of adjacent nerves and their feeding vessels, as well as ischemia and hemorrhagic events.
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September 2025
Department of Hepatobiliary and Pancreatic Surgery, Zhejiang The Second Affiliated Hospital, University School of Medicine, Hangzhou, China.
Background: Enucleation has the advantages of preserving function and avoiding pancreaticoduodenectomy for benign and low-grade malignant neoplasms in the pancreatic head. However, laparoscopic enucleation (LEn) of pancreatic head tumors remains challenging in terms of bleeding control and duct integrity preservation because of the complicated blood supply to the pancreatic head and the adjacent relationships of lesions with the main pancreatic duct (MPD), especially for deep-seated or broad-based lesions. Here, we developed a novel dual-arterial occlusion technique to facilitate LEn of pancreatic head tumors and evaluated its feasibility and safety.
View Article and Find Full Text PDFCureus
August 2025
Thoracic Surgery, Tohoku Medical and Pharmaceutical University, Sendai, JPN.
Neurofibromatosis type 1 (NF-1) is an autosomal dominant disorder associated with vascular abnormalities, including spontaneous hemothorax and arterial aneurysms. We present a rare case of spontaneous hemothorax in which an apparently hemostatic sub-pleural hematoma began to bleed again after the patient was repositioned. A 47-year-old man with NF-1 presented with the sudden onset of left-sided chest pain.
View Article and Find Full Text PDFIntensive Care Med Exp
September 2025
Critical Care Division, Integrated Hospital Care Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Background: The relationship between carbon dioxide pressures (PCO) and contents (CCO) is linked to the Haldane effect. Nevertheless, under shock conditions, hydrogen ion accumulation might strongly influence the discrepancies between PCO and CCO. This study aims to evaluate the impact of hydrogen ion accumulation and hemoglobin oxygen saturation (Haldane effect) on PCO:CCO relationships during induction and resuscitation of endotoxemic shock.
View Article and Find Full Text PDFInterv Radiol (Higashimatsuyama)
August 2025
Department of Diagnostic and Interventional Radiology, St. Marianna University School of Medicine, Japan.
Endoscopic ultrasonography-guided biliary drainage has been reported as an alternative technique when transpapillary endoscopic biliary drainage fails. This case study describes a case of pseudoaneurysm, one of the complications unique to endoscopic ultrasonography-guided biliary drainage. An 87-year-old woman who underwent endoscopic ultrasonography-guided hepaticojejunostomy with a partially covered metallic stent developed hematochezia.
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