J Masković

Publications (8)12.54 Total impact

• Article: A nephron-sparing surgical procedure for Fraley's syndrome. A case report.

  M Biocić, M Saraga, J Masković, D Vukić-Kosuljandić, M Saraga-Babić, D Budimir
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  ABSTRACT: A 14.5-year-old girl with Fraley's syndrome, which caused left flank pain and massive haematuria with anaemia underwent left renal surgery. The infundibulum for the left upper calyx group was entrapped between the lower segmental renal artery and one branch of the renal vein. Despite other known surgical procedures, the surgeon explored the area around the entrapped infundibulum and resected the vein. Impression of the infundibulum disappeared, the dilatation of the upper calyces diminished, the pain was immediately relieved, and the haematuria stopped. In the two-year follow-up period the patient remained healthy, without haematuria or a subjective feeling of illness. The surgical treatment performed was successful, and it is also one of the most nephron-sparing procedures available.
  European Journal of Pediatric Surgery 11/2002; 12(5):341-4. · 0.81 Impact Factor
• Article: Traumatic false aneurysm of the subclavian artery treated by insertion of Memotherm stent.

  J Masković, V Radonić, S Janković, L Cambj-Sapunar, Z Mimica, A Bacić
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  ABSTRACT: Traumatic aneurysms of the left subclavian artery and transverse cervical artery, subsequent to penetrating gunshot wound were diagnosed by angiography in 35-year-old patient. Subclavian artery aneurysm was treated by insertion of the Memotherm bare stent, whereas the false aneurysm of the transverse cervical artery was embolized with Gianturco's coils. The follow up examinations at 6 and 12 months showed good patency of subclavian artery.
  European Journal of Radiology 07/2001; 38(3):205-8. · 2.61 Impact Factor
• Article: Craniocerebral war missile injuries: clinical and radiological study.

  S Janković, N Besenski, Z Busić, Z Dujić, A Buca, J Masković, I Lusić, D Primorac
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  ABSTRACT: In this study we reviewed the initial clinical and radiological management and early outcomes of 176 consecutive patients from the war in Croatia.
  Acta Neurochirurgica 02/2000; 142(1):101-2. · 1.52 Impact Factor
• Article: Popliteal artery entrapment syndrome: diagnosis and management, with report of three cases.

  V Radonić, S Koplić, L Giunio, I Bozić, J Masković, A Buća
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  ABSTRACT: Popliteal artery entrapment syndrome is an important albeit infrequent cause of serious disability among young adults and athletes with anomalous anatomic relationships between the popliteal artery and surrounding musculotendinous structures. We report our experience with 3 patients, in whom we used duplex ultrasonography, computed tomography, digital subtraction angiography, and conventional arteriography to diagnose popliteal artery entrapment and to grade the severity of dynamic circulatory insufficiency and arterial damage. We used a posterior surgical approach to give the best view of the anatomic structures compressing the popliteal artery. In 2 patients, in whom compression had not yet damaged the arterial wall, operative decompression of the artery by resection of the aberrant muscle was sufficient. In the 3rd patient, operative reconstruction of an occluded segment with autologous vein graft was necessary, in addition to decompression of the vessel and resection of aberrant muscle. The result in each case was complete recovery, with absence of symptoms and with patency verified by Doppler examination. We conclude that clinicians who encounter young patients with progressive lowerlimb arterial insufficiency should be aware of the possibility of popliteal artery entrapment. Early diagnosis through a combined approach (careful physical examination and history-taking, duplex ultrasonography, computerized tomography, and angiography) is necessary for exact diagnosis. The treatment of choice is the surgical creation of normal anatomy within the popliteal fossa.
  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital 02/2000; 27(1):3-13. · 0.65 Impact Factor
• Article: Subclavian artery stenosis caused by non-specific arteritis (Takayasu disease): treatment with Palmaz stent.

  J Masković, S Janković, I Lusić, L Cambj-Sapunar, Z Mimica, A Bacić
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  ABSTRACT: A 32-year old woman was admitted to the hospital with a sudden onset of right-sided hemiplegia and aphasia. Immediate angiographic examination revealed a severe form of type I Takayasu arteritis with occlusion of all supra-aortic vessels, with the exception of the left subclavian artery which was, however, almost completely occluded 1 cm proximal to the origin of the left vertebral artery. Since the latter provided the entire blood supply to the brain tissues, an immediate attempt was undertaken to dilate the left subclavian artery; when this was unrewarding, stenting of the lesion was successfully accomplished with excellent primary and 6-month follow-up results.
  European Journal of Radiology 10/1999; 31(3):193-6. · 2.61 Impact Factor
• Article: Plasma and cerebrospinal fluid endogenous digoxin-like immunoreactivity in patients with aneurysmal subarachnoid haemorrhage.

  I Lusić, D Ljutić, J Masković, S Janković
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  ABSTRACT: Recent evidence indicates the presence of naturally occurring digitalis-like compounds in mammals, collectively known as either digitalis-like (DLF) or ouabain-like (OLF) factors, presumed to be endogenous hormones regulating the biological activity of the NA+/ K(+)-ATPase and its isoforms. This substance has been postulated to enhance renal tubular sodium excretion and to increase peripheral vascular resistance. Digoxin-like immunoreactive substance (DLIS) was observed in plasma of some patients with spontaneous subarachnoid haemorrhage (SSAH). Accumulating evidence suggests the central nervous system as a site of synthesis, but also as a site of hypertensinogenic action of endogenous cardioglycosides. The present study intends to establish the ratio of the DLIS in plasma to that in cerebrospinal fluid (CSF) in patients with SSAH and to investigate possible connection of this substance with development of arterial vasospasm. A prospective analysis of DLIS levels was performed on plasma and CSF samples obtained in 40 patients who had suffered a recent SSAH. DLIS levels were determined by the fluorescence polarisation immuno-assay method immediately after the admission to the Ward, and again seven days later. The comparison of CSF and plasma DLIS levels did not show statistically significant differences between the results--neither for the first (Z = 0.530; P = 0.591) nor for the seventh day after the disease onset (Z = 0.448; P = 0.654). Three possible hypothetical explanations of these results are offered: a) substance determined by digoxin immuno-assay has no essential likeness to digoxin; b) loss of the haemato-encephalic barrier integrity enabling free substance exchange between plasma and central nervous system; c) digoxin-like substance production within the central nervous system. Further, comparison of DLIS plasma levels (7th day from onset of SSAH) with angiography results showed that patients with multiple vasospasm had essentially higher plasma DLIS levels compared to patients with no vasospasms (Z = 2.59; P = 0.0097). The amount of extravasated blood, assessed on the basis of cranial CT scanning, was also connected with higher plasma DLIS levels (X2 = 3.29; P = 0.0305). The enhanced arterial narrowing which occurs in SSAH may be in part mediated by increased digitalis-like factor activity.
  Acta Neurochirurgica 02/1999; 141(7):691-7. · 1.52 Impact Factor
• Article: CT analysis of missile head injury.

  N Besenski, D Jadro-Santel, F Jelavić-Koić, D Pavić, D Mikulić, K Glavina, J Masković
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  ABSTRACT: Between August 1991 and December 1992, CT was performed on 154 patients who had suffered missile head injury during the war in the Republic of Croatia. In 54% CT was performed 1-24 h after injury, and in 27% follow-up CT was also obtained. The wounds were penetrating, tangential or perforating (45%, 34% and 21%, respectively). Haemorrhage was the most frequent lesion in the brain (84%). Follow-up CT evolution of haemorrhage, oedema, cerebritis, abscess, secondary vascular lesions, necrosis, encephalomalacia and hydrocephalus. The most dynamic changes occurred 7-14 days after injury. In 14% of cases, deep cerebral lesions were found in the corpus callosum, septum pellucidum periventricular region and pons, although bone and shell fragments were in a different part of the brain parenchyma. Such lesions were found in penetrating injuries only. CT proved very useful for assessing the extent and type of lesions. Although different mechanisms of brain damage in missile head injury are known, here they are, to the best of our knowledge, shown for the first time by CT.
  Neuroradiology 05/1995; 37(3):207-11. · 2.82 Impact Factor
• Article: [Musculotendinous pressure on the arteries of the knee observed in a patient with obstructive entrapment syndrome of the popliteal artery and vein].

  S Koplić, J Masković, V Radonić
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  ABSTRACT: The knee artery entrapment is a consequence of congenital anatomical anomaly. As only a relatively small number of cases of this type of disease is quoted in medical literature it would appear to occur in only 0.4 percent of patients having calf claudication and more especially in youthful persons. It is possible that some patients being treated in our hospitals for other diagnosis do in fact belong to this group. It is difficult to distinguish the neglected cases of artery occlusion from some of other etiology. Angiographic examinations should be made immediately on the young patients having calf claudication and surgery to be effected in such cases. Extraordinary results are obtainable. A patient suffering from both artery and vein entrapment syndrome is presented. Subjective disturbances proved to be similar although patho-morphological changes were more visible on the right side. Histological section of dissected artery shows typical abnormal muscular arrangement.
  Acta chirurgica iugoslavica 02/1982; 29 Suppl 2:189-93.