keyword
https://read.qxmd.com/read/38480861/therapeutic-effect-and-study-of-human-umbilical-cord-blood-mononuclear-cells-in-patients-with-ischaemic-bowel-disease
#1
JOURNAL ARTICLE
Xiaoxiao Cai, Yonghao Li, Fengyu Gao, Bilal Muhammad, Hongli Yang
Ischaemic bowel disease (ICBD) is a group of intestinal ischaemia syndromes caused by various aetiologies of reduced intestinal blood flow or vascular occlusion. ICBD can present as abdominal pain, bloody stool, and diarrhoea. This disease often occurs in middle-aged and elderly individuals with cardiovascular and cerebrovascular diseases. The incidence of ischaemic bowel disease has been increasing for decades, and it is difficult to diagnose, resulting in rapid disease progression and a high mortality rate...
March 13, 2024: Scientific Reports
https://read.qxmd.com/read/38445496/imaging-biomarkers-of-vci-a-focused-update
#2
JOURNAL ARTICLE
Una Clancy, Angelina K Kancheva, Maria Del C Valdés Hernández, Angela C C Jochems, Susana Muñoz Maniega, Terence J Quinn, Joanna M Wardlaw
Vascular cognitive impairment is common after stroke, in memory clinics, medicine for the elderly services, and undiagnosed in the community. Vascular disease is said to be the second most common cause of dementia after Alzheimer disease, yet vascular dysfunction is now known to predate cognitive decline in Alzheimer disease, and most dementias at older ages are mixed. Neuroimaging has a major role in identifying the proportion of vascular versus other likely pathologies in patients with cognitive impairment...
March 6, 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38425812/efficacy-and-safety-of-a-minimalistic-balloon-aortic-valvuloplasty-strategy-in-a-centre-without-heart-surgery
#3
JOURNAL ARTICLE
Matteo Bruno, Gianmarco Iannopollo, Laura Sofia Cardelli, Alessandro Capecchi, Valerio Lanzilotti, Roberto Verardi, Chiara Pedone, Giampiero Nobile, Gianni Casella
BACKGROUND: Balloon aortic valvuloplasty (BAV) is a palliative tool for patients with symptomatic severe aortic stenosis (AS) at prohibitive risk for surgery or as a bridge to surgical aortic valve replacement (SAVR) or transcatheter aortic valve replacement (TAVR). BAV is traditionally performed in hospitals with onsite cardiac surgery due to its potential complications. AIMS: The aim of this study was to evaluate the safety of BAV procedures performed by trained high-volume operators in a centre without onsite surgery and to assess the effect of a minimalistic approach to reduce periprocedural complications...
February 2024: AsiaIntervention
https://read.qxmd.com/read/38387816/temporal-trends-in-hemodialysis-access-creation-during-the-fistula-first-era
#4
JOURNAL ARTICLE
James J Fitzgibbon, Patrick Heindel, Abena Appah-Sampong, Christopher Holden-Wingate, Dirk M Hentschel, Muhammad Mamdani, C Keith Ozaki, Mohamad A Hussain
OBJECTIVES: Although forearm arteriovenous fistulas (AVFs) are the preferred initial vascular access for hemodialysis based on national guidelines, there are no population-level studies evaluating trends in creation of forearm versus upper arm AVFs and arteriovenous grafts (AVGs). The purpose of this study was to report temporal trends in first-time permanent hemodialysis access type, and to assess the effect of national initiatives on rates of AVF placement. METHODS: Retrospective cross-sectional study (2012 to 2022) utilizing the Vascular Quality Initiative (VQI) database...
February 20, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38339880/caring-for-the-older-transgender-adults-social-nursing-and-medical-challenges
#5
JOURNAL ARTICLE
Charalampos Milionis, Ioannis Ilias, Stella Olga Milioni, Evaggelia Venaki, Eftychia Koukkou
Aging is a challenging process for people with gender nonconformity. Indeed, the older transgender population faces several disparities in accessing and using health care and social support services. Furthermore, the clinical management of gender transition in later life is empirical since clear research evidence is lacking. This paper aimed to present the problems encountered by older transgender adults in their access to social support and health care and to propose insightful solutions to address them both from a social and medical/nursing perspective...
February 10, 2024: Clinical Nursing Research
https://read.qxmd.com/read/38237813/inpatient-outcomes-of-transcatheter-aortic-valve-replacement-based-on-class-of-obesity
#6
REVIEW
Omar Al Wahadneh, Saad Ur Rahman, Nmair Alziadin, Ahmed Maraey, Apoorva Raju, Ali Al-Khalaileh, Majd M Albarakat, Shazia Aziz, Sourbha S Dani
Transcatheter aortic valve replacement (TAVR) is a transformative option for severe aortic stenosis, especially in elderly patients. obesity's impact on TAVR outcomes is limited. Using the National Inpatient Sample from 2016 to 2020, We analyzed 217,300 TAVR hospitalizations across BMI groups. No difference in in-hospital mortality was observed, class III obesity experienced longer hospital stays (adjusted β: 0.43 days, P < 0.05), higher costs (adjusted β: $3,126, P < 0.05), increased heart failure exacerbation (adjusted odds ratio [aOR]: 2...
March 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38180729/dialysis-for-older-adults-why-should-the-targets-be-different
#7
REVIEW
Priyanka Khatri, Andrew Davenport
The number of patients aged > 75-years treated by dialysis continues to increase, particularly in developed countries. Haemodialysis is a well-established treatment with national and international clinical guidelines designed to provide patients with optimal treatment. However, these were developed when the dialysis population was younger, and less co-morbid. This change in patient demographics questions whether these guideline targets still apply to older patients. More patients now start dialysis with residual kidney function and could benefit from a less frequent dialysis schedule...
January 5, 2024: Journal of Nephrology
https://read.qxmd.com/read/37994429/effects-of-percutaneous-coronary-intervention-via-transradial-artery-access-combined-with-metoprolol-on-cardiac-function-and-vascular-endothelial-function-in-elderly-patients-with-coronary-heart-disease
#8
JOURNAL ARTICLE
Feng Cheng, Juan Xu
This research was designed to unveil the impacts of percutaneous coronary intervention via transradial artery access (TRA-PCI) combined with metoprolol on cardiac function and vascular endothelial function in elderly patients with coronary heart disease (CHD). Collectively, 112 CHD patients were enrolled and allocated into a control group (patients treated with TRA-PCI) and an observation group (patients treated with TRA-PCI and metoprolol) following the random number table method (n = 56 patients)...
November 2023: General Physiology and Biophysics
https://read.qxmd.com/read/37987324/major-adverse-cardiac-and-cerebrovascular-events-in-geriatric-patients-with-obstructive-sleep-apnea-an-inpatient-sample-analysis
#9
JOURNAL ARTICLE
Rupak Desai, Sai Priyanka Mellacheruvu, Sai Anusha Akella, Adil Sarvar Mohammed, Pakhal Saketha, Abdul Aziz Mohammed, Mushfequa Hussain, Aamani Bavanasi, Jyotsna Gummadi, Praveena Sunkara
BACKGROUND: Obstructive sleep apnea (OSA) is associated with an increased risk of major cardiac and cerebrovascular events (MACCE). However, data on the burden and predictors of MACCE in geriatric patients with OSA (G-OSA) remain limited. METHODS: Using the National Inpatient Sample from 2018, we identified G-OSA admissions (age ≥ 65 years) and divided them into non-MACCE vs. MACCE (all-cause mortality, stroke, acute myocardial infarction, and cardiac arrest)...
October 30, 2023: Medical Sciences: Open Access Journal
https://read.qxmd.com/read/37954814/meteorological-influence-on-atrial-fibrillation-and-flutter-a-nationwide-observational-study-in-south-korea-2010-2022
#10
JOURNAL ARTICLE
Andrew G Kim, Chanjoo Park, Nithi Tokavanich, Rand Sabanci, Rebeccah Freel, Victoria Hayes, Ranjan K Thakur
Background and rationale The impact of meteorological factors, including atmospheric temperature, humidity, and wind speed, on the incidence of atrial fibrillation and flutter (AF) has been the subject of several studies, but the findings have been inconsistent. Given the complex and multifaceted nature of this relationship, a larger-scale study was necessary to provide sufficient statistical power and elucidate potential associations between them. The aim of this study was, thus, to investigate the potential associations between meteorological factors and the incidence of AF...
October 2023: Curēus
https://read.qxmd.com/read/37950656/percutaneous-elastic-dynamic-fixation-for-the-treatment-of-volar-displaced-distal-radius-fractures-a-solution-for-elderly-patients
#11
JOURNAL ARTICLE
Lorenzo Rocchi, Rocco De Vitis, Gianfranco Merendi, Camillo Fulchignoni, Silvia Pietramala, Giuseppe Taccardo
Aim The Epibloc elastic-dynamic fixation has been applied for many years at several hand surgery centres in Italy. This technique has been considered safe and reliable in the treatment of distal meta-epiphyseal fractures of the radius with dorsal displacement. The aim of this study was to evaluate an alternative use of this method in the treatment of volar displaced wrist fractures in cases where an internal fixation could not be recommended. Methods The procedure consisted of two flexible pins with a trocar tip and an external plate for locking fixation with compression...
February 1, 2024: Medicinski Glasnik
https://read.qxmd.com/read/37900002/clinical-outcomes-in-patients-on-hemodialysis-with-congestive-heart-failure
#12
JOURNAL ARTICLE
Xinju Zhao, Liangying Gan, Qingyu Niu, Fan Fan Hou, Xinling Liang, Xiaonong Chen, Yuqing Chen, Junhui Zhao, Keith McCullough, Zhaohui Ni, Li Zuo
INTRODUCTION: Congestive heart failure (CHF) is one of the common complications in patients with end-stage kidney disease. In the general population, CHF increases the risk of the death. However, there is no well-designed relevant study in the Chinese hemodialysis (HD) population addressing the risks associated with CHF. The aim of this study was to explore the impact of CHF on clinical outcomes in HD patients. METHODS: Data from a prospective cohort study, the China Dialysis Outcomes and Practice Patterns Study (DOPPS) 5 (2012-2015), were analyzed...
August 2023: Kidney Diseases
https://read.qxmd.com/read/37899794/diagnostic-endoscopic-ultrasound-in-pancreatology-focus-on-normal-variants-and-pancreatic-masses
#13
REVIEW
Francesco Vitali, Sebastian Zundler, Daniel Jesper, Dane Wildner, Deike Strobel, Luca Frulloni, Markus F Neurath
BACKGROUND: Endoscopic ultrasound (EUS) is a main tool in gastroenterology for both diagnosis and exclusion of pancreatic pathology. It allows minimally invasive assessment of various diseases or anatomic variations affecting the pancreas also with the help of new Doppler technologies, elastography, contrast-enhanced imaging including post hoc image processing with quantification analyses, three-dimensional reconstruction, and artificial intelligence. EUS also allows interventional direct access to the pancreatic parenchyma and the retroperitoneal space, to the pancreatic duct, pancreatic masses, cysts, and vascular structures...
October 2023: Visceral Medicine
https://read.qxmd.com/read/37858864/comparison-of-transradial-access-and-transfemoral-access-for-diagnostic-cerebral-angiography-in-the-elderly-population
#14
JOURNAL ARTICLE
Yang Gao, Bin Liu, Hantao Yang, Guiping Wang, Jinlong Huang, Chen Li, Puyuan Zhao, Liangliang Yang, Zhigang Yang
OBJECTIVE: Evaluate the efficacy, safety, and patient satisfaction of transradial access (TRA) compared with conventional transfemoral access (TFA) for diagnostic cerebral angiography in elderly patients (≥65 years of age). METHODS: We performed a retrospective review of patients receiving cerebral angiography via TRA or TFA between October 2020 and December 2021 at three institutions. Basic patient characteristics, angiographic data, postoperative complications, and patient satisfaction were collected for analysis...
October 17, 2023: World Neurosurgery
https://read.qxmd.com/read/37750228/complex-high-risk-percutaneous-coronary-intervention-types-trends-and-outcomes-according-to-vascular-access-site
#15
JOURNAL ARTICLE
Warkaa Shamkhani, Saadiq Moledina, Muhammad Rashid, Mamas A Mamas
BACKGROUND: Radial access is associated with improved outcomes following percutaneous coronary intervention (PCI); however, its role in complex, high-risk percutaneous coronary intervention (CHiP) remains poorly studied. METHODS: We studied retrospectively all registered patients's records from the British Cardiovascular Intervention Society dataset and compared the baseline characteristics, trends and outcomes of CHiP procedures performed electively between January 2006 and December 2017 according to the access site...
September 26, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37742209/shared-decision-making-in-patients-with-kidney-failure
#16
JOURNAL ARTICLE
Mehmet Kanbay, Carlo Basile, Yuri Battaglia, Alessandro Mantovani, Furkan Yavuz, Francesco Pizzarelli, Valerie A Luyckx, Adrian Covic, Vassilios Liakopoulos, Sandip Mitra
'Elderly' is most commonly defined as an individual aged 65 years or older. However, this definition fails to account for the differences in genetics, lifestyle and overall health that contribute to significant heterogeneity among the elderly beyond chronological age. As the world population continues to age, the prevalence of chronic diseases, including chronic kidney disease (CKD), is increasing and CKD frequently progresses to kidney failure. Moreover, frailty represents a multidimensional clinical entity highly prevalent in this population, which needs to be adequately assessed to inform and support medical decisions...
September 23, 2023: Nephrology, Dialysis, Transplantation
https://read.qxmd.com/read/37739794/percutaneous-closure-device-for-the-carotid-artery-an-integrated-review-and-design-analysis
#17
REVIEW
Shovan Bhatia, Giancarlo Riccobono, Nicholas J Lima, Joshua T Cruz, Derek W Prusener, Ricardo Domingo, Abdul Karim Ghaith, Jorge Rios-Zermeno, Samir Kashyap, Rabih G Tawk
Endovascular thrombectomies (EVTs) are the current standard of care therapy for treating acute ischemic strokes. While access through the femoral or radial arteries is routine, up to 20% of EVTs through these sites are unable to access the cerebral vasculature on the first pass. These shortcomings are commonly due to tortuous vasculature, atherosclerotic arteries, and type III aortic arch, seen especially in the elderly population. Recent studies have shown the benefits of accessing the cerebral vasculature through a percutaneous direct carotid puncture (DCP), which can reduce the time of the procedure by half...
September 22, 2023: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/37627919/the-role-of-ultrasound-examination-in-the-assessment-of-suitability-of-calcified-arteries-for-vascular-access-creation-mini-review
#18
REVIEW
Jakob Gubensek
Arterial calcifications are present in 20-40% of patients with end-stage kidney disease and are more frequent among the elderly and diabetics. They reduce the possibility of arterio-venous fistula (AVF) formation and maturation and increase the likelihood of complications, especially distal ischemia. This review focuses on methods for detecting arterial calcifications and assessing the suitability of calcified arteries for providing inflow before the construction of an AVF. The importance of a clinical examination is stressed...
August 12, 2023: Diagnostics
https://read.qxmd.com/read/37526912/the-impact-of-vascular-access-type-on-survival-in-haemodialysis-time-for-a-paradigm-shift-a-prospective-cohort-study
#19
JOURNAL ARTICLE
Maria Paparella, Matthias Cassia, Rossella De Leonardis, Mario Cozzolino
INTRODUCTION: Although arteriovenous autologous fistula is the vascular access of choice due to better long-term outcome than central venous catheters, the use of central venous catheters is increasing. Our study aims to describe the survival and epidemiological features of a cohort of dialysis patients with a focus on the role of vascular access. METHODS: Our study comprises a follow-up period from 2001 to 2020 in a single center. Descriptive analysis was performed on baseline data...
September 2023: Journal of Nephrology
https://read.qxmd.com/read/37522056/outcomes-of-arteriovenous-graft-vs-fistula-for-haemodialysis-access-in-the-elderly-a-systematic-review-and-meta%C3%A2-analysis
#20
JOURNAL ARTICLE
Jia Li, Hua Lu, Zhen Xie, Qingchao Li, Hongguang Shi
The impact of the type of vascular access on the outcomes in the elderly haemodialysis patients is still unclear. The goal of the present study was to compare survival outcomes in elderly haemodialysis patients who received either arteriovenous graft (AVG) or arteriovenous fistula (AVF). A systematic literature search was performed in EMBASE, Cochrane, MEDLINE, ScienceDirect and Google Scholar databases for papers published from January 1954 until January 2022. Risk of bias in the selected publications was assessed by Newcastle Ottawa scale or Cochrane risk of bias tool depending on the study design...
August 2023: Experimental and Therapeutic Medicine
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