Michael J Stirling

Duke University Medical Center, Durham, NC, United States

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Publications (8)4 Total impact

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    ABSTRACT: Fusiform dilation of the jugular vein, or jugular venous phlebectasia, is a rare clinical entity, with an etiology of cervical swelling. We present a case of a 15-year-old male with no antecedent history of trauma and an enlarging right neck mass. Pertinent literature and relevant diagnostic and therapeutic modalities are reviewed. While conservative management is usually prescribed, ligation and resection may be performed safely when intervention is warranted.
    Annals of Vascular Surgery 06/2008; 22(5):681-3. · 0.99 Impact Factor
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    Michael J Stirling, Tony P Smith, Richard L McCann
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    ABSTRACT: The authors present a case study of a neck hematoma presenting within hours of carotid artery stent placement. Subsequently, delayed pseudoaneurysm formation was noted. The purpose of this communication is to describe this case and present the treatment options, including the clinical success of delayed surgical intervention in this patient.
    Journal of Vascular and Interventional Radiology 05/2008; 19(4):595-9. · 2.00 Impact Factor
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    ABSTRACT: La dilatación fusiforme de la vena yugular, o flebectasia venosa yugular, es una entidad clínica insólita con una etiología relacionada con inflamación del cuello. Presentamos el caso de un joven de 15 años de edad sin antecedentes de traumatismo y una masa que aumentaba de tamaño, localizada en el lado derecho del cuello. Se revisan los estudios publicados pertinentes y las modalidades diagnósticas y terapéuticas de interés. Aunque suele indicarse tratamiento conservador, cuando está justificada una intervención, pueden efectuarse sin riesgo su ligadura y resección.
    Anales de Cirugía Vascular. 01/2008; 22(5).
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    ABSTRACT: La dilatation fusiforme de la veine jugulaire, ou phlébectasie jugulaire, est une entité clinique rare, entraînant un gonflement cervical. Nous présentons l'observation d'un malade de 15 ans, de sexe masculin, sans antécédent traumatique et ayant une masse cervicale droite augmentant de volume. Nous étudions la littérature et les modalités diagnostiques et thérapeutiques. Alors qu'un traitement conservateur est habituellement prescrit, la ligature et la résection peuvent être réalisées en toute sécurité lorsque l'intervention est indiquée.
    Annales De Chirurgie Vasculaire. 01/2008; 22(5):738-740.
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    ABSTRACT: The purpose of this morbidity and mortality case report is to discuss a characteristic of the Viabahn (W.L. Gore, Newark, DE) stent-graft deployment as well as a complication related to wire trauma during endovascular exclusion of a popliteal artery aneurysm. We encountered a phenomenon not described in the literature during deployment of a Viabahn stent graft. This necessitated further wire purchase, which resulted in perforation of a branch vessel within the calf. The rapid recognition of the clinical findings and prompt diagnosis of compartment syndrome was essential to early intervention, which prevented further complication and permanent sequelae.
    Seminars in Interventional Radiology 09/2007; 24(3):307-11.
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    ABSTRACT: The traditional approach to revascularization in aortoiliac disease is surgical. Endovascular treatment techniques for revascularization have emerged in recent years and have resulted in less invasive options for management of vascular disease. In this article, we describe a novel approach to endovascular stent graft reconstruction of a heavily calcified infrarenal aortic occlusion. The interventional management of aortic occlusions is subsequently discussed.
    Seminars in Interventional Radiology 03/2007; 24(1):10-4.
  • Vanessa A Olcese, Michael Stirling, Jeffrey Lawson
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    ABSTRACT: The hemostatic mechanisms at work in the body involve a complex series of interactions between platelets, the endothelium, and the coagulation cascade. Much has been learned regarding the molecular mechanisms governing these intricate processes. The hypercoagulable state involves a disruption of the normal homeostatic equilibrium. This state may be either inherent or acquired. The prevention of associated thromboembolic complications requires therapeutic anticoagulation. A broader understanding of the factors contributing to these prothrombotic tendencies and the subtleties involved in their management provides the surgeon with another weapon in the armamentarium to promote better and safer patient outcomes.
    Thoracic Surgery Clinics 12/2006; 16(4):435-43.
  • Michael Stirling, Cynthia K Shortell
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    ABSTRACT: Within the past 5 years, radiofrequency ablation and endovenous laser treatment have been introduced as important new endovenous ablative techniques for the minimally invasive treatment of superficial venous reflux and varicose veins. Although sclerotherapy has been a well-established technique for spider telangectasia, recent reports have documented that administration of aerated or foamed sclerosants provides an excellent cost-effective option for treatment of varicose veins. This report reviews the indications for these minimally invasive techniques, the technical aspects of these approaches, and describes in detail the short and long-term success rates. To date, results of minimally invasive therapies are equivalent to or surpass those of surgical vein stripping, while offering dramatically reduced recovery time and complication rates.
    Seminars in Vascular Surgery 07/2006; 19(2):109-15. · 1.02 Impact Factor