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The vast majority of obstructions were identified in the subclavian vein (67 of 71) with the remainder being at the junction of the subclavian vein with the superior vena cava (SVC) (see Figure 1 ).
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Runner Mick McGeoch, 55, said: "When I finished I knew it was short". A race spokesman said: "The safety of all runners and spectators was our primary concern when making such decisions and the change in the course had to be undertaken when an obstruction was identified by race organisers.
In all cases, venous obstruction was identified on the basis of venography performed (either in the radiology department at least 1 day prior to the procedure or in the cardiac catheter laboratory on the day of the procedure) prior to each procedure to ascertain the patency of the venous system.
In contrast with the dark-gray signal of the normal myocardium, the microvascular obstruction was identified as a dark zone, usually located in the subendocardium within the hyperenhanced, infarcted myocardium, on both early (3 min post-contrast) and late (12 min post-contrast) gadolinium-enhanced images (Figs. 1b, 2b, 4a, b) [ 5].
For each problem area, a set of possible interventions with the potential to reduce obstructions and difficulties were identified.
An additional nine patients (10.5%) were identified as outflow obstruction (15 mmHg threshold) with MMS 10-swallow and four with MMS composite swallow evaluation; only one was confirmed.
MATERIALS AND METHODS: Patients undergoing placement of the metallic Resonance® stent for malignant ureteral obstruction at an academic referral center were identified retrospectively.
All subjects with COPD (n = 993) defined according to the GOLD spirometric criteria, FEV1/FVC < 0.70, and gender- and age-matched subjects without airway obstruction, non-COPD (n = 993), were identified in a clinical follow-up survey of the Obstructive Lung Disease in Northern Sweden (OLIN Studiess cohorts in 2002-2004.
Only 1.2% in the targeted arm and 1.5% in the opportunistic arm were identified with airway obstruction.
Only 14 patients were identified by airway obstruction FEV1 < 80% of predicted and positive bronchial reversibility testing.
Excluding achalasia, six patients with outflow obstruction (mean IRP 23.2 ± 2.1 with 10-swallow average) were identified by both systems.
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