Some achievements have been made through proteomics in terms of profiling proteins and identification of potential biomarkers. However, the road to a successful biomarker discovery and its clinical implementation has proved to be challenging, requiring a number of key issues to be addressed. Such issues
are: the lack of widely accepted protocols, difficulty in sample processing and transportation and a lack of collaborative efforts to achieve significant sample sizes in clinical studies. In this review using our area of expertise, we describe the current strategies used for proteomic-based biomarker discovery in renal transplantation, selleck products discuss inherent issues associated with these efforts and propose better strategies for successful biomarker discovery.”
“The Zenith Dissection Endovascular System is a device
designed for treatment of aortic type B dissection utilizing the Provisional ExTension to Induce COmplete ATtachment (PETTICOAT) technique. Due to the stent design (low radial force and lack of columnar support), significant risk of stent misalignment exists, which we have encountered in four out of 25 patients treated since 2005. Misalignment may result from excessive manipulation of the delivery system at the time of implantation or during catheter manipulation during adjunctive or secondary procedures. The manufacturer has modified the design of this Selleckchem HKI 272 device in order to prevent misalignment, although no serious clinical consequences of this misalignment have been reported with a mean follow-up of 50 months. Care with catheter manipulation after device deployment and accurate review of postoperative imaging are still warranted. (J Vasc Surg 2013;57:515-7.)”
“A 54-year-old man with fishbone penetration of the thoracic esophagus and mediastinal hematoma was successfully managed with conservative treatment. Six-month follow-up computed tomography (CT) revealed migration of the fishbone into the aorta; however, the patient was asymptomatic and refused surgery. Six years later, CT showed persistent impaction of
the fishbone within the aorta, but the patient was healthy. To our knowledge, this is the first reported case of serial MRIP CT documentation of fishbone penetration of the esophagus with migration into and prolonged asymptomatic impaction within the aorta. (J Vasc Surg 2013;57:518-20.)”
“In the last years, big efforts are devoted to the search of novel biomarkers. Proteomic approaches in healthy and pathological samples may help us to discern differential protein expression patterns. These identified proteins include potential culprits in pathological pathways and/or clinical biomarkers to identify individuals at risk. However, extensively validation must be carried out before their implementation into the clinical practice.