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https://read.qxmd.com/read/30769071/the-efficacy-and-safety-of-angiojet-rheolytic-thrombectomy-in-the-treatment-of-subacute-deep-venous-thrombosis-in-lower-extremity
#1
Xiao-Jun Song, Zhi-Li Liu, Rong Zeng, Chang-Wei Liu, Wei Ye
OBJECTIVE: The aim of this study is to examine the efficacy and safety of Angiojet rheolytic thrombectomy for the treatment of subacute deep venous thrombosis (DVT) in lower limbs. METHODS: A retrospective study was performed on 90 patients with subacute DVT (15 ∼90 days) in lower limbss in our center from November 2015 to December 2016. In total, 27 patients with subacute DVT in lower limbs treated with Angiojet rheolytic thrombectomy were included in the study, including 17 males and 10 females...
February 12, 2019: Annals of Vascular Surgery
https://read.qxmd.com/read/30764701/homemade-device-to-facilitate-percutaneous-venous-arterialization-in-patients-with-no-option-critical-limb-ischemia
#2
August Ysa, Marta Lobato, Ederi Mikelarena, Amaia Arruabarrena, Roberto Gómez, Ana Apodaka, Matthew Metcalfe, Juan L Fonseca
PURPOSE: To describe a maneuver to facilitate percutaneous arteriovenous fistula creation during venous arterialization procedures in patients with no-option critical limb ischemia. TECHNIQUE: Following a failed arterial recanalization attempt, a balloon catheter is passed up to the tip of the guidewire. Venous access is gained distally, a 4-F sheath is antegradely passed, and a 4-mm GooseNeck snare is advanced through it. A fluoroscopic view that overlaps the snare and the inflated balloon is obtained...
February 15, 2019: Journal of Endovascular Therapy
https://read.qxmd.com/read/30760625/institutional-and-provider-variations-for-mechanical-thrombectomy-in-the-treatment-of-acute-ischemic-stroke-a-survey-analysis
#3
Tapan Mehta, Shailesh Male, Coridon Quinn, David F Kallmes, Adnan H Siddiqui, Aquilla Turk, Andrew Walker Grande, Ramachandra Prasad Tummala, Bharathi Dasan Jagadeesan
INTRODUCTION: Stent retriever combined with aspiration, or the 'Solumbra technique', has recently emerged as one of the popular methods of mechanical thrombectomy (MT). However, the variations in understanding and implementation of the Solumbra technique have not been reported. METHODS: An 18 part anonymous survey questionnaire was designed to extract information regarding technical variations of MT with a focus on the Solumbra technique. The survey link was posted on the Society of Neurointerventional Surgery (SNIS) website in 'SNIS connect'...
February 13, 2019: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/30747025/comparison-of-intracervical-foley-catheter-used-alone-or-combined-with-a-single-dose-of-dinoprostone-gel-for-cervical-ripening-a-randomised-study
#4
Anqa Chowdhary, Rashmi Bagga, Jasvinder Kalra, Vanita Jain, Subhas Chandra Saha, Praveen Kumar
Prostaglandins and intracervical catheters are similarly effective for cervical ripening and for an induction of labour (IOL). Studies comparing the combined use with either method alone have administered repetitive doses of prostaglandins vaginally, which may increase the risk of tachysystole and chorioamnionitis. These disadvantages may be offset by co-administering a single dose of prostaglandin. Women (n = 110) planned for IOL, ≥37 weeks of gestation and with a Bishop Score of ≤6 were randomised into two groups: intracervical Foley catheter alone or combined with dinoprostone gel (0...
February 12, 2019: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://read.qxmd.com/read/30745158/-induction-of-labor-in-women-with-previous-caesarean-delivery-with-balloon-catheter-is-it-worth-it
#5
J Boujenah, C Fleury, A Tigaizin, A Benbara, L Mounsambote, R Murtada, M Fermaud, L Carbillon
OBJECTIF: Balloon catheters for labor induction at term after previous cesarean section is an alternative option to iterative cesarean section. The aim of this study was to analyze the maternal and neonatal outcomes of the trial of labor after cesarean (TOLAC) in women with unfavorable cervix and balloon catheter induction, 2 years after introduction of this process. METHODS: Unicentric observational study of women with term cephalic singleton, unfavorable cervix (simplified Bishop score<5) after TOLAC using double-balloon catheter...
February 8, 2019: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/30744582/a-10-year-old-boy-with-dyspnea-and-hypoxia-abernathy-malformation-masquerading-as-pulmonary-arteriovenous-fistula
#6
Lijian Xie, Yun Li, Xunwei Jiang, Jian Zhao, Tingting Xiao
BACKGROUND: Abernethy malformation is an extremely rare congenital malformation characterised by an extrahepatic portosystemic shunt. Children with Abernathy malformation can develop hepatopulmonary syndrome (HPS) with pulmonary arteriovenous fistulas (PAVF) or pulmonary hypertension. PAVF manifests as central cyanosis with effort intolerance. We report a case of PAVF in a Ten-year-old Boy. Persistent symptoms identified Abernathy malformation as the cause of progressive symptoms and current understanding of this rare malformation is reviewed...
February 11, 2019: BMC Pediatrics
https://read.qxmd.com/read/30741809/implementation-of-the-alliance-for-innovation-on-maternal-health-program-to-reduce-maternal-mortality-in-malawi
#7
Olivia H Chang, Barbara Levy, Heather Lytle, Rachel Pope, Henry Phiri, Thomas Gellhaus, Carla Eckhardt, Joseph Sclafani
OBJECTIVE: To evaluate maternal mortality and changes in the culture of safety before and after the implementation of the Alliance for Innovation on Maternal Health (AIM) Malawi program. METHODS: This was a prospective cohort study at a central hospital and a district health center in Malawi from March 2016 to November 2017. The AIM Malawi program included classroom didactics on obstetric hemorrhage, teamwork protocols, skills laboratory activities, and simulation training...
February 4, 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30741077/six-month-angiographic-and-clinical-outcomes-of-therapeutic-ultrasound-pretreatment-associated-with-plain-balloon-angioplasty-for-below-the-knee-lesions-in-patients-with-critical-limb-ischemia-a-prospective-single-center-pilot-study
#8
Costantino Del Giudice, Roberto Gandini
PURPOSE: To evaluate the safety and efficacy of low-frequency, high-intensity ultrasound energy delivered via a new dedicated ultrasound catheter followed by conventional balloon angioplasty to treat calcified infrapopliteal lesions. MATERIALS AND METHODS: A prospective, nonrandomized, single-center pilot study enrolled 12 patients (mean age 72.2±5.3 years; 8 men) with critical limb ischemia (9 Rutherford category 5 and 3 category 6) between January and November 2017...
February 11, 2019: Journal of Endovascular Therapy
https://read.qxmd.com/read/30741051/misoprostol-combined-with-cervical-single-or-double-balloon-catheters-versus-misoprostol-alone-for-labor-induction-of-singleton-pregnancies-a-meta-analysis-of-randomized-trials
#9
Lía Ornat, Vanesa Alonso-Ventura, Juan Bueno-Notivol, Peter Chedraui, Faustino R Pérez-López
OBJECTIVE: To compare the effect of misoprostol combined with a cervical single or double-balloon catheter versus misoprostol alone for labor induction of singleton pregnancies with an unfavorable cervix. METHODS: Systematic review and meta-analysis of randomized controlled trials (RCTs) regarding the comparison of two schemes for labor induction of singleton cephalic pregnancies with a Bishop score ≤7 and no contraindication for vaginal delivery. Six research databases were searched for articles published in all languages up to 10 May 2018 comparing misoprostol (oral or vaginal) in combination with a cervical placed single or double balloon catheter versus misoprostol treatment alone...
February 10, 2019: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/30739274/a-novel-robotic-system-for-vascular-intervention-principles-performances-and-applications
#10
Hao Shen, Cheng Wang, Le Xie, Shoujun Zhou, Lixu Gu, Hongzhi Xie
PURPOSE: This paper describes the design, principles, performances, and applications of a novel image-guided master-slave robotic system for vascular intervention (VI), including the performance evaluation and in vivo trials. METHODS: Based on the peer-to-peer (P2P) remote communication system, the kinetics analysis, the sliding-mode neural network self-adaptive control model and the feedback system, this new robotic system can accomplish in real time a number of VI operations, including guidewire translation and rotation, balloon catheter translation, and contrast agent injection...
February 9, 2019: International Journal of Computer Assisted Radiology and Surgery
https://read.qxmd.com/read/30737974/stent-retriever-thrombectomy-in-the-treatment-of-infants-with-acute-thrombosis-of-the-superior-vena-cava-and-innominate-vein
#11
Anja Hanser, Ludger Sieverding, Till-Karsten Hauser, Gesa Wiegand, Michael Hofbeck
OBJECTIVES: To describe the efficacy and safety of stent-retriever thrombectomy in infants with thrombosis of the superior vena cava (SVC) and innominate vein. BACKGROUND: Thrombosis of the SVC and of the innominate vein is a potentially life threatening complication in infants during intensive care treatment following major surgical procedures. To avoid reoperations, we evaluated interventional revascularization by stent-retriever thrombectomy. METHODS: From 2015 to 2017, five infants were diagnosed with acute thrombosis of the SVC and innominate vein following major cardiac or pediatric surgery...
February 9, 2019: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/30737762/modifying-an-intragastric-balloon-for-the-treatment-of-obesity-a-unique-approach
#12
Leonardo Salles de Almeida, Ahmad Najdat Bazarbashi, Thiago Ferreira de Souza, Bruna Furia Buzetti Hourneaux de Moura, Diogo Turiani Hourneaux de Moura
INTRODUCTION: The use of intragastric balloons (IGB) for the treatment of obesity has been increasing significantly, with data confirming its effectiveness with low complication rates. Adjustable balloons are not widely available for use in all countries, including the USA. In this video, we demonstrate a unique technique in which a conventional nonadjustable balloon is modified to an adjustable balloon to improve weight loss. METHODS: A 35-year-old woman with a BMI of 36...
February 8, 2019: Obesity Surgery
https://read.qxmd.com/read/30736715/pulmonary-artery-flotation-catheter-combined-with-pump-controlled-retrograde-trial-off-as-a-trial-for-weaning-from-veno-arterial-extracorporeal-membrane-oxygenation-a-case-report
#13
Ying Xu, Qin Gu
BACKGROUND: The Swan-Ganz catheter is a reliable method used to monitor hemodynamics in intensive care units. Pump-controlled retrograde trial off is a new weaning test for veno-arterial extracorporeal membrane oxygenation in recent years. The objective of this report is to describe a case in which pulmonary artery flotation catheter hemodynamic monitoring in combination with pump-controlled retrograde trial off was sufficient for veno-arterial extracorporeal membrane oxygenation weaning...
February 8, 2019: Perfusion
https://read.qxmd.com/read/30735186/harvest-of-endothelial-cells-from-the-balloon-tips-of-swan-ganz-catheters-after-right-heart-catheterization
#14
Michael J Passineau, Phillip H Gallo, Gretchen Williams, Reina Perez, Raymond L Benza
A variety of pathologies lead to pulmonary hypertension (PH), which is defined as a mean pulmonary artery pressure exceeding 25 mmHg at rest. To further diagnose and manage PH, patients undergo repeated right heart catheterizations (RHC) wherein a Swan-Ganz catheter is advanced into a branch of the pulmonary artery and a balloon is inflated to wedge the catheter tip. This article illustrates a protocol whereby pulmonary artery endothelial cells (PAECs) may be harvested from the balloon tips of Swan-Ganz catheters after RHC, and purified with an anti- CD146 affinity column technique to purify putative PAECs...
January 23, 2019: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/30735074/left-ventricular-vortex-and-intraventricular-pressure-difference-in-dogs-under-various-loading-conditions
#15
Katsuhiro Matsuura, Kenjiro Shiraishi, Kotomi Sato, Kazumi Shimada, Seijirow Goya, Akiko Uemura, Mayumi Ifuku, Takeshi Iso, Ken Takahashi, Ryou Tanaka
Restrictions on the conventional evaluation of diastolic function has been recognized especially under various loading conditions. Recently, new noninvasive ventricular vortex indexes have been introduced and are expected to reflect the cardiac function. Physiologically, there is a hypothesis that intraventricular pressure difference (IVPD) is related to the formation of vortexes. IVPD and the vortex indexes were simultaneously measured and the relationship between the two was investigated. To verify the possibility of diastolic vorticity as an index of diastolic relaxation, a correlation between diastolic vorticity and Tau, load dependency of vorticity was examined...
February 8, 2019: American Journal of Physiology. Heart and Circulatory Physiology
https://read.qxmd.com/read/30732467/a-methodology-for-numerically-analysing-the-hepatic-artery-haemodynamics-during-b-tace-a-proof-of-concept
#16
Jorge Aramburu, Raúl Antón, Alejandro Rivas, Juan Carlos Ramos, Gorka S Larraona, Bruno Sangro, José Ignacio Bilbao
Balloon-occluded transarterial chemoembolisation (B-TACE) is an intraarterial transcatheter treatment for liver cancer. In B-TACE, an artery-occluding microballoon catheter occludes an artery and promotes collateral circulation for drug delivery to tumours. This paper presents a methodology for analysing the haemodynamics during B-TACE, by combining zero-dimensional and three-dimensional modelling tools. As a proof of concept, we apply the methodology to a patient-specific hepatic artery geometry and analyse two catheter locations...
February 7, 2019: Computer Methods in Biomechanics and Biomedical Engineering
https://read.qxmd.com/read/30723900/balloon-catheter-for-induction-of-labor-in-women-with-one-previous-cesarean-and-an-unfavorable-cervix
#17
Claartje M A Huisman, Mieke L G Ten Eikelder, Kelly Mast, Katrien Oude Rengerink, Marta Jozwiak, Frédérique van Dunné, Johannes J Duvekot, Jim van Eyck, Ingrid Gaugler-Senden, Christianne J M de Groot, Maureen T M Franssen, Nicolette van Gemund, Josje Langenveld, Jan Willem de Leeuw, Eefje J Oude Lohuis, Martijn A Oudijk, Dimitri Papatsonis, Mariëlle van Pampus, Martina Porath, Sabina Rombout-de Weerd, Jos J van Roosmalen, Paulien C M van der Salm, Hubertina C J Scheepers, Marko J Sikkema, Jan Sporken, Rob H Stigter, Wim J van Wijngaarden, Mallory Woiski, Ben Willem J Mol, Kitty W M Bloemenkamp
INTRODUCTION: When women with a previous cesarean section and an unfavorable cervix have an indication for delivery, the choice is to induce labor or perform a cesarean section. This study aims to assess the effectiveness and safety of a balloon catheter as method of induction of labor in women with one previous cesarean section and an unfavorable cervix compared to an elective repeat cesarean section. MATERIAL AND METHODS: We performed a prospective cohort study in 51 hospitals in the Netherlands on term women with one previous cesarean section, a live singleton fetus in cephalic position, an unfavorable cervix and an indication for delivery...
February 5, 2019: Acta Obstetricia et Gynecologica Scandinavica
https://read.qxmd.com/read/30716016/vancomycin-enema-in-the-treatment-of-clostridium-difficile-infection
#18
Jason Fawley, Lena M Napolitano
BACKGROUND: Current guidelines for the treatment of Clostridium difficile infections (CDIs) recommend vancomycin enemas for patients with adynamic ileus. There is significant variability in guideline recommendations for vancomycin dose and enema volume and whether a retention enema should be used. The most recent (2017) guidelines from the Infectious Diseases Society of America/Society for Healthcare Epidemiology of America recommend rectal instillation of 500 mg of vancomycin in 100 mL of physiologic saline every 6 hours as a retention enema...
February 4, 2019: Surgical Infections
https://read.qxmd.com/read/30715362/effectiveness-of-embolic-protection-filter-devices-in-stroke-prevention-during-endovascular-aortic-arch-repair-in-significant-aortic-atheroma-patients
#19
Kazuo Shimamura, Toru Kuratani, Keiwa Kin, Takayuki Shijo, Kenta Masada, Yoshiki Sawa
OBJECTIVES: The objective of this study was to evaluate the effectiveness of embolic protection filter device in stroke prevention during hybrid endovascular arch repair in patients with significant aortic atheroma. METHODS: Twenty-two patients (20 men, mean age 79.0 years, mean logistic EuroSCORE 23.9%) with aortic arch/proximal descending aortic diseases and significant aortic atheroma (atheroma grade ≥ II) who were deemed unfit for conventional open surgery underwent endovascular aortic arch repair with protection of the supra-arch vessels using a balloon catheter and filter devices...
January 31, 2019: Interactive Cardiovascular and Thoracic Surgery
https://read.qxmd.com/read/30712011/effect-of-balloon-guide-catheter-on-clinical-outcomes-and-reperfusion-in-trevo-thrombectomy
#20
Thanh N Nguyen, Alicia C Castonguay, Raul G Nogueira, Diogo C Haussen, Joey D English, Sudhakar R Satti, Jennifer Chen, Hamed Farid, Candace Borders, Erol Veznedaroglu, Mandy J Binning, Ajit S Puri, Nirav A Vora, Ron F Budzik, Guilherme Dabus, Italo Linfante, Vallabh Janardhan, Amer Alshekhlee, Michael G Abraham, Randall C Edgell, M Asif Taqi, Ramy El Khoury, Maxim Mokin, Aniel Q Majjhoo, Mouhammed R Kabbani, Michael T Froehler, Ira Finch, Sameer A Ansari, Roberta Novakovic, Mohamad Abdalkader, Osama O Zaidat
INTRODUCTION: The Solitaire stent retriever registry showed improved reperfusion, faster procedure times, and better outcome in acute stroke patients with large vessel occlusion treated with a balloon guide catheter (BGC) and Solitaire stent retriever compared with a conventional guide catheter. The goal of this study was to evaluate whether use of a BGC with the Trevo stent retriever improves outcomes compared with a conventional guide catheter. METHODS: The TRACK registry recruited 23 sites to submit demographic, clinical, and site adjudicated angiographic and outcome data on consecutive patients treated with the Trevo stent retriever...
February 2, 2019: Journal of Neurointerventional Surgery
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