No abstract available.
Angiocardiography* ; Contrast Media* ; Electrolytes* ; Osmolar Concentration* ; Plasma* ; Renin*

The incidence of distal anterior cerebral artery(ACA) aneurysm is relatively rare, and only a few cases of bilateral symmetrical distal ACA aneurysms which were adhered together have been reported. They are also called kissing aneurysms. We treated bilateral symmetrical distal ACA kissing aneurysms in a 44-year-old woman. We successfully clipped the double aneurysmal sacs individually by interhemispheric approach in spite of intraoperative aneurysmal rupture. The patient was discharged without any neurological deficits two weeks after the operation.
Adult ; Aneurysm* ; Anterior Cerebral Artery* ; Female ; Humans ; Incidence ; Rupture

The facet joints are a common source of chronic spinal pain. Blocks of the nerves supplying the facet joints are validated tools in the diagnosis and treatment for facet joint pain. These interventions are typically performed with fluoroscopic guidance. However, the target, which is the nerve, is radiolucent and cannot be identified with fluoroscopy. Recently, several ultrasound guided techniques in the domain of spinal pain have been emerging because ultrasound is useful in visualization of the inner structures, is portable, and is not associated with the radiation exposure. This paper reviews a variety of techniques for ultrasound guided interventions for the medial branch block which has been reported in treating axial pain originating from the facet joint.

Wrist pain, while not the most common musculoskeletal complaint, is frequently encountered by clinicians in outpatient settings.Its prevalence is notably higher among individuals with high daily physical demands, such as manual laborers and athletes.Ultrasound-guided diagnosis and intervention around the wrist joint can be challenging due to the small and superficial nature of the anatomical structures involved. This review provides a detailed overview of various ultrasound-guided injection techniques used in the management of pathology around the wrist joint, highlighting their efficacy and procedural considerations.

Wrist pain, while not the most common musculoskeletal complaint, is frequently encountered by clinicians in outpatient settings.Its prevalence is notably higher among individuals with high daily physical demands, such as manual laborers and athletes.Ultrasound-guided diagnosis and intervention around the wrist joint can be challenging due to the small and superficial nature of the anatomical structures involved. This review provides a detailed overview of various ultrasound-guided injection techniques used in the management of pathology around the wrist joint, highlighting their efficacy and procedural considerations.

Wrist pain, while not the most common musculoskeletal complaint, is frequently encountered by clinicians in outpatient settings.Its prevalence is notably higher among individuals with high daily physical demands, such as manual laborers and athletes.Ultrasound-guided diagnosis and intervention around the wrist joint can be challenging due to the small and superficial nature of the anatomical structures involved. This review provides a detailed overview of various ultrasound-guided injection techniques used in the management of pathology around the wrist joint, highlighting their efficacy and procedural considerations.

Wrist pain, while not the most common musculoskeletal complaint, is frequently encountered by clinicians in outpatient settings.Its prevalence is notably higher among individuals with high daily physical demands, such as manual laborers and athletes.Ultrasound-guided diagnosis and intervention around the wrist joint can be challenging due to the small and superficial nature of the anatomical structures involved. This review provides a detailed overview of various ultrasound-guided injection techniques used in the management of pathology around the wrist joint, highlighting their efficacy and procedural considerations.

Shoulder pain is one of the common symptoms that pain physicians frequently encounter in outpatient settings. Historically, the diagnosis of shoulder pain relied on clinical presentation and physical examination. However, with the advancement of ultrasound technology, physicians can now better diagnose and treat shoulder pain. When administering injection therapy for shoulder pain, the target may vary depending on the structure causing the pain. Furthermore, even when injecting the same structure, different approaches can be employed based on the practitioner’s preference, patient’s anatomical variations, or capability of maintaining specific positions for intervention. This review describes various ultrasound-guided injection techniques used in the treatment of shoulder pain.

BACKGROUND: The association of osteoporotic vertebral fracture or osteoporosis with coronary artery disease (CAD) was investigated in Korean men and women. METHODS: Four hundred consecutive postmenopausal women and men aged 50 years and older, undergoing coronary angiography, were enrolled for the evaluation of established or suspected coronary artery disease. CAD was diagnosed if there was narrowing of > 50% diameter in one or more major coronary artery. Morphometric vertebral fracture was assessed using lateral thoracic and lumbar spine radiographs. Bone mineral density was performed using dual-energy x-ray absorptiometry. RESULTS: Of the 400 subjects in the study (mean age of 61.9 +/- 11.6 years), 256 patients had CAD. Vertebral fracture was observed in 94 (23.5%) patients. There was no difference in vertebral fracture according to the presence or absence of CAD. In logistic regression analysis, vertebral fracture was not significantly associated with CAD after adjustment for multiple risk factors. Although women had lower BMD at any given site than men, BMD was not associated with the presence or absence of CAD among 191 patients. CONCLUSION: Our study demonstrated that osteoporotic vertebral fracture or osteoporosis was not associated with coronary artery disease in Korean men and women.
Aged ; Atherosclerosis ; Bone Density ; Coronary Angiography ; Coronary Artery Disease ; Coronary Vessels ; Female ; Humans ; Logistic Models ; Male ; Osteoporosis ; Risk Factors ; Spine

Objective: To examine whether patients who participated in a cardiac rehabilitation (CR) program after hospitalization for acute coronary syndrome maintained cardiorespiratory fitness (CRF) in the community. Methods: We conducted a retrospective study including 78 patients who underwent percutaneous coronary intervention or coronary artery bypass graft surgery at our hospital’s cardiovascular center and participated in a CR program and a 5-year follow-up evaluation. Patients were divided into a center-based CR (CBCR) group, participating in an electrocardiography-monitored exercise training in a hospital setting, and a home-based CR (HBCR) group, receiving aerobic exercise training and performed self-exercise at home. Results: No significant differences were found between groups (p>0.05), except the proportion of non-smokers (CBCR 59.5% vs. HBCR 31.7%; p=0.01). In both groups, the maximal oxygen consumption (VO2max) increased significantly during the first 12 weeks of follow-up and remained at a steady state for the first year, but it decreased after the 1-year follow-up. Particularly, VO2max at 5 years decreased below the baseline value in the HBCR group. In the low CRF group, the CRF level significantly improved at 12 weeks, peaked at 1 year, and was still significantly different from the baseline value after 5 years. The high CRF group did not show any significant increase over time relative to the baseline value, but most patients in the high CRF group maintained relatively appropriate CRF levels after 5 years. Conclusion Continuous support should be provided to patients to maintain optimal CRF levels after completing a CR program.