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However, real-time imaging does not appear to reduce the bleeding risk: significant bleeding usually results from arterial sources but small arteries cannot be visualized at ultrasound.
Thus, in vitro the constrictor effect of ergotamine on human temporal and coronary arteries cannot be washed out [40 42].
While proximal branch pulmonary arteries can be surgically repaired, many of the distal pulmonary arteries cannot be easily accessed and fixed surgically.
Thus the association between APOE genotypes and the extent atherosclerotic process in the arteries cannot be measured on the basis of our material.
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A disadvantage of PSAE, however, could be that selective embolization in case of rebleeding is difficult, if not impossible, because the splenic artery cannot be accessed.
When lymph node metastasis is suspected and the artery cannot be preserved, we should confirm that the left gastric artery is clamped and check the color of the liver and pulsation of the proper hepatic artery.
Open image in new window Fig. 2 The position of the ascending aorta or pulmonary artery cannot be distinguished on this axial pre-monitoring image (a) in a 1-month-old child with a large thymus and lack of mediastinal body fat, making it difficult to accurately place the ROI for automatic scan triggering.
Embolisation with coils should be avoided because the artery cannot be made again accessible distal to the proximal occlusion in recurrent epistaxis.
Some authors favor optic canal unroofing or even a more extended optic canal drilling including anterior clinoidectomy, although the risk of optic nerve injury either by direct injury of the drill itself or the resulting heat and the risk of a laceration of the carotid artery cannot be denied [ 2].
As shown in Figure 3, transcranial Doppler measurements can be performed at the level of the middle cerebral artery and cerebral arterioles cannot be directly assessed.
These results support the current concept of coronary artery disease, the authors wrote — that it is a systemic inflammatory disease of the arteries that cannot be successfully treated by surgical intervention at a particular site on one artery.
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