keyword
https://read.qxmd.com/read/38482479/eus-guided-gastroenterostomy-using-direct-needle-puncture-technique
#21
REVIEW
Judy A Trieu, Todd H Baron
BACKGROUND AND AIMS: EUS-guided gastroenterostomy (EUS-GE) is effective in relieving gastric outlet obstruction. Several techniques used to create EUS-GEs have been described. However, these techniques are dependent on passing a guidewire beyond the obstruction. We describe a direct needle-puncture technique that allows for successful EUS-GE creation without a guidewire. METHODS: The direct antegrade EUS-GE method often involves passing a guidewire and tube beyond the obstruction to distend the small bowel...
March 2024: VideoGIE
https://read.qxmd.com/read/38481778/endoscopic-ultrasound-guided-lumen-apposing-metal-stent-with-or-without-coaxial-plastic-stent-for-pancreatic-fluid-collections-a-systematic-review-and-meta-analysis-comparing-safety-and-efficacy
#22
JOURNAL ARTICLE
Harishankar Gopakumar, Vakya Revanur, Rajanikanth Kandula, Srinivas R Puli
BACKGROUND: Endoscopic ultrasound (EUS)-guided lumen-apposing metal stents (LAMS) are preferred for draining symptomatic large pancreatic fluid collections (PFCs). A concurrent coaxial double-pigtail plastic stent (DPPS) is proposed to reduce adverse events associated with LAMS. We aimed to perform a comparative outcome analysis of LAMS with or without DPPS for PFCs. METHODS: Electronic databases from January 2005 through July 2023 were searched for studies comparing the use of LAMS with or without DPPS for PFCs...
2024: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
https://read.qxmd.com/read/38481639/wire-bias-modification-with-reverse-orbital-atherectomy-for-safer-rotational-atherectomy-in-calcified-bifurcation
#23
Toshimasa Oda, Yoshihisa Kinoshita, Masatoshi Miyahara, Yuichiro Maekawa, Hideo Nishikawa, Takahiko Suzuki
UNLABELLED: Although debulking devices are very useful in modifying calcified plaques, their effectiveness is highly dependent on wire bias. In particular, in eccentric calcified bifurcation lesions, wire bias tends to be poor and needs to be corrected for adequate lesion preparation. A 67-year-old man was diagnosed with exertional angina pectoris. Coronary angiography showed a highly calcified eccentric lesion from the left main trunk to the left anterior descending artery. The patient refused coronary artery bypass surgery, therefore we decided to treat this complex bifurcation lesion with percutaneous coronary intervention...
March 2024: Journal of Cardiology Cases
https://read.qxmd.com/read/38480570/cardiac-rhabdomyomas-presenting-with-critical-cardiac-obstruction-in-neonates-and-infants-treatment-strategies-and-outcome-a-single-center-experience
#24
JOURNAL ARTICLE
Li Yen Ng, Jonathan McGuinness, Terence Prendiville, Orla Franklin, Mark Walsh, Damien Kenny, Lars Nolke, Colin J McMahon
Cardiac rhabdomyomas are the most common benign pediatric heart tumor in infancy, which are commonly associated with tuberous sclerosis complex (TSC). Most rhabdomyomas are asymptomatic and spontaneously regress over time. However, some cases especially in neonates or small infants can present with hemodynamic instability. Surgical resection of the tumor, which has been the gold standard in alleviating obstruction, is not always possible and may be associated with significant morbidity and mortality. Recently, mammalian target of rapamycin inhibitors (mTORi) have been shown to be safe and effective in the treatment of TSC...
March 13, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38479861/the-absorb-gt1-bioresorbable-vascular-scaffold-system%C3%A3-5-year-post-market-surveillance-study-in-japan
#25
JOURNAL ARTICLE
Masato Nakamura, Nobuaki Suzuki, Kenshi Fujii, Jungo Furuya, Tomohiro Kawasaki, Takumi Kimura, Tomohiro Sakamoto, Kengo Tanabe, Hajime Kusano, Kelly A Stockelman, Ken Kozuma
BACKGROUND: The 1-year clinical outcomes of the Absorb GT1 Japan post-market surveillance (PMS) suggested that an appropriate intracoronary imaging-guided bioresorbable vascular scaffold (BVS) implantation technique may reduce the risk of target lesion failure (TLF) and scaffold thrombosis (ST) associated with the Absorb GT1 BVS. The long-term outcomes through 5 years are now available.Methods and Results: This study enrolled 135 consecutive patients (n=139 lesions) with ischemic heart disease in whom percutaneous coronary intervention (PCI) with the Absorb GT1 BVS was attempted...
March 13, 2024: Circulation Journal: Official Journal of the Japanese Circulation Society
https://read.qxmd.com/read/38479036/the-efficacy-and-safety-of-aspirin-ticagrelor-vs-aspirin-clopidogrel-in-ischemic-stroke-patients-with-cerebral-artery-stenting
#26
JOURNAL ARTICLE
Chenxi Liu, Mingsu Liu, Xun Yang, Tingting Luo, Jinping Wang, Guangqin Li
OBJECTIVE: First, the efficacy and safety of aspirin-ticagrelor after cerebral artery stenting in ischemic stroke patients is controversial. Second, there is a gap in the research on guiding two antiplatelet therapy (DAPT) after stenting based on the CYP2C19 genotype. METHODS: This retrospective study included patients who underwent cerebral artery stenting at the First Affiliated Hospital of Chongqing Medical University from January 2019 to February 2023. We divided them into the aspirin-clopidogrel group and aspirin-ticagrelor group and carefully collected baseline information laboratory data and imaging results from the patients...
March 3, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38477913/quantitative-coronary-angiography-vs-intravascular-ultrasonography-to-guide-drug-eluting-stent-implantation-a-randomized-clinical-trial
#27
JOURNAL ARTICLE
Pil Hyung Lee, Soon Jun Hong, Hyun-Sook Kim, Young Won Yoon, Jong-Young Lee, Seung-Jin Oh, Ji Sung Lee, Soo-Jin Kang, Young-Hak Kim, Seong-Wook Park, Seung-Whan Lee, Cheol Whan Lee
IMPORTANCE: Although intravascular ultrasonography (IVUS) guidance promotes favorable outcomes after percutaneous coronary intervention (PCI), many catheterization laboratories worldwide lack access. OBJECTIVE: To investigate whether systematic implementation of quantitative coronary angiography (QCA) to assist angiography-guided PCI could be an alternative strategy to IVUS guidance during stent implantation. DESIGN, SETTING, AND PARTICIPANTS: This randomized, open-label, noninferiority clinical trial enrolled adults (aged ≥18 years) with chronic or acute coronary syndrome and angiographically confirmed native coronary artery stenosis requiring PCI...
March 13, 2024: JAMA Cardiology
https://read.qxmd.com/read/38476377/consensus-statement-graft-treatment-in-cardiovascular-bypass-graft-surgery
#28
JOURNAL ARTICLE
Maximilian Y Emmert, Johannes Bonatti, Etem Caliskan, Mario Gaudino, Martin Grabenwöger, Martin T Grapow, Paul Phillip Heinisch, Teresa Kieser-Prieur, Ki-Bong Kim, Attila Kiss, Fatima Mouriquhe, Markus Mach, Adrianna Margariti, John Pepper, Louis P Perrault, Bruno K Podesser, John Puskas, David P Taggart, Om P Yadava, Bernhard Winkler
Coronary artery bypass grafting (CABG) is and continues to be the preferred revascularization strategy in patients with multivessel disease. Graft selection has been shown to influence the outcomes following CABG. During the last almost 60 years saphenous vein grafts (SVG) together with the internal mammary artery have become the standard of care for patients undergoing CABG surgery. While there is little doubt about the benefits, the patency rates are constantly under debate. Despite its acknowledged limitations in terms of long-term patency due to intimal hyperplasia, the saphenous vein is still the most often used graft...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38476158/technical-and-clinical-outcomes-of-using-a-single-wide-caliber-double-pigtail-stent-for-endoscopic-ultrasound-guided-pancreatic-pseudocyst-drainage-a-multicenter-prospective-study
#29
JOURNAL ARTICLE
Elsayed Ghoneem, Hussein Okasha, Mohamed Hammouda, Mohamed Fathi Gouda, Reham Soliman, Gamal Shiha, Khaled Ragab, Ramy Hassan Agwa
INTRODUCTION: Endoscopic ultrasound (EUS)-guided pancreatic cysto-gastrostomy/duodenostomy is the current accepted practice for management of symptomatic pancreatic pseudocysts with insertion of two or more double-pigtail (DP) stents. There is no much work on the efficacy of using a single wide-caliber DP stent, aiming to decrease the time, complications, and accessories used in the procedure. AIM OF THE WORK: The aim of this study was to assess technical and clinical outcomes of using a single wide-caliber DP stent in EUSguided pancreatic pseudocyst drainage...
December 2023: GE Portuguese Journal of Gastroenterology
https://read.qxmd.com/read/38475671/role-of-advanced-endoscopy-in-the-management-of-inflammatory%C3%A2-digestive-diseases-pancreas-and-biliary-tract
#30
REVIEW
Toshiharu Ueki, Toru Maruo, Yoshinori Igarashi, Akira Yamamiya, Keiichi Tominaga, Atsushi Irisawa, Hitoshi Yoshida, Terumi Kamisawa, Mamoru Takenaka, Hiroyuki Isayama
The progress of endoscopic diagnosis and treatment for inflammatory diseases of the biliary tract and pancreas have been remarkable. Endoscopic ultrasonography (EUS) and EUS-elastography are used for the diagnosis of early chronic pancreatitis and evaluation of endocrine and exocrine function in chronic pancreatitis. Notably, extracorporeal shock wave lithotripsy and electrohydraulic shock wave lithotripsy have improved the endoscopic stone removal rate in patients for whom pancreatic stone removal is difficult...
March 12, 2024: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://read.qxmd.com/read/38469013/left-common-iliac-vein-stenting-in-a-case-of-postural-orthostatic-tachycardia-syndrome-pelvic-pain-overlap
#31
Mary M Pelling, Matthew T Brown, Charles A Gilliland, Alexis Cutchins
Postural orthostatic tachycardia syndrome (POTS) is mainly characterized by orthostatic intolerance and positional tachycardia although it frequently involves a myriad of non-specific symptoms that seem to overlap with existing medical conditions. Recent efforts have been made to further classify subtypes of POTS and associated conditions to better delineate underlying pathophysiology in an effort to guide diagnosis and tailor treatment. Here, we present a 22-year-old female with debilitating symptoms of POTS who reported pelvic pain on review of systems and underwent vascular ultrasound of the inferior vena cava, iliac veins, and bilateral lower extremities which revealed the characteristic left common iliac vein compression of May-Thurner syndrome prompting venous stenting which provided systemic symptomatic relief...
February 2024: Curēus
https://read.qxmd.com/read/38468660/steerable-microcatheter-for-distal-access-of-a-giant-cavernous-carotid-artery-aneurysm-during-treatment-with-pipeline-embolization-device-a-case-report-and-review-of-the-literature
#32
Satoshi Inoue, Atsushi Fujita, Eiji Kurihara, Takashi Sasayama
BACKGROUND: In the treatment of giant cerebral aneurysms with flow-diverting stents, access to the distal parent artery is critical but occasionally challenging. This article provides our experience with a novel steerable microcatheter in such a situation, as well as a review of the literature. CASE DESCRIPTION: A 73-year-old woman presented with right ptosis and external ophthalmoplegia. Magnetic resonance angiography revealed a giant right cavernous internal carotid artery aneurysm...
2024: Surgical Neurology International
https://read.qxmd.com/read/38464978/eus-bd-for-calibration-of-benign-stenosis-of-the-bile-duct-in-patients-with-altered-anatomy-or-inaccessible-papilla
#33
JOURNAL ARTICLE
Fabrice Caillol, Sébastien Godat, Alexey Solovyev, Amina Harouchi, Sarra Oumrani, Mariola Marx, Solene Hoibian, Yanis Dahel, Jean-Philippe Ratone, Marc Giovannini
Background and study aims In cases of inaccessible papilla, EUS-guided biliary drainage (EUS-BD) has been described as an alternative to calibrate benign biliary stenosis. However, few studies are available. Patients and methods This tw-center, retrospective study was designed to evaluate technical success and clinical success at 1 year. All patients who underswent EUS-BD without the rendezvous technique used for calibration of benign biliary stenosis were included from 2016 to 2022. Patients underwent EUS-hepaticogastrostomy (EUS-HGS) during the first session...
March 2024: Endoscopy International Open
https://read.qxmd.com/read/38463375/early-endoscopic-management-of-an-infected-acute-necrotic-collection-misdiagnosed-as-a-pancreatic-pseudocyst-a-case-report
#34
Hong-Ying Zhang, Chen-Cong He
BACKGROUND: Infected acute necrotic collection (ANC) is a fatal complication of acute pancreatitis with substantial morbidity and mortality. Drainage plays an exceedingly important role as the first step in invasive intervention for infected necrosis; however, there is great controversy about the optimal drainage time, and better treatment should be explored. CASE SUMMARY: We report the case of a 43-year-old man who was admitted to the hospital with severe intake reduction due to early satiety 2 wk after treatment for acute pancreatitis; conservative treatment was ineffective, and a pancreatic pseudocyst was suspected on contrast-enhanced computed tomography (CT)...
February 27, 2024: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38460818/invited-review-for-j-vasc-surg-venous-and-lymphatic-disorders-the-role-and-principles-of-stenting-in-acute-iliofemoral-thrombosis
#35
REVIEW
E D Avgerinos, S Black, M J E van Rijn, H Jalaie
Catheter-directed intervention for acute iliofemoral deep venous thrombosis (DVT) have been increasingly used over the past fifteen years to target severe symptomatology and prevention of post-thrombotic syndrome (PTS) incidence or reduce its severity if it were to develop. Aside from successful thrombus removal, adjunctive stents are frequently required to treat an uncovered lesion or significant residual thrombus to ensure quality of life improvement besides retarding DVT recurrence and PTS. As the evidence is mounting, the need and role for stenting as well as the principles of an optimal technique in the acute DVT setting are now better understood...
March 7, 2024: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38459984/assessing-the-effect-of-absorbable-steroid-sinus-implant-a-state-of-the-art-systematic-review
#36
REVIEW
Christian Calvo-Henriquez, Ainhoa García-Lliberós, Serafin Sánchez-Gómez, Isam Alobid
OBJECTIVES: Endoscopic sinus surgery is not a definitive treatment for chronic rhinosinusitis (CRS). The use of sinus stents after surgery to maintain sinus patency and deliver local steroids has gained popularity. The first steroid-eluting bioabsorbable implant (SEBI) approved for this indication, later Propel, was developed in 2011. This state-of-the-art review aims to summarize the available evidence, as well as to point out potential pitfalls and lack of specific analyses to guide future research on this new therapeutic option...
March 9, 2024: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/38453459/redefining-treatment-expectations-exploring-mid-and-long-term-outcomes-of-venous-sinus-stenting-in-idiopathic-intracranial-hypertension
#37
JOURNAL ARTICLE
Jackson P Midtlien, Carol Kittel, Lucas A Klever, Nicholas R Kiritsis, Jennifer Bernhardt Aldridge, Kyle M Fargen
BACKGROUND: Venous sinus stenting (VSS) is recognized as a safe and effective intervention for medically-refractory idiopathic intracranial hypertension (IIH). However, its long-term efficacy remains uncertain. METHODS: This retrospective review analyzed a single-center database of adult patients with severe, medically-refractory IIH, who underwent VSS and had minimum 3-month follow-up (FU). Patients were divided into three groups based on post-stenting symptom trajectories: group 1 (sustained improvement without relapse), group 2 (temporary improvement with relapse), and group 3 (no improvement)...
March 7, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38451558/intravascular-ultrasound-guided-percutaneous-coronary-intervention-for-patients-with-unprotected-left-main-coronary-artery-lesions
#38
JOURNAL ARTICLE
Ahmed Bendary, Ahmed Elsaed, Mohamed Abdelshafy Tabl, Khaled Ahmed ElRabat, Bassem Zarif
BACKGROUND: In percutaneous coronary intervention (PCI) procedures for patients with unprotected left main coronary artery (ULMCA) lesions, intravascular ultrasonography (IVUS) guidance has shown potential for enhancing clinical outcomes. However, studies confirming its superiority to conventional angiographic-guided PCI remain few. This study aimed to assess if IVUS-guided PCI for patients with unprotected LMCA stenosis improves clinical outcomes compared to angiographic-guided PCI. METHODS: This randomized clinical study enrolled 181 patients with ULMCA lesions scheduled for drug-eluting stent implantation...
March 8, 2024: Coronary Artery Disease
https://read.qxmd.com/read/38448254/self-apposing-stents-in-coronary-chronic-total-occlusions-a-pilot-study
#39
JOURNAL ARTICLE
Ahmed Elborae, Mohamed Hassan, Mohammed Abdel Meguid, Karim Bakry, Ahmad Samir, Emmanouil Brilakis, Hossam Kandil, Ahmed ElGuindy
OBJECTIVES: This pilot study assessed the 12-month angiographic and clinical outcomes of self-apposing (SA) stents in patients undergoing chronic total occlusion (CTO) percutaneous coronary intervention (PCI). BACKGROUND: Self-apposing (SA) stents may decrease incomplete strut apposition and stent strut coverage that are common after CTO PCI. METHODS: We compared 20 patients who underwent CTO PCI using SA drug-eluting stents (DESs) with 20 matched control patients who underwent CTO PCI using balloon-expandable (BE)-DESs...
March 5, 2024: Heart, Lung & Circulation
https://read.qxmd.com/read/38448192/-preliminary-clinical-application-of-novel-magnetic-navigation-and-ultrasound-guided-percutaneous-transhepatic-cholangiography-drainage-through-the-right-liver-duct-for-malignant-obstructive-jaundice
#40
JOURNAL ARTICLE
H Zhuo, C Wu, Z M Tan, W W Tang, D M Zhu, Y Xu, J Zhao, J P Gu, X H Wang, J H Song
Objective: To analyze the clinical application value of a novel magnetic navigation ultrasound (MNU) combined with digital subtraction angiography (DSA) dual-guided percutaneous transhepatic biliary drainage (PTCD) through the right hepatic duct for the treatment of malignant obstructive jaundice. Methods: Randomized controlled trial. The clinical data of 64 patients with malignant obstructive jaundice requiring PTCD through the right hepatic duct at the Hepatobiliary Center of the First Affiliated Hospital of Nanjing Medical University (Jiangsu Province People's Hospital) from December 2018 to December 2021 were retrospectively analyzed...
March 1, 2024: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
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