Category Archives: Anatomy

Aspiring docs from HCI win big at Anatomy Challenge – The Straits Times

The young, aspiring doctors peered, prodded and scratched their heads over questions about the human body.

In the end, a four-member team from Hwa Chong Institution (HCI) emerged winners at the Anatomy Challenge yesterday.

It is the first inter-school medical competition organised by Nanyang Technological University.

Aside from medical-themed quizzes, students from 39 pre-university schools also had the chance to inspect plastinated specimens of human bodies.

The champion team was led by student Cheong Jia Sheng, 17.

He said: "I became interested in medicine after my parents bought me an anatomy book when I was in Secondary 3.

"I can't believe we won. My parents will be overjoyed."

His teammate Cindy Ow, 18, said the group met three times a week to prepare for the competition.

She said: "Each meeting lasted about three hours. Our seniors who were from HCI but are now studying medicine at the National University of Singapore also came down to help us.

"They really helped us prepare for the Anatomy Challenge."

The top team won prizes such as a trophy and $400 in cash.

Another team from the same school also came in second.

The runners-up received prizes which included $300 in cash.

Organised by students from the Lee Kong Chian School of Medicine, the Anatomy Challenge allows participants to learn about various aspects of the human anatomy, including its history and latest imaging technologies and how they are applied in modern clinical practice.

Shaffiq Alkhatib

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Aspiring docs from HCI win big at Anatomy Challenge - The Straits Times

Sioux Falls makes cameo on ‘Grey’s Anatomy’ – Sioux Falls Argus Leader

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GREY'S ANATOMY - "Hope for the Hopeless" - Richard performs his 10,000th surgery on a pair of bickering sisters (Nia Vardalos and Peri Gilpin) who come into the hospital for a liver transplant; Derek and Lexie take on a neuroblastoma case that has been previously deemed inoperable; Teddy and Cristina cross the line when they go against Owen's orders and try to steal a case from Alex and Dr. McQueen; Ellis Grey's shadow looms as Meredith searches for a specialty; meanwhile Adele is brought into the hospital after she is found wandering the streets, on Grey's Anatomy, THURSDAY, JANUARY 19 (9:00-10:02 p.m., ET) on the ABC Television Network. (Photo by Colleen Hayes/ABC via Getty Images) JAMES PICKENS JR., CHANDRA WILSON, ELLEN POMPEO(Photo: Colleen Hayes, ABC via Getty Images)

Sioux Falls made a cameo appearance Thursday night in the latest episode of the medical drama "Grey's Anatomy."

Without going into too much detail so as to not spoil the episode for those who've yet to watch, a pair of characters ends up at Joe Foss Field after a cross-country flight takes an unexpected turn.

"I don't even know what town we're in," one character says, standing on the tarmac with Sioux Falls police and fire vehicles in the background.

"Sioux Falls apparently," another replies.

Actress Ellen Pompeo, who plays Meredith Grey, tipped off fans that the show would feature South Dakota's biggest city in November. She posted an Instagram photo that led some to wonder whether they'd walk into a scene with Pompeo or creatorShonda Rhimes.

Local authorities and hospital spokespeople said the filming was done in Hollywood, not on location at Sioux Falls Regional Airport.

Follow Dana Ferguson on Twitter @bydanaferguson, call (605) 370-2493 or email dferguson@argusleader.com

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Sioux Falls makes cameo on 'Grey's Anatomy' - Sioux Falls Argus Leader

Fans Are Weirded Out By Grey's Anatomy's New Incestuous Storyline – Refinery29

With Riverdale and its "twincest" jokes, plus the Jaime-Cersei dynamic on Game Of Thrones, TV is officially at capacity when it comes to characters giving off serious incest vibes. Grey's Anatomy is the latest show to hop on this trend, with last night's episode featuring some hardcore flirting between step-siblings Jackson (Jesse Williams) and Maggie (Kelly McCreary). Fans have no idea what to make of it.

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Fans Are Weirded Out By Grey's Anatomy's New Incestuous Storyline - Refinery29

Grey’s Anatomy Recap: Experiencing Some Turbulence – Vulture

L-R: Martin Henderson, Ellen Pompeo. Photo: Mitchell Haaseth/ABC

On one hand, its kind of mind-boggling that just five seasons after the crash that took Lexie and Mark and maybe some years off our own lives, Greys Anatomy would be subjected to yet more plane drama. But, on the other hand: CUTE PEDIATRIC DENTIST ALERT. Oh, sorry while helpful Dr. Harrison Peters (Callard Harris) is a lovely addition to my television screen, the real upside of this episode is that it is very, very good.

Directed by Dr. Miranda Bailey (Chandra Wilson) herself, the tight quarters and constant turbulence we experience for the full hour expertly heighten the drama as Meredith and Riggs who, unbeknownst to each other, are headed to the same medical conference attempt to tend to an entire plane full of patients. Its exciting, a little scary, and paced so well I could barely believe it when I looked up and saw there were only ten minutes left. And, you guys, I havent even gotten to the Derek stuff yet. Because there is a lot of Derek stuff.

In the Air Tonight Season 13 Episode 20

Editor's Rating 4 stars

Meredith is not enthused when she switches seats in order to help a family sit together and winds up sitting in the same row as Nathan Riggs. To Riggs, its a sign; to Meredith, its an annoyance. They bicker back and forth a little bit about not being a thing and why they arent a thing and how Riggs knows Meredith totally wants to be a thing you know, the same thing these two have been arguing about since they hooked up LAST SEASON. Listen, Meredith is my homegirl, and Dr. Dimples is very enjoyable, but the back-and-forth was old months ago. Its time to put up or shut up!

Before long, Meredith puts up err, puts out, really. Yes, Riggs follows her into the bathroom because he thinks shes making eyes, which she swears she is not. After Riggs reminds her that there is no one around who they know (mainly, Maggie), the two doctors join the Mile-High Club. Lets be real: Riggs is totally already in that club. He navigated that airplane bathroom like a pro.

Just as Meredith and Riggs return to their seats, and Meredith returns to her we are not a thing schtick (seriously, they go from on-again to off-again in the span of minutes), the plane goes through some serious turbulence. People-thrown-up-into-the-air kind of turbulence. The plane is headed through a big ol storm. Welp, here comes the craziness.

Meredith, Riggs, and the aforementioned cute dentist, Harrison, swing into action, helping the many, many people who make use of their call button when asked who needs medical assistance. This plane just became a very busy emergency room. The doctors spend time with various passengers (Greys has always been great at making you care about relative strangers within a few minutes and that talent is put to great use in In the Air Tonight), but the majority of the episode is focused on trying to save Max (Jai Rodriguez), a very nice man with a very cute boyfriend. Max was too good for us you knew something dramatic was headed his way.

Max hits his head pretty hard, and almost immediately Meredith diagnoses him with a brain bleed. If they were in the hospital, hed be rushed to the OR and they would drill into his skull to relieve some of the pressure. As it stands, they are stuck on a plane with limited medical supplies and a pilot who refuses to land until its safe. (Greys, of course, gives us a female pilot, because Greys is good.) That may not be for hours, since they are currently navigating their way through two separate storms. All Meredith can do is wait it out.

During a rare break, Meredith and Riggs take a seat on the floor. Riggs wants to know more about the plane crash Meredith mentioned to him earlier. At first, Meredith doesnt want to get too into it (WHO WOULD?), but she begins to talk about the Seattle Grace Five now only three and how she lost Lexie. Things are starting to make sense to Riggs. He understands Merediths overwhelming desire to protect Maggie at all costs. But Meredith disagrees. She makes sacrifices for her family, sure, but thats normal. Riggs presses and presses until Meredith finally blurts out the real reason she cant fully commit: Shes married.

Oof. Was the air sucked out of your room, too?

Before they can take a deep dive into that little nugget, Meredith and Riggs are called back to Maxs side. Hes getting worse. They cant wait for a proper OR they need to do something now. Meredith has an idea: Theres a syringe in the medical kit. Shes going to stick that in the dudes skull and drain blood. Then shes going to do it over and over again until the pressure is relieved. On a very unsteady airplane. In case you havent guessed: This is insane.

But when has something being insane stopped Meredith from doing it before? This is the girl who stuck her hand on a bomb inside a mans chest. Who stands in front of a gunman and tells him to shoot her in order to save her husband. Meredith isnt afraid of insane. So, the woman who just a few minutes earlier told Riggs how shes cursed and that everyone around her seems to die, sticks a needle inside a mans skull. The sequence that follows with Meredith, Riggs, Harrison, and Candace the Flight Attendant (Spencer Grammer) working together to save Max amid some major turbulence is excellent. Things get dicier when Riggs has to leave to go resuscitate an annoying dude with pulmonary hypertension and Meredith decides her syringe isnt cutting it, so she deftly turns a cocktail straw into a surgical tool. Finally, mercifully, the plane lands and Riggs turns out to be right: No one dies today.

Okay, so taking a step to the side to allow for a bottle episode of Greys Anatomy that does very little to push most of the main stories forward, it does get a pass for the action-packed storytelling.

And not all storylines are put on hold: Once the plane lands and everyone is ushered to safety, Riggs once again confronts Meredith over the reason why she keeps pushing him away. Its not because of Maggie, and not because she is prioritizing her family. Its because shes scared. Shes scared of letting go of Derek. Riggs obviously knows how she feels, but he also knows that the two of them are alive, and he wants to live his life. He wants to move forward and he thinks Meredith should too.

And then it arrives. The Meredith and Derek montage for the history books. Meredith sees their story told backward, with very familiar flashes of car crashes and hospital shoot-outs and Post-it notes and elevator proposals and one very fateful meeting in a bar. Meredith considers it all all the turbulence in her own life, and how sometimes, knowing it may get bumpy, you still have to get on the plane anyway. So, she looks at Riggs and takes him up on his offer of a hotel room in Sioux Falls. But it better be nice.

Its good to see that even though Meredith is embarking on a new adventure, shes still the same old girl we know and love. And that means absolutely no hand-holding.

Laughter Is The Best Medicine, Except For Real Medicine:

Of course Meredith is the type of person to shame a stranger for shaming a mother on a plane. Its a perfect character moment.

Spencer Grammer is great as a doesnt-take-shit-from-anyone flight attendant, and her not-so-subtle hints at wanting to see Riggs again are both hilarious and understandable.

What patience Harrison has for all the doubt cast over his chosen occupation. And when Meredith and Riggs just assume he has drills with him on his flight because hes a dentist, he responds with gentle, spot-on sarcasm. THE CUTE DENTIST HAS JOKES. Dont let his non-goodbye to Meredith be the last we see of him.

The elderly lady on the aisle never really gets her due, so I shall give it to her here. She shades Pulmonary Hypertension Guy perfectly and has Viagra at the ready when Riggs needs it to save said guys life. She seems like a great time.

Sob Scale: 4/10It was all too thrilling to really sit and have a proper cry, but the reverse flashback that left us with that image of Meredith and Derek meeting at the bar was a nice touch. A low blow, but a nice touch.

Tig Notaro Isnt Too Happy About Louis C.K.s SNL Clown Sketch, Which Bears a Striking Resemblance to Her Short Film

Ludacris Gives Ludicrous Health Advice and Explains His Vitamin D Abs to Conan

The Minaj/Jonas collaboration continues.

Heres hoping for an exclusively gay Frankenstein moment.

New transmissions from the Satellite of Love.

Lucasfilm president Kathleen Kennedy corrects remarks made previously by Fishers brother, Todd.

A rough cut of the trailer was thrown together in three days.

When the Furious A-listers face off, things have a way of ending in a tie.

From Kendrick Lamars DAMN. to Little Dragons Season High, heres a selection of new, recently released albums worth checking out.

And what kinds of originals to expect.

Everyone thinks they have the answer.

Imagine, for a moment, that you possess footage of Laura Dern in space. Would you keep it to yourself?

Its hard to trust a show when the main narrative is driven by professional manipulators.

One of the silliest SNL cast members ever reveals how there was a reason behind his mid-sketch laughing.

There isnt a ton of new information, but lets see what we can suss out.

From Jenny Slate to Shiri Appleby.

I think Pam would have been out there in the world campaigning for Hillary but mainly because she wanted to bone her.

While the show grapples with a lot of important issues, it never really touches the mystery it sets out to solve.

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Grey's Anatomy Recap: Experiencing Some Turbulence - Vulture

Eden Hazard and Jos Mourinho: anatomy of a rollercoaster relationship – The Guardian

Eden Hazard was in imperious form when Chelsea and Manchester United met in the Premier League in October. Photograph: Catherine Ivill - AMA/Getty Images

Fans, content with a perfunctory victory, were beginning to drift away from Stamford Bridge. Chelsea were leading Porto 2-0, having been in control for most of the game. In a turbulent season, the Champions League had again provided a pocket of calm. And then Jos Mourinho decided to take off Eden Hazard, who had been involved in the buildup to both Chelsea goals. It had probably been Hazards best performance of the season to that point and he left the pitch to warm applause. He slapped hands with Loc Rmy but then, as Mourinho went to congratulate him, Hazard shrugged him off.

It is easy, of course, to read too much into individual moments in retrospect but even at the time that felt telling. To show such obvious disdain for your manager in the moment of victory exposed the palpable discord that existed within the squad a week before Michael Emenalo, the Chelsea technical director, spoke of it in the wake of Mourinhos sacking. From that moment, it felt that Mourinho was doomed, that, even with his abilities, there was no way back.

Then, as the curtain was falling, even during that final game away at Leicester City five days later, as Claudio Ranieri dealt the final blow to avenge his own sacking by Chelsea 12 years earlier, there came the strange incident of Hazards hip. Mourinho clearly felt Hazard, who had been troubled by the problem since the summer, was not particularly badly injured and cajoled him to go back on after treatment on the touchline, only for the Belgian to decide within seconds that he did not fancy it and march off, ignoring his manager as he did so.

Not surprisingly, Hazard was one of three players highlighted as rats by disgruntled Chelsea fans the following weekend as the post-Mourinho age began with a comfortable victory over Sunderland. Of all the many things that went wrong for Mourinho at Chelsea last season, the most significant was surely the disintegration of his relationship with the Belgian. It would be misleading to suggest some feud still simmers between the two but as Chelsea go to Old Trafford on Sunday for what appears the last significant obstacle on their run-in to the title, the fraying of their bond stands as an emblem of the collapse of Mourinhos Chelsea reign.

Right from the start, Mourinho would provoke Hazard in front of the squad, telling the team: Today were playing with 10, to try to goad him into great defensive effort. Initially, Hazard, used to more overtly supportive managers, was troubled. If he looks you in the eye, its terrifying, he said.

Hazard is not a natural rebel, however. He accepted his managers ways, even if he preferred to go home and spend time with his family after training rather than staying at Cobham for extra gym work. The two found an understanding and, while there were occasional hiccups, as when Mourinho publicly criticised Hazard after the Champions League defeat by Atltico Madrid in 2014 Eden is the kind of player who is not so mentally ready to look back at his left-back and live his life for him, he said, after Hazard had commented that Chelsea were better counterattacking than taking the game to the opposition the relationship worked. When Hazard was named Chelseas players player of the year and joked that the other nominees would have to work harder, Mourinho appreciated the dig.

That was the height of their connection. The manager recognised Hazard as a humble, diligent player lacking a little ambition. Hazards father announced that he saw Mourinho as the manager to give his son a little more ego, to make him a wonderful player as well as the fantastic dad and wonderful husband he already was. Mourinho began to acknowledge his respect for Hazard, highlighting an opponent in team meetings and saying he was no Maradona, no Messi, no Hazard.

The warmer approach brought the best out of Hazard and Chelsea won the Premier League as Hazard was named PFA and Football Writers player of the season.

But then Mourinho ramped up the pressure, describing Hazard as my new Messi while at the same time urging him to take more defensive responsibility. At the same time, Hazard was struggling to recover from a hip problem that afflicted him until last April. At one point a frustrated Mourinho allegedly told him: Youre not good enough for the top. Ill have to sell you. He began to criticise him in press conferences again.

As reports surfaced that the pair had fallen out, they met to discuss the situation. Hazard asked to play centrally and Mourinho agreed for the home game against Liverpool. With the score at 1-1, though, Mourinho took him off, shattering what remained of Hazards confidence.

Yet there is no acrimony between the two. When Mourinho was sacked, Hazard sent him a text message saying he felt responsible because he had not been at the same level as before. Mourinho replied, accepting Hazards sentiment and wishing: Good luck to you and your wonderful family. Mourinho felt he lacked the necessary hardness; by the end Hazard, along with a number of players, felt wearied by Mourinhos relentless abrasiveness. In Hazard was expressed a wider malaise.

Hazard has clearly benefited from taking a more central role this season. Playing almost as an inside-left in Antonio Contes 3-4-2-1, he has been able to drift infield, knowing Marcos Alonso is always there to go outside him and offer creative width, while also being able to initiate the press, if required, on the opposing full-back. For all the meticulousness of Contes planning, that perhaps has made his movement less predictable and with that freedom within a system some of the swagger has returned to his play, most notably in that goal against Arsenal when he beat Laurent Koscielny at both the beginning and the end of a 40-yard burst.

Hazard has taken full toll on Mourinho as well, scoring one and generally sparkling with menace in Chelseas 4-0 win over Manchester United. So dangerous was he that for the FA Cup quarter-final in March, Mourinho seemingly targeted Hazard. Whatever the rights and wrongs of Ander Herreras dismissal in that game, the red card resulted from Hazard being kicked every time the ball came near him, an intriguing focus, taking into account Chelseas slickness as a unit this season.

Given the way that game went, any strategy to counter Hazard on Sunday will have to be rather more subtle. And if United are to prevail, Hazard will have to be neutralised. For Mourinho, perhaps, that is not only a tactical imperative but also a psychological one.

Originally posted here:
Eden Hazard and Jos Mourinho: anatomy of a rollercoaster relationship - The Guardian

Anatomy of a murder: Intense investigation spent seven days solving … – Houston Chronicle

Intense, 7-day hunt for lawman's killer brought together many agencies

By James Pinkerton, St.John Barned-Smith, and Andrew Kragie

A memorial for Harris County Precinct 3 Assistant Chief Deputy Clinton Greenwood was set at his parking spot outside the Baytown Courthouse Tuesday, April 4, 2017, in Baytown, Texas. Greenwood was fatally shot at that parking spot as he arrived to work Monday morning.

A memorial for Harris County Precinct 3 Assistant Chief Deputy...

No one knows when William Kenny decided it was time to act. He had been seething for years, the anger gnawing at him, the list of those who had wronged him growing. Now he was going to do something about it.

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Anatomy of a murder: Intense investigation spent seven days solving ... - Houston Chronicle

TV Ratings Thursday: ‘Grey’s Anatomy’ stays low, ‘The Blacklist … – TVbytheNumbers

Broadcast primetime live + same-day ratings for Thursday, April 13, 2017

The numbers for Thursday:

CBS led the night once again in the Thursday ratings this week, with The Big Bang Theory scoring a 2.4 rating in adults 18-49. This was two-tenths of a point lower than its 2.6 in the week before, but still well above anything else in the night. Also on CBS, The Great Indoors (1.2), Mom (1.3), and Life in Pieces (1.1) were all down from their previous numbers, while The Amazing Race held steady with a 0.9.

ABC nabbed the second-highest spot of the night with Greys Anatomy though it tied its series low for the second week in a row with a 1.7. Scandal (1.4) was up one-tenth and The Catch was even with its previous 0.7 on the network.

On NBC, both Powerless (0.6) and Chicago Med (1.0) held steady. With its season finale episode as well, The Blacklist: Redemption ticked up from last weeks season low to a 0.7.

Supernatural (0.5) and Riverdale (0.3) continued to perform as expected on The CW, with both maintaining their previous numbers. FOX rounded out the rest of the night with Masterchef Junior (0.9) and Kicking and Screaming (0.5).

Network averages:

Late-nightmetered market ratings (adults 18-49, households):

11:35 p.m.

The Tonight Show Starring Jimmy Fallon R: 0.5/3, 1.6/4

Jimmy Kimmel Live: 0.5/3, 2.0/5

The Late Show with Stephen Colbert R: 0.4/2, 1.8/5

12:35 a.m.

Nightline: 0.3/2, 1.3/4

Late Night with Seth Meyers R: 0.2/2, 0.8/3

The Late Late Show with James Corden R: 0.3/2, 0.9/3

Definitions: Rating: Estimated percentage of the universe of TV households (or other specified group) tuned to a program in the average minute. Ratings are expressed as a percent. Fast Affiliate Ratings: These first national ratings are available at approximately 11 a.m. ETthe day after telecast. The figures may include stations that did not air the entire network feed, as well as local news breaks or cutaways for local coverage or other programming. Fast Affiliate ratings are not as useful for live programs and are likely to differ significantly from the final results, because the data reflect normal broadcast feed patterns. Share (of Audience):The percent of households (or persons) using television who are tuned to a specific program, station or network in a specific area at a specific time. Time Shifted Viewing:Program ratings for national sources are produced in three streams of data Live, Live +Same-Day and Live +7 Day. Time-shifted figures account for incremental viewing that takes place with DVRs. Live+SD includes viewing during the same broadcast day as the original telecast, with a cut-off of 3 a.m. local time when meters transmit daily viewing to Nielsen for processing. Live +7 ratings include viewing that takes place during the 7 days following a telecast.

Source: The Nielsen Company.

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TV Ratings Thursday: 'Grey's Anatomy' stays low, 'The Blacklist ... - TVbytheNumbers

TJC to host Human Anatomy & Physiology Society regional conference – Tyler Morning Telegraph

Tyler Junior College has been selected as the host site for Saturdays regional conference of the Human Anatomy & Physiology Society.

HAPS is a national society of more than 1,700 educators from high schools, two- and four-year colleges, universities, and private businesses in the United States, Canada and throughout the rest of the world, said Dr. Betsy Ott, TJC biology professor and recent past president of the organization.

Ott has been a professor at TJC since 1982, teaching anatomy and physiology, general biology for non-science majors, and biology for majors.

In addition to her term last year as HAPS president, Ott was also named an honorary member of the National Association of Biology Teachers, the groups highest honor.

Meetings and workshops will be in the newly renovated Anatomy & Physiology labs in the Pirtle Technology building on the TJC main campus. Exhibitors will be on hand from textbook, teaching and technology companies, along with the Howard Hughes Medical Institute.

Workshops will range from content updates to innovations in teaching techniques and technology. At the end of the day, participants will be given a tour of the state-of-the-art simulation labs in TJCs Rogers Nursing & Health Sciences Center.

For more on TJC science programs, go to http://www.tjc.edu/science .

-Melissa McTee

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TJC to host Human Anatomy & Physiology Society regional conference - Tyler Morning Telegraph

Complex Vascular Anatomy Problematic for Carotid Artery Stenting – MedPage Today

Action Points

Complex aortic arch configurations and internal carotid artery (ICA) tortuosity were bad news for carotid artery stenting, but not endarterectomy, according to an MRI substudy of the International Carotid Stenting Study (ICSS).

New ischemic brain lesions on diffusion-weighted MRI after treatment were found in 51% of cases after stenting and 16% of cases after surgery (OR 6.0, 95% CI 2.9-12.4), the paper in the May 2017 issue of Stroke showed.

With carotid artery stenting, Leo Bonati, MD, of University Hospital Basel in Switzerland, and colleagues found age-independent predictors for new brain lesions to be aortic arch configuration type 2 or 3 (OR 2.8, 95% CI 1.1-7.1) and an ICA angle of 60 or higher (OR 4.1, 95% CI 1.7-10.1).

Those whose largest ICA angle was at least 60 had a 12-fold higher risk of strokes during stenting over their peers with smaller ICA angles (OR 11.8, 95% CI 4.1-34.1).

Complex vascular anatomy was not a factor for strokes during surgery. However, aortic arch configuration types 2 and 3 did trend numerically to a higher risk for cerebral ischemia (OR 3.5, 95% CI 0.7-17.1).

Bonati's group suggested that these configurations are associated with increased atherosclerotic burden or represent markers of general vascular risk. Aortic arch type 2 was defined in the study as having at least 1 supra-aortic artery originating between the outer and inner curvature; aortic arch type 3 was for cases where there was at least 1 supra-aortic artery originated below the level of the inner curvature.

"Older age has consistently been shown a risk factor for procedural stroke in carotid artery stenting, but not in carotid endarterectomy," they wrote. "It has been speculated whether the association might be mediated by vascular anatomy."

"Elongation of the aortic arch and supraaortic arteries was found to be more prevalent in elderly patients, possibly leading to more difficulties during the carotid artery stenting procedure," they concluded. "Notably in our analysis, the associations between ICA angulation and aortic arch configuration with cerebral ischemia in the stenting group remained significant after correction for age. Hence, vascular anatomy should be taken into account when selecting the appropriate treatment option for an individual patient, independent of the patient's age."

The ICSS trial randomized 1,700 patients with symptomatic internal carotid artery stenosis to stenting or surgery. Top-line results put stenting recipients at a disadvantage for adverse events.

For this ICSS substudy, the authors included the 184 patients who got magnetic resonance (n=126) or CT angiography (n=58) at baseline on top of brain MRIs before and after treatment.

Bonati and colleagues posed several reasons why it would make sense that complex vascular anatomy has an association with procedural stroke.

"A complex configuration of the aortic arch and the supraaortic arteries increases the technical difficulty of the stent procedure," they wrote. "Repeated attempts to advance the catheter and guidewire may cause endothelial microtrauma or dislodge atherosclerotic plaque and ultimately cause cerebral emboli."

"The protocol of ICSS did not contain detailed precautions against these complications, such as advice on catheter and guidewire handling, limiting guidewire maneuver time between flushing, syringe aspiration and cleansing, concentration of heparin in saline flush, use of constant infusion via infusion ports to stopcocks, etc.," the authors noted.

"We are therefore unable to verify that all possible precautions against thromboembolism were taken," they wrote. "This limitation must be borne in mind when interpreting the results of our study."

Another limitation is the exclusion of patients with extremely unfavorable anatomy for stenting.

"The fact that the ICSS protocol excluded patients with a stenosis that was thought to be unsuitable for stenting because of proximal tortuous anatomy is likely to have limited the number of patients with very unfavorable anatomy," according to Bonati's group. "The full impact of vascular anatomy on carotid artery stenting risk may therefore have been underestimated in this study."

ICSS was funded by several European government and industry grants.

Bonati disclosed serving on scientific advisory boards for Bayer.

2017-04-13T16:00:00-0400

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Complex Vascular Anatomy Problematic for Carotid Artery Stenting - MedPage Today

Grey’s Anatomy sneak peek: Will Meredith and Riggs join the mile-high club? – EW.com

Greys Anatomy is trading on-call rooms for airplane bathrooms?

During Thursdays episode of the ABC medical drama, Meredith (Ellen Pompeo) and Riggs (Martin Henderson) are forced to confront their feelings when they are stuck sitting next to each other on a plane. But the duo may also join the mile-high club when Riggs makes his move at an, ahem,inopportune moment. How will Meredith react? Check out theexclusive sneak peek above to find out.

Greys Anatomy airs Thursdays at 8 p.m. ET on ABC.

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Grey's Anatomy sneak peek: Will Meredith and Riggs join the mile-high club? - EW.com