Janevski, Petar
Preferred name
Janevski, Petar
Official Name
Janevski, Petar
Main Affiliation
27 results
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Item type:Publication, Variation in level of entry of the vertebral artery into the transverse foramen(Macedonian Association of Anatomists and Morphologists, 2011); ; ; ;Aliji, VjolcaThe aim of this study was to analyze the variable level of entrance into the transverse foramen and to point the risks of injury of the vertebral artery during accomplishing surgical procedures. For that purpose we examined 40 patients with CT angiography and analyzed the level of entrance into the transverse foramen. The vertebral artery entered the C6 transverse foramen in 38 (95%) patients. Abnormal level of vertebral artery entrance was observed in two (5%) patients, with entrance into the C4 and C5 transverse foramen. The incidence of abnormal level of entrance into the transverse foramen is relatively high, and this potentially dangerous condition should be detected on preoperative imaging in order to avoid vertebral artery injury. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Anatomy and specific variations in nasoethomoid region and their clinical significance(Macedonian Association of Anatomists and Morphologists, 2008); ; ;Korneti-Pekevska, Kostadina; The revolutionary changes in surgical treatment ment of paranasal sinuses in chronic sinusitis in the last twenty years, especially functional endoscopic sinus surgery (FESS), have increased the interest and necessity of clinicians for better understanding of the anatomy of sinonasal cavities and specific variations in this region. This article presents the anatomy and specific variations in the nasoethmoid region, evaluated on CT scans of paranasal sinuses, together with overview of literature. It also gives their clinical significance, for better understanding of sinus pathology, as well as easier diagnostic treatment and preoperative surgical planning in patients with chronic sinusitis. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Clinical Effectiveness of Single Lumbar Periradicular Infiltration in Patients with Sciatica(Walter de Gruyter GmbH, 2023-07-01); ; ;Kostova, Masha ;Ristikj-Stomnaroska, DanielaStoshevska, Tatjana DelevaPeriradicular therapy (PRT) is a minimally invasive radiological procedurein patients with chronic lumbar pain.The aim of the study is to identify clinical and radiological predictive factors for treatment success after a single PRT treatment in patients with sciatica.The study includes a prospective follow-up of 166 patients treated with PRT. The pain intensity is determined according to the VAS scale and the degree of improvement is presented as excellent (over 75%), good (50-70%), moderate (25-49%), and weak (less than 25%). The follow up of the treated patients was done at 2 weeks, 3 and 6 months. In patients with pain duration up to 3 months, the improvement was excellent in n=32 (58.18%) after 2 weeks, after 3 months n=41 (74.55%) and after 6 months n=41 (74.55%). This stands in contrast to patients with pain over 1 year. The percentage of improvement after 6 months, post-intervention, was highest in patients without nerve root compression (86.25±19.2),and the highest improvement after 6 months was in patients with localization of pain at the L4-L5 level (69.69±29.7), the greatest improvement after six months was in patients with extraforaminal hernia (62.82±34.3), and the lowest in patients with central stenosis (40.21±30.7).Our study results suggest that the shorter a pain duration, low-grade root compression, injection level and type of herniation area predictor the more favourable response patients have to transforaminal epidural steroid injection in patients with sciatica. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Pelvic index in examinees of macedonian nationality(2013-10-03) ;Janevski, Georgi; ; ; The aim of this study was to monitor the development of the pelvic parameters during puberty and adolescence in exartiinces of both. Material and methods: The measurements were made according to IBP on 1400 examiinees of Macedonian nationality, dlvided into 14 groups. Pelvic index and ndex of pelvic - Vallo's width were calculated. Results: Pelvic index 18-19.5 (moderate width) was found in female examinees aged 14 10 20 years. In males younger than 17 years pelvic index was smaller than 15.9, which indicates a relatively narrow pelvis. Mean value of pelvic index was found in 15-year-old females Conclusion: The analysis of pelvic Indexes in examinees of Macedonian nationality showed that the width of the pelvis was a sexually connected characteristic. A relatively moderate width of pelvis was found in females older than 14 years, which is a secondary sexual daracteristic policinders skorn: The analysis of per vederate with of pelvis. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Pulmonary manifestation of sarcoidosis detected on high resolution computed tomography(Macedonian Association of Anatomists, 2023); ; ; ; Sarcoidosis is a multisystemic disease of unknown etiology that mostly affects the lung parenchyma with interstitial and granulomatous changes of varying intensity and expression depending on the stage of the disease. In addition to the parenchyma and interstitium, the mediastinal lymph nodes are also very often affected. To analyze the distribution and characteristics of interstitial lung lesions and the involvement of mediastinal lymph nodes in pulmonary sarcoidosis by the method of high-resolution computed tomography.15patients diagnosed with pulmonary sarcoidosis were included in the study. Computed tomography with high resolution was made on 128 slice CT scanner PHILIPS INCISIVE, using 1 mm thin-slice thickness and high spatial frequencies algorithm for image reconstruction. Lymph nodes are classified as hilar and mediastinal with a maximum diameter of short axis of more than 10 mm taken as their enlargement. Pulmonary changes are classified as nodules, reticular opacities, fibrous lesions, ground glass opacities and consolidations. The predominant distribution of lesions in the upper and middle zones of the lungs compared to the lower zones was noted. The disease is graded in 5 stages with the Scadding classification. 15cases of patients diagnosed with sarcoidosis were analyzed all of whom are women in the age group of 30-60 years old. Two patients are in stage I and three are in III stage of the disease, 6patients are in stage II of sarcoidosis and 4 are in stage IV of the disease. Dry cough as a symptom predominates in all patients, while dyspnea is graded according to the mMRC scale. Mediastinal lymphadenopathy with and without calcifications was present in 11patients. The type of lung changes as well as their distribution are presented in graphs. HRCT is the method of choice in the evaluation of pathological changes in pulmonary sarcoidosis. It very precisely shows us the characteristic appearance of nodules and lesions, their distribution and atypical changes and helps us in grading the disease and its treatment. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, ДЕГЕНЕРАТИВНО ЗАБОЛУВАЊЕ НА ЦЕРВИКАЛНИОТ СЕГМЕНТ ОД ‘РБЕТОТ КАЈ ПАЦИЕНТИ СО ЦЕРВИКОБРАХИЈАЛЕН СИНДРОМ(SHMSHM - AAMD, 2020); ; ; Janevski, GeorgiВовед: Една од главните причини за рефракторна вратна болка е дегенеративното заболување на цервикалниот сегмент од `рбетот. Наша цел е да го прикажеме типот на дегенеративното заболување на цервикалниот сегмент од `рбетот кај овие пациенти. Материјали и методи: Студијата е аналитичка-трансверзална студија во која беа користени МР прегледите на цервикалниот `рбет и податоците од прашалниот дизајниран за оваа студија. Фокусната група се состои од 98 испитаници на возраст од 35-70 год. со рефракторна вратна болка. Резултати: Нашата студија покажа дека кај 77 испитаници постои надув на еден или повеќе интервертебрални дискови додека кај 50 испитаници резултатите од МР на цервикалниот сегмент од ‘рбетот покажаа дека постои протрузија на еден или повеќе интервертебрални дискови. Ваквиот наод незначајно е асоциран и со трауматска повреда на вратот (Chi-square=0,54 df=1 p=0,46). Заклучок: Надув на интервертебрален диск на цервикалниот сегмент од ‘рбетот како патолошка промена е чест кај симптоматските пациенти и се регистрира кај 78,57% од испитаниците. Од друга страна појавата на дискус хернија не е толку честа и се јавува кај нешто повеќе од половина од испитаниците (51,02%). - Some of the metrics are blocked by yourconsent settings
Item type:Publication, CORRELATION BETWEEN RISK FACTORS FOR ONSET OF DISC HERNIATION AND LOCALIZATION OF THE PATHOLOGIC CHANGE(Macedonian Association of Anatomists and Morphologists, 2019); ; ;Anastasovski, Mirko ;Janevski, GeorgiBackground: Almost 70% of the population suffers from neck pain at some point during a lifetime. Our aim was to show the impact of the risk factors on the incidence of disc herniation and the localization of the pathology. Materials and methods: This was a cross-sectional study in which MRI data of the cervical spine and data from the questionnaire designed for the study were used. The focus group consisted of 98 subjects aged 35-70 years with refractory neck pain. Results: Our study showed that in male subjects 40% of the herniated discs were at level of C3/C4 and C6/C7 respectively, and 47.06% of the herniated discs were at C5/C6 level in female subjects. Sedentary work had a significant impact on the prevalence of cervical disk herniation (Chi-square=16.88; df=3; p=0.00082), most commonly found (46.15%) at C5/C6 level. Conclusion: Disc herniation is most common in the middle cervical spine (C5/6). Significant predictors for the analyzed risk factors of cervical discs herniation are: age, genetic predisposition and work-related daily slouching or straining the neck. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Multidetector CT Angiography retrospective study of fetal origin of posterior cerebral artery of the population in R. Macedonia(2013-10-03); ;Janevski, Georgi; ; Aliji, VjolcaBACKGROUND AND PURPOSE: Fetal origin of the posterior cerebral artery is a common anatomic variation in the posterior cerebral circulation. It is estimated to occur in up to 30% individuals. The aim of this study is to show the incidence of unilateral and bilateral fetal origin of he posterior cerebral artery of the population in R. Macedonia. MATERIALS AND METHODS: The sensitivity and specificity of multidetector CT angiography are reported to be high (819-90% and 93%, respectively). Retrospectively we reviewed random multidctector CT Angiography studies of 100 patients in our clinic, to determine the incidence of fetal origin of the PCA of the population in R. Macedonia ( sex and age was not taken into account) RESULTS: Form the randomly selected 100 individuals examined in our clinic in the last year, 32 (32%) had fetal PCA, and only 4(49) of those had bilateral fetal PCA. From the 28 individuals with unilateral fetal origin of the posterior cerebral artery, 19 had right fetal PCA and 9 had left fetal PCA. CONCLUSION: The study showed that the incidence of fetal origin of posterior cerebral artery of the examined population in R. Macedonia Is 32%. The incidence of unilateral fetal PCA Is 29% and of bilateral fetal PCA IS 4%. From all the examinees 19% have unllateral right and 9% unilateral left fetal PCA. - Some of the metrics are blocked by yourconsent settings
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Item type:Publication, CHALLENGES IN ENDOVASCULAR TREATMENT OF WIDE NECK ANEURYSMS(2019-10-24); ; ; ;Caparovski, AleksandarBackground: An aneurysm is an abnormal focal dilatation of an artery. Most of the unruptured aneurysms are asymptomatic and discovered incidentally or some of them symptomatic with mass effect or nerve palsy, but rupture of aneurysm results in a potentially life-threatening subarachnoid haemorrhage. Aneurysms with wide necks are defined by neck diameters greater than 4 mm or dome-to neck ratios less than 2 and are the most difficult to treat with the endovascular method. Aim: This study aimed to analyse the decision and type of endovascular treatment of intracranial aneurysms with a wide neck. Methods: The study population included 56 patients with 67 aneurysms referred to the University Clinic of Radiology in Skopje, the Republic of Macedonia for endovascular treatment during the period from 2017 to 2019. This study included 29 females and 18 males, ranging in age from 25 to 74 years. Results: From total 56 treated aneurysms 19 were ruptured and 37 unruptured. Six patients were with multiple aneurysms. In these study complex aneurysms were treated with combined technique, 9 with balloon-assisted coiling, 28 with stent-assisted coiling, 6 stents, 3 with flow diverter assisted coiling, 13 FD and 3 with partial coil filling, 5 with coiling and neck remodeling without assistance device. Conclusion: Aneurysms with wide neck remain a challenge for endovascular treatment. But the development of new techniques and materials in the treatment of aneurysms makes endovascular treatment of intracranial aneurysms safe and feasible.
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