tevar
tevar v. o. st ang: summary, production year, showtimes, casting about tevar v. o. st ang
tevar emerges an overdone, underwhelming film with zero charm, warns raja sen .
listen to sajid - wajid – tevar (original motion picture soundtrack) now .
must watch full movie review tevar box office collections numerology predictions. :) .
sonakshi sinha, arjun kapoor’s ‘tevar’ collects only rs 22. 15 cr in the first weekend
must watch full movie review tevar box office collections numerology predictions. :). - youtube
my cinema selection: tevar. all showtimes for tevar. find the latest movies in cinema in luxembourg, thionville, metz, trier, arlon. program your movie night on cinéma luxweb
thoracic endovascular repair (tevar) in the management of aortic arch pathology. - pubmed - ncbi
with films like tevar, cinematography and script must be excused and shown the door. you don' t expect great camera work in such copied films. tevar is a remake of telugu film okkadu .
tevar is your first film as a producer. are you feeling the pressure to deliver a hit ?
the basic plot of tevar - - of a boy rescuing a girl from a local politician, who wants to marry her - - is not new. how do you differentiate tevar from the rest ?
actress sonakshi sinha has a bruised wrist, thanks to a scene in her upcoming film
tevar
.
sonakshi sinha, arjun kapoor’s ‘tevar’ collects only rs 22. 15 cr in the first weekend | the indian express
arjun kapoor and sonakshi sinha promoted their film tevar at an iit college festival in mumbai. take a look .
the alternative to tevar is what doctors refer to as
open repair
. this procedure requires a large incision through the breastbone or side of the chest, much more invasive compared to the small groin incision made with tevar .
with manoj coming in, tevar suddenly looks more believable. he has this knack of bringing respectability to the character .
the collections of the movie' tevar' turned out to be only rs 22. 15 cr in the first weekend .
tevar has been in the making for two - and - a - half years. we had been hearing various scripts .
new delhi: actress sonakshi sinha has a bruised wrist, thanks to a scene in her upcoming film
tevar
.
mehta m, darling r c iii, taggert j b. et al. outcomes of planned celiac artery coverage during tevar .
but looks like sonakshi is all set to work 2014 in her favour and the actress has started shooting for ‘tevar’ with arjun kapoor .
depending on the type of disease, the tevar procedure usually provides a cure. the procedure usually takes around 2 hours to complete .
now that the film (' tevar') has not done well people felt i am not doing work due to depression. but that was not the case. i made peace with' tevar' not doing well and moved on ,
he added .
sonakshi sinha bruised while filming' tevar' actress sonakshi sinha has a bruised wrist, thanks to a scene in her upcoming film
tevar
. click here to subscribe to bombay times youtube channel urltoken thebombaytimes like times of india' s page on facebook: urltoken
thoracic endovascular aortic repair (tevar) is a minimally invasive procedure to repair the major blood vessel in the body, called the aorta .
the differentiation factor in tevar comes with its casting. arjun (kapoor, who plays the lead) hasn’t done something like this before .
“boney kapoor wanted the title ‘tevar’, which he realised was with yrf as it was a favourite of yashji’s. when arjun kapoor told adi (aditya) that they were keen to name the film tevar’, he gave him the title without any further delay, ” sources said .
the different pre - and intraoperative steps of tevar for patients with abad, complicated by malperfusion, are further illustrated in figures 1 - 5 .
in the boney kapoor production venture, sonakshi plays a girl from gokul in mathura .
tevar
also stars arjun kapoor and manoj bajpayee .
southee siren, singer, composer and actress shruti haasan has been roped in to do an item number in arjun kapoor - sonakshi sinha starrer tevar .
as per reports, manoj bajpayee will essay the role of villain in boney kapoor' s upcoming film' tevar' starring his son arjun kapoor .
feezor r j, martin t d, hess p j. et al. risk factors for perioperative stroke during thoracic endovascular aortic repairs (tevar )
i got screwed up badly during' tevar'. i was in a good space, i would have taken a break even if the film would have done good. i had lot of health issues as i was shooting for
tevar
and promoting other films ,
he said .
sonakshi sinha tweeted: “new day… new film! start work with the other gunda arjun today. off to jaipur for tevar! ! wish me luck :) ”
for tevar, i felt that manoj (bajpayee) was a better choice. for me, the film is more important than me coming in as an actor .
the film, which will be produced by arjun kapoor’s father boney kapoor, is being directed by debutante amit sharma. ‘tevar’ is a remake of telugu action film ‘okkadu’ .
actress sonakshi sinha has a bruised wrist, thanks to a scene in her upcoming film tevar. it' s not the first time that the 26 - year - old has been injured .
it was for a scene (for tevar) where one goon holds me over the wrist. his hand was very huge so, now there is blood clot ,
she told ians. in the boney kapoor production, sonakshi plays a girl from gokul in mathura. tevar also stars arjun kapoor and manoj bajpayee .
new delhi: actress sonakshi sinha has a bruised wrist, thanks to a scene in her upcoming film
tevar
. it’s not the first time that the 26 - year - old has been injured. whether it was a sprained foot or a bruised one, injury has been part of her work and now it’s on the sets of “tevar”. “it was for a scene (for ‘tevar’) where one goon holds me over here (wrist). his hand was that big so, now there is blood clot, ” she told ians. in the boney kapoor production venture, sonakshi plays a girl from gokul in mathura .
tevar
also stars arjun kapoor and manoj bajpayee .
unfavorable anatomy is the main contraindication to tevar, which may include inadequate proximal or distal seal zones, tortuosity, lack of vascular access options, or extremes of aortic diameter. placement into infected fields should also be avoided, although some small studies have shown that tevar may be useful as a temporizing measure in contaminated fields such as aortoesophageal fistulae. 31
anybody up for a commercial masala flick at the beginning of the year can consider watching tevar. for the likes of me, there' s better to come, hopefully .
tevar is a remake 2003 telugu film okkadu, directed by amit sharma and produced by boney and sanjay kapoor. the film also stars manoj bajpayee and will release in early 2015 .
stream & watch back to back full movies only on eros now - urltoken download all the
tevar
uncut best movie scenes and songs here - urltoken check out the exclusive making of the film' tevar' featuring arjun kapoor, sonakshi sinha & manoj bajpayee. eros international presents a sanjay kapoor entertainment pvt ltd production - boney kapoor' s
tevar
releasing on 9th january, 2015. starring: arjun kapoor, sonakshi sinha, manoj bajpayee directed by: amit ravindernath sharma produced by: sanjay kapoor, sunil lulla, naresh agarwal & sunil manchanda to watch more log on to urltoken for all the updates on our movies and more: urltoken urltoken urltoken urltoken for more updates on tevar: urltoken urltoken urltoken urltoken
i am listening to scripts, but right now the entire focus is on tevar. it’s my first film and it’s the first time that arjun is working for his home production .
stream & watch back to back full movies only on eros now - urltoken download all the
tevar
uncut best movie scenes and songs here - urltoken click here for nh10 full movie ☛ urltoken tevar dekh! check out the official trailer of boney kapoor’s' tevar'. starring: arjun kapoor, sonakshi sinha & manoj bajpayee directed by: amit sharma produced by: sanjay kapoor films & presented by eros international. for mobile downloads visit: urltoken http: / / 111. 93. 115. 200 / eros / s / videos. a... to watch more log on to urltoken for all the updates on our movies and more: urltoken urltoken urltoken urltoken for more updates on tevar: urltoken urltoken urltoken urltoken
trying to be alot like dabangg, tevar has the romance, the dance, the fight and of course good, bad and ugly characters who want to get hold of the girl .
shahverdyan r, gawenda m, brunkwall j. triple - barrel graft as a novel strategy to preserve supra - aortic branches in arch - tevar procedures: clinical study and systematic review .
dassy & fik - shun' s bollywood performance | season 14 ep. 9 | so you think you can dance music name: radha nachegi tevar (soundtrack) music link: urltoken
tevar is a movie starring arjun kapoor, sonakshi sinha, and manoj bajpayee. caught in the middle of a lethal unrequited love, an athlete protects a young woman from an unwanted marriage .
preoperative workup for tevar with malperfusion should include dynamic computed tomography (ct) imaging from the thoracic inlet to the femoral arteries. this imaging modality can give information on whether branch vessel obstruction is present and by which mechanism, and also if an associated aortic aneurysm exists. preoperative planning with 3d reconstruction of ct scans is even more important for the durability of tevar, using adequate sizing and assisting in determining suitability of tevar itself. not only does the affected segment and landing zones need to be analyzed, but the access vessels can also be assessed during the preoperative imaging workup .
thoracic endovascular aortic repair (tevar) has become the preferred approach for treatment of thoracic aortic pathology since the approval of the first endograft device by the u. s. food and drug administration (fda) in 2005. initially utilized in the treatment of aortic aneurysmal disease, tevar indications have expanded to include treatment of type b aortic dissection with malperfusion or rupture, traumatic aortic transection, and penetrating aortic ulcer (pau). although there are no randomized controlled trials directly comparing tevar to open surgery, numerous studies suggest that tevar is associated with decreased morbidity compared with open repair. 1 2 3 4 5 benefits of the endovascular approach include avoidance of thoracotomy or sternotomy incision, avoidance of aortic cross - clamping, decreased blood loss, and decreased end - organ ischemia. 6
the development of thoracic endovascular aortic repair (tevar) has allowed a minimally invasive approach for management of an array of thoracic aortic pathologies. initially developed specifically for exclusion of thoracic aortic aneurysms, tevar is now used as an alternative to open surgery for a variety of disease pathologies due to the lower morbidity of this approach. advances in endograft technology continue to broaden the applications of this technique .
amit sharma and shantanu srivastava script this original story by gunasekhar to no such glory in their bollywoodisation of ‘okkadu’ in ‘tevar’. so the settings are changed from hyderabad, kurnool to agra, mathura .
tevar - despite a routine plot, an over the top climax & many unwanted songs it still fairly entertains due to its action, confrontation scenes & manoj bajpai. (review by bobby sing )
of the 454 patients presenting with abad in our practice at the university of michigan health system from 1995 - 2012, 49 patients underwent tevar, of whom seven suffered malperfusion. the in - hospital mortality in this group of patients was 14. 3% (1 of 7) (2). a significant number of the patients during this time period were treated with percutaneous flap fenestration and true lumen stenting as an alternative to open repair or tevar. however, with the acceptance of tevar as a primary treatment option, our strategy has evolved towards this type of management (3, 4) .
the
gunday
star says he had health issues and was looking to go on a break. and insists the failure of
tevar
has nothing to do with him deciding to go slow .
tevar was not meant to push my career as an actor. tomorrow if i feel that there is a role and i feel i am a great choice for it, i will definitely take it .
“it was for a scene (for ‘tevar') where one goon holds me over here (wrist). his hand was that big so, now there is blood clot, ” she told ians .
actress sonakshi sinha has a bruised wrist, its all because of a scene in her upcoming film' tevar'. it' s not the first time that the 26 - year - old has been injured. whether it was a sprained foot or a bruised one, injury has been part of her work and now it' s on the sets of' tevar'. it was for a scene (for' tevar') where one goon holds me over her (wrist). his hand was that big so, now there is blood clot. stay tune for more updates. subscribe us at: urltoken follow us at: urltoken
tevar, which is the remake of telugu blockbuster okkadu, will be directed by debutant amit sharma. manoj will reprise prakash raj' s role from the original telugu film however, his character has been twisted slightly .
objectives: upon completion of this article, the reader will be able to discuss the indications for tevar, anatomic and preoperative planning considerations, common complications and how to manage them, and follow - up surveillance protocols .
it was for a scene (for' tevar') where one goon holds me over here (wrist). his hand was that big so, now there is blood clot ,
she told ians .
further the movie is unnecessarily long and the baffling climax somewhat reduces the ‘superhero’ impact - the feeling of triumph (the complete paisa vasool) moment any bollywood masala lover would want in the end. ‘tevar’ lacks that flavor .
tevar is the same old run of the mill story of the hero trying to protect the heroine from the goon.' agre ka launda' pintoo is a one man army bashing hundreds of gundas all through the film .
tevar is an indian action drama film directed by amit sharma and written by gunasekhar. it is a remake of a 2003 telugu film okkadu directed by gunasekhar. the film stars arjun kapoor, sonakshi sinha and manoj bajpayee .
i am hungry for good work. after
tevar
i was not 100 per cent physically, emotionally and mentally strong. i had done six back to back films ,
arjun said in an interview here .
actor arjun kapoor ’s next film, which is being produced by his father boney kapoor, is titled as ‘tevar’. the film has now got a name as filmmaker aditya chopra decided to give away the title to the kapoors .
tevar can effectively treat aortic arch pathology in high - risk patients with low morbidity and mortality. tevar and branch vessel revascularization techniques may be extended to the more proximal arch without increased complications compared with patients with subclavian only involvement. stroke remains the most significant drawback of arch interventions. indications for intervention, graft selection, and revascularization choices may all affect outcome. lsa sacrifice is associated with increased sci and may predispose left - handed patients to symptomatic weakness .
the film becomes a watch because of it' s power packed dialogues written by shantanu shrivastava. if given a choice between friends and family, we suggest you go with your friends to watch this flick. tevar is a one time watch .
conclusion:' tevar' possesses the tried tested and trusted massy ‘zevar’ and is packed by terrific action and performances of arjun, manoj and sonakshi but the length and baffling climax reduces the required ‘paisa vassol’ flavor a bollywood masala curry should have .
it' s not the first time that the 26 - year - old has been injured. whether it was a sprained foot or a bruised one, injury has been part of her work and now it' s on the sets of “tevar” .
tevar - - yet another of those mindless south remakes we have been indulging in so faithfully ever since aamir khan showed us the way in ghajini - - is a tiring slog, devoid of personality, riding unfairly on the shoulders of a young lad .
tevar also boasts of a few songs, which are apt for festivals coming up in 2015. with' superman', arjun kapoor proves how great a fan he is of salman bhai.' music bajega loud to radha nachegi', starring sonakshi sinha, is the song which draws gajendra singh' s attention towards her. in other words, that is where the conflict begins. well, that' s not the end, tevar also has an item number featuring long - forgotten actress shruti haasan .
new delhi: actress sonakshi sinha has a bruised wrist, thanks to a scene in her upcoming film
tevar
. it' s not the first time that the 26 - year - old has been injured. whether it was a sprained foot or
tevar is directed by well known ad filmmaker amit sharma who decides to shoot in agra and mathura, following the old school trend of setting all gunda mawali stories in uttar pradesh. the entire film promises you bloodbath and action sequences, if not anything else .
it' s not the first time that the 26 - year - old has been injured. whether it was a sprained foot or a bruised one, injury has been part of her work and now it' s on the sets of
tevar
.
with tevar, he was a hands - on producer. he knew it was my first film as a producer and it also starred his son arjun in it, so he took special interest in the film. i hope he is always there to guide me .
tevar is reserved for patients without an adequate response to medical therapy. this approach was supported by the initial results of the investigation of stent grafts in patients with acute type b aortic dissection (instead) trial, which compared medical management to tevar and found no difference in all - cause mortality at 1 year. 20 the initial conclusion was that uncomplicated dissections should be managed with antihypertensive therapy and close monitoring, and that routine stent grafting was unnecessary. the weaknesses of the study included that it was underpowered to evaluate all - cause mortality, 21 and the inclusion of all patients from 2 weeks postdissection to 52 weeks postdissection raised concerns regarding heterogeneity of the patient population. in contrast, recently published 5 - year follow - up data from the instead xl trial suggest a long - term benefit to tevar, with significant decreases in aorta - specific mortality and disease progression when compared with medical management alone. 22 there was also a trend toward improved overall mortality, although this was not statistically significant. this benefit is thought to be related to improvement in false lumen thrombosis and aortic remodeling, 23 thus precluding the need for open thoracoabdominal aortic surgery in the 20 to 30% of patients known to undergo aneurysmal degeneration. indeed, false lumen thrombosis is thought to be the most important indicator of successful aortic remodeling when performing tevar for uncomplicated type b dissections, and suggests that broader use of tevar may be of benefit in select patients who have favorable characteristics for remodeling. 24 further study and longer - term follow - up is necessary to delineate the role and optimal timing for tevar in uncomplicated type b dissection .
conventional repair of aortic arch pathology is associated with significant mortality and stroke rates of 6 - 20% and 12% , respectively. because endografting has excellent results for descending thoracic aortic disease, extension of thoracic endovascular repair (tevar) to the arch is a consideration .
interestingly, tevar has received good footfalls in the mass belts. the film being the year’s first big release was expected to make good numbers but looking at its current pace, it will mint approximately 30 crores plus in its first week and it is quite an average collections .
tevar is an out - an - out typical masala film. with a clichéd storyline of a mulit - talented, good - at - heart hero and an extremely notorious and slimy git as the villain, the story is quite predictable. sadly, i found an uncanny resemblance in the storylines of chennai express and tevar especially at the point where the hero is rescuing the girl from bad guys and while it starts out as an innocent friendship, they soon turn lovers. of course, both films are totally different but this premise remains the same .
prime focus is proud to be associated with arjun kapoor’s movie ‘tevar’. directed by amit sharma, the film stars arjun kapoor, sonakshi sinha and manoj bajpayee in lead roles. in addition to have delivered vfx and di for the movie, prime focus has also supplied cameras .
this simply - plotted film sloppily carries on and on, and while some action sequences have an intriguingly gritty texture - - at one point a goon slams kapoor in the chest with a giant old - school istri - - tevar emerges an overdone, underwhelming film with zero charm .
the first big - budget movie of 2015, tevar is finally here. the story revolves around a college going girl (sonakshi sinha) who catches the fancy of a baddy (manoj vajpayee). to add more interest, the corrupt baddie is a brother of a politician .
a patient presents with an acute type b aortic dissection (abad) and malperfusion is in his fifth or sixth decade of life, with a history of hypertension and an acute moment of chest pain and left leg pain (video 1). he then develops associated abdominal pain and persistent left leg pain with diminishing sensation and movement. this type of patient requires urgent intervention, with the currently preferred modality of treatment being thoracic endovascular aortic repair (tevar) (1). tevar allows restoration of end - organ perfusion and may allow for favorable reverse remodeling to heal the aorta .
and like a typical masala film, the hero gets his love, power and fame since he' s the combination of rambo, terminator and salman khan (yes, that' s the dialogue). tevar has all the ingredients that we have seen before which is why it lacks freshness .
cite this article as: van bogerijen gh, williams dm, patel hj. tevar for complicated acute type b dissection with malperfusion. ann cardiothorac surg 2014; 3 (4): 423 - 427. doi: 10. 3978 / j. issn. 2225 - 319x. 2014. 05. 03
‘ tevar ‘ was good in north and north - western india including states like rajasthan, delhi, up, mumbai and gujarat. released across 2800 - 3000 screens, the movie directed by amit sharma has been made on the budget of rs 40 cr and is, apparently, struggling to even recover the costs .
this is the first time surgeons can practice tevar procedures, including precise deployment of single and multiple stent grafts as well as touch - up ballooning. the procedure rehearsal studio simplifies procedure planning and provides a comprehensive solution for training and simulation of a patient specific procedure to enhance professional level of both experienced and inexperienced physicians .
after an exceptional performance in finding fanny, arjun kapoor gets back to his gunday variation, sadly. sonakshi sinha plays the same old dumb character as usual. the person stealing the entire show is manoj bajpayee, playing the gunda with a jockey underwear on, he alone makes up for the acting deficiency that tevar possesses .
the exotic babe kind of unofficially holds the action babe title in b - town. but looks liketthe tevar actress is all set to shed her girl - next - door image and give her some tough competition…​priyanka chopra might have quantico, has even kicked some ass in don, but here’s a new action heroine in bollywood. ​
tevar had an average first monday at the box office. the film collected 4 crores on monday. it now stands with a total collection of 26. 05 crores at the domestic box office. the film suffered from a usual monday drop yet the the collections are quite low for a film that received mix reviews from the critics .
but as the weekend arrived, the collections dropped. the movie had to struggle to get even a rs 40 cr nett weekend. reportedly, ‘ tevar ‘ collected rs 7. 05 cr nett, while on saturday, the film gained rs 7 cr nett. on sunday, the collections were a meagre rs 8. 10 cr .
paraplegia: paralysis due to spinal cord ischemia is a much - feared risk of tevar. risk factors include extensive coverage of the thoracic aorta, 59 60 prior aaa repair, 60 61 and coverage of the left subclavian artery. as noted elsewhere, neuromonitoring with early recognition and treatment with lumbar drainage and permissive hypertension are the keys to treatment .
in conclusion, tevar has become the preferred approach for patients with thoracic aortic pathology and anatomy amenable to endograft placement. adequate seal zones, careful preoperative planning, and proper device sizing are critical to obtain a good result and limit complications. hybrid approach options and fenestrated endografts may further expand the number of patients who can benefit from this treatment modality .
arjun kapoor and sonakshi sinha were high in spirits all the previous week as their much awaited movie ‘tevar’ was about to release. having all the elements to make it a masala movie, the movie opened up quite well especially at single screen theatres. but the collections of the movie turned out to be only rs 22. 15 cr in the first weekend .
the plot of tevar revolves around pintoo, played by arjun kapoor who respects women and plays kabbadi. on one of his unfortunate trips to mathura, he ends up messing up with' mathure ka gunda' gajendra singh while trying to save radhika (sonakshi sinha) from his clutches. gajendra singh, played by manoj bajpayee has a politician elder brother with high contacts .
tevar has been rated low by most critics. raja sen of rediff rated the film 1 and wrote ,
and since one can’t, in all good conscience, let anyone stray into gangs of jockeypur, consider yourselves warned. stay away
india today says
the film becomes a watch because of its power packed dialogues written by shantanu shrivastava .
( wikipedia )
records of patients with aortic arch pathology treated with tevar were reviewed. branch vessels were (1) covered without revascularization, (2) surgically bypassed, (3) stented, or (4) fenestrated. technical success was defined both by accurate endograft deployment with disease exclusion and by target vessel revascularization. patient postoperative outcomes, complications, and follow - up are reported .
in short, nothing can beat the experience of watching a typical masala hindi film at a single screen and its really sad that the coming generations are going to miss it. so if you love watching these movies specifically made for the masses and are a fan of manoj bajpai too then tevar can be tried as a one - time watch for the exceptionally talented actor alone, preferably at a single screen .
long - term surveillance: the lower risk profile of tevar when compared with open repair makes it the preferred modality for many patients. there is the need for ongoing surveillance, as 3. 6 to 4. 4% of these grafts will require secondary intervention. 3 67 cta is the modality of choice and is optimal for the diagnosis of endoleak. noncontrast ct can also be useful if it shows ongoing shrinkage of the aneurysm sac .
device migration and endoleak: postimplantation graft migration occurs with an incidence of 1 to 2. 8% . 2 3 67 extensive aortic tortuosity and graft oversizing are associated with migration risk. 68 patients with traumatic aortic transection may be at particular risk for graft collapse, possibly due to morphologic differences in the nondiseased aorta. 69 endoleak is fairly uncommon after tevar, with reported rates ranging in the literature from 3. 9 to 15% . 2 3 67 70
clinical outcome: tevar has an excellent technical success rate of up to 98% . 2 3 there is low perioperative mortality compared with open repair, with endovascular repair mortality rates of 1. 9 to 2. 1% , compared with 5. 7 to 11. 7% with open repair. 2 3 67 perioperative stroke may occur in 4 to 8% , 71 72 73 and spinal cord ischemia in 3 to 5. 6% of patients. 2 3
watch or not? : this one is a one - time watch. for all those who love bollywood and its over the top romantic - action drama films, tevar is exactly that. after the long gap of pk, this film will be a fresh, no - brainer that will be good as a weekend watch for all cine - goers. although for all those who have seen the south version okkadu starring mahesh babu, well this may not exactly go beyond that .
arjun kapoor, sonakshi sinha and manoj bajpai were recently spotted promoting their upcoming movie tevar. we got an opportunity to interact with them. watch the video to find out what the actors said about the movie... for the latest events, news and updates in bollywood, log on and subscribe to urltoken and visit our website urltoken follow us on: facebook - urltoken twitter - urltoken watch all exclusive videos on your mobile devices download our mobile appilication iphone: urltoken android: urltoken
bollywood 2015 is greeted by ‘tevar’ (attitude) that sticks to worship the tried tested and trusted massy affair. anyways the remake of the 2003 ‘okkadu’ starring mahesh babu does keep the masala loving regulars involved with its persistent dose of raw action and winning performance from arjun, sonakshi and bajpayee that help in distracting its target audience from its over the top, too convenient and easy plot. however the length and the baffling climax reduces the impact hinting a hitch in its expected box office pinch .
the distal landing zone is also critical to avoid type ib endoleak, and also requires a 20 - mm seal zone with the currently available devices. in patients with disadvantaged distal seal zones where adequate seal can only be achieved with celiac artery coverage, selective arteriogram and demonstration of an intact gastroduodenal artery providing collateral flow from the superior mesenteric artery are necessary prior to placement of tevar. reports indicate that coverage of this vessel may have a nominal rate of mesenteric ischemia of only ∼6% . 39 44 45
paired intercostal branches are derived from the descending thoracic aorta and provide collateral flow to the anterior spinal cord via the artery of adamkiewicz and other radicular branches. the degree of coverage of these branches must be assessed during tevar, as extensive coverage is a major risk factor for spinal cord ischemia and postoperative paraplegia. consideration should also be given to prior evar or open aortic repair, as well as to occluded or embolized internal iliac arteries given that lumbar arteries and the internal iliac arteries provide collateral blood flow to the spinal cord. 33
ending on a nostalgic note, whenever there is a film like tevar solely made for the masses and smaller centers, i prefer to watch it in a single screen theater if possible as that remains the best place to watch such movies with the energetic roaring crowd instead of the silent, sophisticated audience of a multiplex. and all readers above the age of 35 would readily agree with the fact that watching a bollywood masala movie in a single screen theater makes a major difference in your viewing and enjoying the film altogether without any doubt .
however, his second film' aurangzeb
( 2013) again backed by aditya chopra failed to garner attention of the audience. the year 2014 saw arjun delivering three hit films -
gunday
,
2 states
and
finding fanny
. in 2015, he had his father boney kapoor' s home production film
tevar
which did not do well at the box office. this year, he has one film
ki and ka
and a tv reality show
khatron ke khiladi
that he is hosting .
access complications: the large diameter of the devices required for tevar in turn requires relatively large sheath sizes of 20 to 26f. it is important to assess the patient' s access via the femoral and iliac vessels on preoperative ct scan to minimize access problems. calcified, small, tortuous vessels are most at risk. when iliac rupture occurs, balloon occlusion can be used for temporary vascular control until the artery can be repaired. reports suggest that 9. 4 to 23. 8% of patients require nonstandard techniques for safe access. 3 5
stroke: any manipulation of the aortic arch carries the risk of embolization to the carotid artery and subsequent stroke. this risk is magnified in patients with a very proximal seal zone, mural thrombus in the arch, or history of prior stroke. 54 posterior circulation stroke can also occur due to coverage of the left subclavian artery or embolization via the subclavian. posterior circulation strokes have increased morbidity and mortality when compared with anterior circulation strokes. 55 performance of a carotid - subclavian bypass prior to tevar can decrease this risk, and has the added benefit of improving paraplegia risk. 56 57 58
management of blunt aortic injury is based on the injury grade. 12 grade 1 injuries with intimal tear alone may be managed medically with heart rate and blood pressure control. grade 2 injuries with intramural hematoma (imh), grade 3 injuries with pseudoaneurysm, and grade 4 injuries with rupture or aortic transection require repair. in hemodynamically stable patients without free rupture, delay of aortic repair until other injuries are addressed is safe and is associated with improved mortality. 13 one series demonstrated that tevar can be performed without heparinization and without thromboembolic consequences if the patient has a high bleeding risk or severe head injury. 14
returning to manoj bajpai, the main savior of the film, its really amazing how he manages to add a lot of newness in a character that he has already played in a few films before. and that’s exactly the reason why he is considered one of the most gifted actors of our present times unanimously. in other words tevar majorly survives due to manoj bajpai ruling the scenes in particular along with the worth watching action, dialogues and cinematography capturing the local feel effectively. having said that, its editing taking out at least 3 songs and few sequences could have resulted in much better film for sure .
funny, how more things change, the more they remain the same. tevar, which is one of the most engaging bollywood masala dossiers in recent months, takes us through the crowded ‘gallis’, ‘mohallas’ and ‘akhadas’ of agra and mathura in search of that elusive thing called love. this is a love story where most of the playing - time is devoted to the protagonists locked in a scuffle of the most physical and violent kind. and yet, there’s a core of tenderness in the film, manifested in sonakshi sinha’s melting pleading eyes as she makes a run away from the city’s arch - goon gajender singh (manoj bajpayee, bang - on), who has taken a shine to her .
tevar is performed for type b dissection complicated by rupture or malperfusion. in cases of malperfusion, coverage of the entry tear with the stent graft allows re - expansion of the true lumen and improved organ perfusion. 15 16 intravascular ultrasound is a critical adjunct to this, as it allows real - time confirmation of the location of both the true and false lumens as well as luminal supply of important branch vessels. concomitant stenting of branch vessels may be required if the dissection flap extends into the branch vessel, causing a static obstruction. branch vessel stenting is usually obviated in the event of a dynamic obstruction, provided that the true lumen in the aorta above the visceral branches has been maximally expanded. 17 18
if one wishes to list the negative features associated with this first biggie of 2015, then tevar has got many. beginning with once again being an official remake of a south hit titled okkadu (telugu – 2003) revolving around the same old repetitive plot seen many times before with a much longer length than required due to many below average unwanted songs thrown just at the wrong timings slowing its otherwise racy pace quite severely. full of fights, swords, guns, goons and murder it has all clichéd characters ranging from a carefree boy - hero, his group of friends, a police officer father, a caring mother, a bubbly sister, an active politician with his cunning brother and a heroine who is the center of attraction as always in a typical bollywood film .
starting with an enjoyable local feel of a small town tevar opens energetically featuring kabaddi, an introductory fight and a well - choreographed song
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in the first 15 minutes. but then goes back to all formula twists as sonakshi and other major characters enter the screen with some entertaining dialogues. its major plot gets revealed just after the dragging “radha” song and the film becomes entirely predictable post that sequence unarguably. the poor songs keep hindering the pace one after another adding to the over - length of the film making it more than 150 minutes long. and then, though the film keeps coming up with some engaging moments at a regular basis both before and after the interval, it sadly all ends with a pretty poor, obvious and over the top climax that should have been altered .
however what still makes tevar a fairly entertaining film for the masses is the sum of few well written dialogues, superbly conceived action as well as confrontation sequences and manoj bajpai alone to be straight. arjun kapoor gives an honestly worked out performance (particularly in the action sequences) justifying his banal lead character making a visible effort but his overall impact still lacks the punch probably due to the thin voice texture and a bit of over - confidence. astonishingly sonakshi sinha once again does a similar ‘seen before’ kind of role as if she is doing it in a sleep walk whereas the supporting cast efficiently lift up the film featuring the impressive raj babbar (as the father), deepti naval (mother), subrat dutt (as bajpai' s sidekick), rajesh sharma (as the politician) and the girl playing arjun’s younger sister .
the procedure is generally performed under general anesthesia, which allows respiratory control by anesthesia and provides more precise imaging. an important consideration is whether to place a lumbar drain preoperatively. this should be considered in any case with extensive coverage of the thoracic aorta and in patients who have already had abdominal aortic aneurysm (aaa) repair. the goal of this is to allow drainage of cerebrospinal fluid (csf) and decrease the risk of spinal cord ischemia caused by coverage of the artery of adamkiewicz or its collaterals. lumbar drain placement has been demonstrated to help prevent paraplegia during tevar. 48 49 an additional adjunct is the use of intraoperative neuromonitoring, with measurement of somatosensory evoked potentials (sseps). changes in the sseps can be identified in real time and allow treatment with increase in csf drainage or increase in the mean arterial pressure to improve spinal cord perfusion .
tevar was first approved by the fda for thoracic aneurysm repair following the gore tag pivotal trial in 2005. 1 indications for repair have typically used an aortic diameter size greater than 6 to 6. 5 cm as the threshold where risk of repair is outweighed by the risk of rupture. 7 8 9 patients with aneurysms larger than 6 cm have a 14. 1% annual risk of rupture, dissection, or death, compared with 6. 5% for patients with aneurysms between 5 and 6 cm. 9 some guidelines have suggested that repair is appropriate for aneurysms as small as 5. 5 cm, saccular aneurysms greater than 2 cm, or saccular aneurysms associated with a total aortic diameter greater than 5 cm. 10 symptomatic aneurysms and aneurysms associated with a rapid growth rate of greater than 1 cm per year are considered to be at increased risk for rupture and should also be repaired. 10
the operation is performed by gaining femoral access for placement of the relatively large sheath required for tevar. this may be performed with a groin cutdown, percutaneously using the preclose technique, 50 or via a retroperitoneal cutdown if needed due to small vessel size. additional access can be obtained from either the arm or the contralateral groin to allow for control angiography. wire access is gained into the ascending aorta and exchanged for a stiff wire to allow tracking of the device. the c - arm is positioned in the right posterior oblique position to maximally splay out the arch. once the device is positioned, angiography is performed with power injection and respiratory arrest by anesthesia to allow for precise graft positioning. additional techniques to minimize graft movement during deployment include induced hypotension, rapid pacing, and adenosine - induced cardiac arrest. 51 once the graft is deployed, it may be ballooned at the seal zones and at any overlap zones to ensure full cooptation to the aortic wall. ballooning should be avoided in dissection cases where there is a significant risk of creating fenestrations or causing aortic rupture. completion angiography is then performed to assess for endoleak, the sheath and device are removed, and the arteriotomy is closed .
the commercially available thoracic stent grafts all require a 20 - mm - long proximal seal zone. it is critical to obtain good apposition throughout this segment to avoid endoleak or device migration. depending on the patient' s anatomy, it may be necessary to cover one or more of the arch branches to obtain an adequate seal. not infrequently, coverage of the left subclavian artery is required to obtain an adequate proximal seal, particularly in dissection or traumatic aortic transection cases. when this is necessary, preoperative duplex ultrasound of the carotid and vertebral arteries should be performed, if possible, and consideration given to performing preemptive left carotid - subclavian bypass or subclavian transposition. tevar can then be completed as a second - stage procedure with embolization of the native subclavian artery to prevent type ii endoleak. if the left carotid or innominate artery would require coverage, then antegrade bypass from the ascending aorta 36 37 38 or extra - anatomic bypass via a carotid–carotid bypass 39 may be necessary. an endovascular approach to this anatomic problem has also been devised that involves placement of a stent into the branch vessel parallel to the main endograft, 40 41 and is referred to as the snorkel, periscope, or chimney technique. this can also be used as a bailout technique in the event of inadvertent branch coverage with the main endograft .
figure 2 preoperative ct scanning is essential to determine adequacy of the proximal landing zone. we typically extend coverage up to the left subclavian artery in cases of type b aortic dissection, often noting the need for complete coverage to obtain a 2 - cm landing zone (a). to determine the correct stent graft size, we obtain measurements at the proximal edge of the pathologic problem and then at 1 cm proximal increments. the selected stent graft should have a diameter no more than 10% larger than the aortic diameter at the landing zone. for (a), a 31 - mm graft would be selected. finally, we commonly utilize a short (10 - 15 cm) stent graft length to avoid extensive intercostal artery coverage. additional anatomic requirements for tevar include the absence of a tapered neck, the presence of a 2 cm proximal margin, and a relatively “flat” arch (in contrast to a “gothic” arch) to allow for suitable apposition of the stent graft to the aortic lesser curvature. finally, the access vessels are determined. the ideal vessel is straight, not calcified, and of adequate diameter to accommodate the delivery sheath for the stent graft (such as the right femoral artery in b). we have used intraoperative iliac angioplasty liberally to allow for femoral delivery in cases of short discrete iliac stenosis. if these access vessel requirements are not met, we plan to deliver via a conduit placed on the common iliac artery or through an internal endoconduit approach. in our experience, the iliac arteries of patients with aortic dissection are often more ectatic than stenotic. the need for adjunctive iliac angioplasty is reduced, especially when compared with the population of patients with degenerative thoracic aneurysms. d, luminal diameter. adapted from patel et al. with permission of elsevier (5) .
arjun kapoor will be playing a regular college kid from agra, who is a kabaddi champion .
apparently, in this film, arjun kapoor will be playing a regular college kid from agra, who is a kabaddi champion .
the film, which is the remake of telugu action film ‘okkadu’ will be directed by debutante amit sharma and stars sonakshi sinha. the remake is all set to roll from january. besides this project, arjun kapoor has some interesting films in his kitty, including ‘gunday’, ’2 states’ and ‘finding fanny fernandes’ .
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titled' madamiya', the item song has shruti haasan shaking her booty with tall, dark and handsome arjun kapoor. by the looks of it, the song appears to be raunchy rustic number a la' munni badnaam hui' .
shruti haasan has also reportedly given voice to sonakshi sinha for a romantic number in the movie .
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manoj, who started his career with ram gopal varma' s satya, has previously played the baddie in his recent releases like gangs of wasseypur, shootout at wadala and satyagraha.
tevar ( english : attitude ) is a 2015 indian action film directed by amit sharma and written by gunasekhar . the film stars arjun kapoor and sonakshi sinha and in lead roles while manoj bajpayee plays and crucial role . it is an official remake of telugu film okkadu ( 2003 ) . shruti haasan made a special appearance in the song " madamiyan " . the film was released worldwide on 9 january 2015 . 
tevar (english: attitude) is a 2015 indian action film directed by amit sharma and written by gunasekhar. the film stars arjun kapoor and sonakshi sinha and in lead roles while manoj bajpayee plays and crucial role. it is an official remake of telugu film okkadu (2003). shruti haasan made a special appearance in the song " madamiyan ". the film was released worldwide on 9 january 2015.
tevar (english: attitude) is a 2015 indian action film directed by amit sharma and written by gunasekhar. the film stars arjun kapoor and sonakshi sinha and in lead roles while manoj bajpayee plays and crucial role. it is an official remake of telugu film okkadu (2003). shruti haasan made a special appearance in the song " madamiyan ". the film was released worldwide on 9 january 2015.