keyword
https://read.qxmd.com/read/38230397/simple-fabrication-technique-of-personalized-endocavitary-brachytherapy-applicator-for-maxillary-alveolar-cancer
#21
Warren Bacorro, Janell Marie Genson, Audri Joelle Dueñas, Henri Cartier Co, Antonio Villalon, Alfredo Pontejos
PURPOSE: We report on methods and outcomes of post-operative endocavitary brachytherapy after prior irradiation and salvage surgery in a patient with maxillary alveolar squamous cell carcinoma (SCC). MATERIAL AND METHODS: A 67-year-old male with right maxillary alveolar SCC was referred for brachytherapy after prior definitive chemoradiotherapy and salvage posterior maxillectomy. A personalized endocavitary applicator was fabricated using dental impression plastic tray, vinyl polysiloxane paste, and four flexible catheters to deliver fourteen 3...
December 2023: Journal of Contemporary Brachytherapy
https://read.qxmd.com/read/38226398/efficacy-of-disinfection-procedures-to-reduce-acinetobacter-baumanii-bla-oxa-23-contamination-rate-of-needleless-connectors-an-in-vitro-study
#22
JOURNAL ARTICLE
C Biazus-Dalcin, T C M Sincero, C P Zamparette, D C Tartari, S de Souza, T L Silva, A Tomazoni, P K Rocha
AIM: This study aimed to verify the efficacy of disinfection procedures to reduce Acinetobacter baumannii bla OXA-23 bacterial load in needleless connectors that had been experimentally contaminated. METHODS: Two-way intermediate extender's hub and needle-free valve were contaminated with Acinetobacter baumannii bla OXA-23 . To disinfect them, the following procedures were carried out: sterile gauze with 70% ethanol, sterile gauze with Incidin®, and 70% isopropyl alcohol single-use cap, with eight times friction for 10 s, followed by 5 s drying time...
March 2024: Infection prevention in practice
https://read.qxmd.com/read/38223512/ultrasound-assisted-catheter-directed-thrombolysis-in-a-patient-with-covid-19-infection-and-bilateral-intermediate-to-high-risk-pulmonary-embolism-a-case-report
#23
Grigorios Korosoglou, Dimitrios Mouselimis, Elke Koenig, Stavros Konstantinides
BACKGROUND: Acute pulmonary embolism (PE) is a common cardiovascular disorder, potentially associated with high morbidity and mortality rates. CASE SUMMARY: Herein, we report on a patient with COVID-19 infection and bilateral PE, who presented after cardiovascular resuscitation with return of spontaneous circulation. Initially, an acute coronary syndrome was suspected but bedside echocardiography showed dilatation of the right ventricle (RV) and RV dysfunction, helping to establish the diagnosis of acute intermediate-to-high-risk PE, which was subsequently confirmed by contrast-enhanced computed tomography pulmonary angiography...
January 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38202068/new-score-for-predicting-results-after-catheter-ablation-for-atrial-fibrillation-vat-dhf
#24
JOURNAL ARTICLE
Alexandrina Nastasă, Ștefan Bogdan, Corneliu Iorgulescu, Andrei Dan Radu, Luminița Craițoiu-Nirlu, Radu Gabriel Vătășescu
INTRODUCTION: Catheter ablation (CA) for atrial fibrillation (AF) has been proven to have the highest efficacy in maintaining sinus rhythm. Several studies have proposed different scores for predicting post-procedural success, but most have not been validated in prospective cohorts. Further research is required to determine the optimal formulae. PURPOSE: This study aimed to identify independent predictors of AF recurrence after CA and develop a composite score. METHODS: Consecutive patients with persistent and paroxysmal AF who underwent CA were retrospectively analyzed...
December 22, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/38174841/surpoint-algorithm-for-improved-guidance-of-ablation-for-ventricular-tachycardia-surfire-vt-a-pilot-study
#25
JOURNAL ARTICLE
David Sanders, Jeanne M Du-Fay-de-Lavallaz, Jeffrey Winterfield, Pasquale Santangeli, Jackson Liang, Paul Rhodes, Venkatesh Ravi, Patrick Badertscher, Alexander Mazur, Timothy Larsen, Parikshit S Sharma, Henry D Huang
INTRODUCTION: The utility of ablation index (AI) to guide ventricular tachycardia (VT) ablation in patients with structural heart disease is unknown. The aim of this study was to assess procedural characteristics and clinical outcomes achieved using AI-guided strategy (target value 550) or conventional non-AI-guided parameters in patients undergoing scar-related VT ablation. METHODS: Consecutive patients (n = 103) undergoing initial VT ablation at a single center from 2017 to 2022 were evaluated...
January 4, 2024: Journal of Cardiovascular Electrophysiology
https://read.qxmd.com/read/38171708/contemporary-management-and-outcomes-of-patients-with-high-risk%C3%A2-pulmonary-embolism
#26
JOURNAL ARTICLE
Taisei Kobayashi, Steven Pugliese, Sanjum S Sethi, Sahil A Parikh, Joshua Goldberg, Fahad Alkhafan, Clara Vitarello, Kenneth Rosenfield, Robert Lookstein, Brent Keeling, Andrew Klein, C Michael Gibson, Lauren Glassmoyer, Sameer Khandhar, Eric Secemsky, Jay Giri
BACKGROUND: Contemporary care patterns/outcomes in high-risk pulmonary embolism (PE) patients are unknown. OBJECTIVES: This study sought to characterize the management of high-risk PE patients and identify factors associated with poor outcomes. METHODS: A retrospective analysis of the PERT (Pulmonary Embolism Response Team) Consortium Registry was performed. Patients presenting with intermediate-risk PE, high-risk PE, and catastrophic PE (those with hemodynamic collapse) were identified...
January 2, 2024: Journal of the American College of Cardiology
https://read.qxmd.com/read/38168215/quantification-of-the-flexural-rigidity-of-endovascular-surgical-devices-using-three-point-bending-tests
#27
Michael Y Qiu, Charles B Suskin, Juan J Becerra-Garcia, Sophia H Roberts, DeVaughn G Rucker, Mohamed A Zayed, Joshua W Osbun, Guy M Genin
Endovascular surgical procedures require the navigation of catheters and wires through the vasculature to reach distal target sites. Quantitative frameworks for device selection hold the potential to improve the tracking of endovascular devices through vascular anatomy by personalizing the device flexural rigidity to an individual'Äôs anatomy. However, data are lacking to facilitate this technology, in part because typical endovascular devices have intricate spatial variations in mechanical properties that are challenging and tedious to quantify repeatably...
December 14, 2023: Research Square
https://read.qxmd.com/read/38160911/management-of-high-and-intermediate-high-risk-pulmonary-embolism-a-position-paper-of-the-interventional-cardiology-working-group-of-the-italian-society-of-cardiology
#28
REVIEW
Giuseppe Andò, Francesco Pelliccia, Francesco Saia, Giuseppe Tarantini, Chiara Fraccaro, Fabrizio D'Ascenzo, Marco Zimarino, Mario Di Marino, Giampaolo Niccoli, Italo Porto, Paolo Calabrò, Felice Gragnano, Salvatore De Rosa, Raffaele Piccolo, Elisabetta Moscarella, Enrico Fabris, Rocco Antonio Montone, Carmen Spaccarotella, Ciro Indolfi, Gianfranco Sinagra, Pasquale Perrone Filardi
Pulmonary embolism (PE) is a potentially life-threatening condition that remains a major global health concern. Noteworthy, patients with high- and intermediate-high-risk PE pose unique challenges because they often display clinical and hemodynamic instability, thus requiring rapid intervention to mitigate the risk of clinical deterioration and death. Importantly, recovery from PE is associated with long-term complications such as recurrences, bleeding with oral anticoagulant treatment, pulmonary hypertension, and psychological distress...
December 29, 2023: International Journal of Cardiology
https://read.qxmd.com/read/38152529/endovascular-embolization-with-n-butyl-cyanoacrylate-for-ruptured-distal-posterior-inferior-cerebellar-artery-dissecting-aneurysm
#29
Ryosuke Shintoku, Aiki Marushima, Sho Okune, Takato Hiramine, Junzo Nakao, Toshihide Takahashi, Tenyu Hino, Hisayuki Hosoo, Yoshiro Ito, Mikito Hayakawa, Eiichi Ishikawa, Yuji Matsumaru
Parent artery occlusion is a definitive treatment method for preventing rebleeding of dissecting aneurysms. We herein report a case of a ruptured distal posterior inferior cerebellar artery (PICA) dissecting aneurysm treated with internal trapping using n-butyl-2-cyanoacrylate (NBCA). A 65-year-old man visited our hospital with a complaint of headache and neck pain that began 1 week before his arrival. He had a history of spontaneous subarachnoid hemorrhage of unknown cause. Computed tomography of the brain revealed a small amount of subarachnoid hemorrhage, and distal subtraction angiogram showed a distal PICA dissecting aneurysm...
September 2023: Asian Journal of Neurosurgery
https://read.qxmd.com/read/38137774/emergent-conversion-to-open-heart-surgery-during-transcatheter-aortic-valve-implantation-the-presence-of-a-rescue-team-improves-outcomes
#30
JOURNAL ARTICLE
Giuseppe Nasso, Walter Vignaroli, Gaetano Contegiacomo, Alfredo Marchese, Khalil Fattouch, Pasquale D'Alessandro, Mario Siro Brigiani, Vincenza Vitobello, Vera Triggiani, Maria Antonietta Demola, Stefano Tonioni, Domenico Paparella, Stefano Sechi, Raffaele Bonifazi, Giuseppe Santarpino, Fabrizio Resta, Francesco Bartolomucci, Roberto Lorusso, Claudio Larosa, Giovanni Valenti, Antonio Tito, Marco Moscarelli, Vito Margari, Flavio Fiore, Ignazio Condello, Giuseppe Speziale
OBJECTIVE: Transcatheter aortic valve implant (TAVI) is the gold standard for the high-surgical-risk group of patients with aortic valve disease and it is an alternative to surgery in patients at intermediate risk. Lethal complications can occur, and many of these are manageable only with emergent conversion to open heart surgery. We retrospectively evaluate the outcome of all patients undergoing TAVI in our departments and the impact of a complete cardiac rescue team to reduce 30-day mortality...
December 15, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/38112771/high-and-intermediate-risk-pulmonary-embolism-in-the-icu
#31
REVIEW
Scott J Millington, Nadia Aissaoui, Emma Bowcock, Daniel Brodie, Karine E A Burns, Ghislaine Douflé, François Haddad, Tim Lahm, Gregory Piazza, Olivier Sanchez, Laurent Savale, Antoine Vieillard-Baron
Pulmonary embolism (PE) is a common and important medical emergency, encountered by clinicians across all acute care specialties. PE is a relatively uncommon cause of direct admission to the intensive care unit (ICU), but these patients are at high risk of death. More commonly, patients admitted to ICU develop PE as a complication of an unrelated acute illness. This paper reviews the epidemiology, diagnosis, risk stratification, and particularly the management of PE from a critical care perspective. Issues around prevention, anticoagulation, fibrinolysis, catheter-based techniques, surgical embolectomy, and extracorporeal support are discussed...
December 19, 2023: Intensive Care Medicine
https://read.qxmd.com/read/38112742/a-multidisciplinary-pulmonary-embolism-response-team-pert-first-experience-from-a-single-center-in-germany
#32
JOURNAL ARTICLE
Ingo Sagoschen, Barbara Scibior, Ioannis T Farmakis, Karsten Keller, Dirk Graafen, Eva-Verena Griemert, Markus Vosseler, Hendrik Treede, Thomas Münzel, Maike Knorr, Tommaso Gori, Stavros Konstantinides, Lukas Hobohm
BACKGROUND: Over the last few years, the concept of multidisciplinary pulmonary embolism response teams (PERTs) has emerged to encounter the increasing variety and complexity in managing acute pulmonary embolism (PE). PURPOSE: To investigate PERT's composition and added clinical value in a university center in Germany. METHODS: Over 4 years (01/2019-11/2022), patients with confirmed PE were enrolled in a prospective single-center cohort study (PERT Mainz)...
December 19, 2023: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://read.qxmd.com/read/38105223/biomechanical-comparison-of-different-fixation-methods-in-tibiotalocalcaneal-arthrodesis-a-cadaver-study
#33
JOURNAL ARTICLE
Matthias Trost, Suzan Yarkin, Matthias Knieps, Sönke Frey, Wolfram Friedrich Neiss, Peer Eysel, Sascha Gick, Jens Dargel
BACKGROUND: Various fixation methods are available for tibiotalocalcaneal arthrodesis: nail, plate, or screws. An intramedullary bone stabilization system within a balloon catheter has not previously been used in tibiotalocalcaneal arthrodesis. The aim of this study was to compare the stability of these techniques. METHODS: Twenty-four lower legs from fresh-frozen human cadavers were used. Tibiotalocalcaneal arthrodesis was performed with a retrograde nail, a lateral locking plate, three cancellous screws, or an intramedullary bone stabilization system...
December 17, 2023: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38099441/clinical-management-of-brugada-syndrome-commentary-from-the-experts
#34
REVIEW
Michael J Cutler, Lee L Eckhardt, Elizabeth S Kaufman, Elena Arbelo, Elijah R Behr, Pedro Brugada, Marina Cerrone, Lia Crotti, Carlo deAsmundis, Michael H Gollob, Minoru Horie, David T Huang, Andrew D Krahn, Barry London, Steven A Lubitz, Judith A Mackall, Koonlawee Nademanee, Marco V Perez, Vincent Probst, Dan M Roden, Frederic Sacher, Georgia Sarquella-Brugada, Melvin M Scheinman, Wataru Shimizu, Benjamin Shoemaker, Raymond W Sy, Atsuyuki Watanabe, Arthur A M Wilde
Although there is consensus on the management of patients with Brugada Syndrome with high risk for sudden cardiac arrest, asymptomatic or intermediate-risk patients present clinical management challenges. This document explores the management opinions of experts throughout the world for patients with Brugada Syndrome who do not fit guideline recommendations. Four real-world clinical scenarios were presented with commentary from small expert groups for each case. All authors voted on case-specific questions to evaluate the level of consensus among the entire group in nuanced diagnostic and management decisions relevant to each case...
January 2024: Circulation. Arrhythmia and Electrophysiology
https://read.qxmd.com/read/38094662/effect-of-pharmacomechanical-catheter-directed-thrombolysis-on-segmental-artery-occlusions-insights-from-the-rescue-trial
#35
JOURNAL ARTICLE
Riyaz Bashir, Gregory Piazza, Brian Firth, Kenneth Ouriel, Akhilesh Sista, Parth Rali, Anthony Comerota, Vladimir Lakhter, Ayman Iskander, Malcolm Foster, Ripal Gandhi, Amir Darki, Robert Lookstein, Kenneth Rosenfield
BACKGROUND: Reduction in distal vascular volume in acute pulmonary embolism (PE) is a significant predictor of 30- and 90-day mortality. The likely cause of this is pulmonary arterial obstruction. The effect of pharmacomechanical catheter-directed thrombolysis (PM-CDT) on the occlusions of these pulmonary artery (PA) branches is not known. OBJECTIVES: The RESCUE study evaluated PM-CDT with the Bashir endovascular catheter in patients with acute intermediate-risk PE...
November 2023: JACC Adv
https://read.qxmd.com/read/38045129/successful-hybrid-endovascular-treatment-for-refractory-cerebral-venous-sinus-thrombosis-in-pregnancy-a-case-report
#36
Renwei Zhang, Dong Sun, Xinjun Chen, Yu Xie, Bitang Dan, Yumin Liu, Bin Mei, Huagang Li
BACKGROUND: Cerebral venous sinus thrombosis (CVST) in pregnancy was common and endovascular treatment (EVT) could be an effective and safe treatment for patients with severe and refractory CVST. However, the efficacy and safety of hybrid EVT (craniotomy + endovascular treatment) for CVST were unknown. We represented a rare case of hybrid EVT through the incision of the superior sagittal sinus in a pregnant woman with CVST who failed to EVT through the femoral vein pathway. CASE PRESENTATION: A 26-year-old woman, in her second month of pregnancy, complained of a headache for 5 days and aggravation with coma combined with convulsions for 2 days...
November 2023: Heliyon
https://read.qxmd.com/read/37997287/catheter-based-therapy-for-intermediate-or-high-risk-pulmonary-embolism-is-associated-with-lower-in-hospital-mortality-in-patients-with-cancer-insights-from-the-national-inpatient-sample
#37
JOURNAL ARTICLE
Orly Leiva, Eugene Yuriditsky, Radu Postelnicu, Eric H Yang, Vikramjit Mukherjee, Allison Greco, James Horowitz, Carlos Alviar, Sripal Bangalore
BACKGROUND: Pulmonary embolism (PE) is a common complication among patients with cancer and is a significant contributor to morbidity and mortality. Catheter-based therapies (CBT), including catheter-directed thrombolysis (CDT) and mechanical thrombectomy, have been developed and are used in patients with intermediate or high-risk PE. However, there is a paucity of data on outcomes in patients with cancer as most clinical studies exclude this group of patients. AIMS: To characterize outcomes of patients with cancer admitted with intermediate or high-risk PE treated with CBT compared with no CBT...
November 23, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37954945/class-iii-antiarrhythmics-and-periprocedural-torsades-de-pointes
#38
Cristina M Font, Cao T Tran
This case series describes 2 women on prolonged therapy with class III antiarrhythmics who developed torsades de pointes polymorphic ventricular tachycardia in the setting of catheter ablation for atrial fibrillation as a result of QTc prolonging factors. Clinicians must exercise increased vigilance in the perioperative period in patients on QTc-prolonging medications. ( Level of Difficulty: Intermediate. ).
October 4, 2023: JACC. Case reports
https://read.qxmd.com/read/37942349/large-bore-suction-thrombectomy-for-sub-massive-pulmonary-embolism-during-second-trimester-of-pregnancy-a-case-report
#39
Pipin Kojodjojo, Chin Hin Ng, Kymin Cayla Ong, Regina Zuzarte-Ng, Wan Xian Chan
BACKGROUND: Pregnancy-associated pulmonary embolism (PAPE) remains a significant cause of maternal mortality. Anticoagulation remains the mainstay of therapy for most pulmonary embolism (PE)-related pregnancies. However, in patients with haemodynamic compromise or those refractory to anticoagulation, management is challenging. Systemic thrombolysis is associated with a substantial risk of maternal bleeding and fetal loss. In non-pregnant PE patients, large bore catheter-directed suction thrombectomy is a proven and important technique to manage intermediate or high-risk PE, allowing for normalization of pulmonary pressures, avoidance of haemodynamic deterioration, without the need for thrombolytics, major surgery, significant blood loss, or prolonged hospitalization...
November 2023: European Heart Journal. Case Reports
https://read.qxmd.com/read/37929561/efficacy-and-safety-of-catheter-directed-treatment-in-intermediate-risk-pulmonary-embolism-a-single-centre-experience-in-singapore
#40
JOURNAL ARTICLE
Chaozer Er, Sivasubramanian Srinivasan, Balakumaran Veerappan, Thofique Adamjee
No abstract text is available yet for this article.
October 5, 2023: Singapore Medical Journal
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