7% (25/31 patients).

Conclusion: Video-assisted thoracoscopic indocyanine green fluorescence image-guided surgery is feasible for sentinel node biopsy and may be a powerful tool to eliminate unnecessary lymph node dissection in patients with lung cancer. (J Thorac Cardiovasc Surg 2011;141:141-4)”
“Objectives: Our objective was to evaluate the impact of vein graft harvesting technique on structure and function of vasa vasorum.

Methods: Paired segments

of great saphenous veins harvested either with conventional harvesting technique or no-touch technique were obtained from 9 consecutive patients undergoing coronary artery bypass grafting. Quantitative measurements, using immunohistochemistry and morphometry, were performed.

Ultrastructural analyses of vasa vasorum were performed with electron microscopy. Video footage of superficial vasa vasorum in an implanted selleck screening library saphenous vein graft harvested with the no-touch technique was captured during a coronary bypass ZD1839 order operation and is presented for online viewing.

Results: The total area of vasa vasorum in vein grafts harvested with the conventional technique was significantly reduced both in the media (P=.007) and in the adventitia (P=.014) compared with vein grafts harvested with the no-touch technique. Ultrastructural findings indicated that the no-touch technique preserved an intact vasa vasorum whereas the conventional technique did not. Video footage showed retrograde flow in the vasa vasorum in vein graft harvested with the no-touch technique.

Conclusions: These findings show that the no-touch technique for saphenous vein graft harvesting for coronary bypass grafting preserves an intact vasa vasorum. This could represent one of the mechanisms underlying Olopatadine the improved patency of saphenous vein grafts harvested with this technique. (J Thorac Cardiovasc Surg 2011;141:145-50)”
“BACKGROUND

AND IMPORTANCE: Locked-in syndrome (LIS) is a well-known and devastating clinical entity, of which stroke is the most common cause; the distant second, trauma, usually results in LIS from basilar artery dissection. Our case report describes a posterior fossa subdural hematoma causing LIS, likely by direct compression of neural structures, which is a unique etiology and prognosis compared with other causes.

CLINICAL PRESENTATION: A 34-year-old female experienced a posterior fossa subdural hematoma. She was taken emergently for evacuation, and on postoperative examination was found to be locked-in. The symptom complex, while classic for LIS, resolved at an accelerated rate compared with previous reports. Emergent evacuation of clot and rehabilitation were performed.

CONCLUSION: Prompt treatment allowed this patient to experience an accelerated and more complete recovery compared with the ischemic causes of LIS.”
“Objective: Vasoconstrictors such as norepinephrine and vasopressin are commonly used to raise the blood pressure during myocardial revascularization.