keyword
https://read.qxmd.com/read/38535107/objective-quantification-of-bilateral-bubble-contrast-echocardiography-correlates-with-systemic-oxygenation-in-patients-with-single-ventricle-circulation
#1
JOURNAL ARTICLE
Ashley Phimister, Chana Bushee, Monica Merbach, Sai Alekha Challa, Amy Y Pan, Andrew D Spearman
Bubble contrast echocardiography is commonly used to diagnose pulmonary arteriovenous malformations (PAVMs) in single ventricle congenital heart disease (CHD), yet previous studies inconsistently report a correlation between bubble echoes and oxygenation. In this study, we sought to re-evaluate the correlation between bubble echoes and oxygenation by assessing total bilateral shunting and unilateral shunting. We conducted a single-center, retrospective study of patients with single ventricle CHD and previous Glenn palliation who underwent a cardiac catheterization and bubble echocardiogram during the same procedure from 2011 to 2020...
March 1, 2024: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38519856/a-hybrid-approach-that-may-facilitate-the-repair-of-traumatic-popliteal-artery-pseudoaneurysms
#2
JOURNAL ARTICLE
Areti Vassiliou, Michail Peroulis, Vassilios Tatsis, Vangelis G Alexiou
PURPOSE: Traumatic popliteal pseudoaneurysms may occur in accidents or as an iatrogenic complication of a total knee arthroplasty. Complications often arise in open repair because of distorted anatomy. Up to 22% of the patients may suffer above-knee amputation. Endovascular treatment has proven to be an effective solution. However, the long-term performance of stents at the hinge point of the popliteal artery is questionable. We present a hybrid technique that was used successfully in 2 cases...
March 22, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38518044/analysis-and-risk-factors-of-deep-vein-catheterization-related-bloodstream-infections-in-neonates
#3
JOURNAL ARTICLE
Yan Zhang, Shufang Li, Yanmin Li, Jiaojiao Zheng, Yaping Dong
To investigate the incidence, risk factors, and pathogenic characteristics of catheter-related bloodstream infection caused by peripherally inserted central venous catheter in neonates, and to provide references for reducing the infection rate of peripherally inserted central venous catheter. The clinical data of 680 neonates who underwent peripherally inserted central catheter (PICC) in the neonatal intensive care unit from June 2020 to June 2023 were retrospectively analyzed. The risk factors and independent risk factors of catheter-related bloodstream infection caused by PICC were determined by univariate and multivariate analysis, respectively...
March 22, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38515354/picc-insertion-and-veins-of-the-arm-size-variation-during-dialysis-treatment-a-prospective-observational-study
#4
JOURNAL ARTICLE
Elena Ajello, Antonio Arresta, Riccardo Rutili, Salvatore Aronica, Rigo Lorenzo, Elia Monti, Martina Galletti, Luigi Cannizzo, Luciano Giannini, Alberto Lucchini, Federico Pieruzzi, Stefano Elli
BACKGROUND: Peripherally Inserted Central Catheters play an increasingly important role in Central Venous Access Devices. However, the use of these devices should be carefully considered in specific situations such as central catheterisation in patients with chronic kidney disease. When evaluating the feasibility of placement for a patient undergoing dialysis, the relationship between changes in circulating volume before and after dialysis treatment, and potential variations in the size of deep veins in the upper limbs, should be considered...
March 22, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38512390/trends-in-the-prevalence-and-risk-factors-for-peripherally-inserted-central-catheter-related-complications-in-cancer-patients-from-2016-to-2022-a-multicenter-study
#5
JOURNAL ARTICLE
Shengxiao Nie, Lei Wang, Shengmiao Ma, Hong Sun
PURPOSE: To identify the trends in the prevalence of peripherally inserted central catheter (PICC) related complications in cancer patients and explore the risk factors for complications and occurrence speed. METHODS: A total of 3573 cancer patients with PICC were recruited at 17 hospitals from 2016 to 2022. Logistic and COX regression were performed to identify influencing factors of PICC-related complications and incidence speed, respectively. RESULTS: The proportion of symptomatic PICC-related thrombosis, phlebitis, and infections reported had decreased from 59...
March 21, 2024: Supportive Care in Cancer
https://read.qxmd.com/read/38494772/-mid-term-analysis-of-prospective-cohort-study-of-rivaroxaban-in-preventing-crt-in-breast-cancer
#6
JOURNAL ARTICLE
D Sang, S M Fan, S Y Li, J T Zhang, H M Wang, X H Zhao, L J Zheng, P Liang, G B Xi, L M Zhao, Y R Zhang, P Yuan
Objective: To explore the efficacy and safety of Rivaroxaban in preventing catheter related thrombosis (CRT) in patients with breast cancer who are undergoing central venous catheter chemotherapy, and provide basis for making standardized prevention and treatment strategies. Methods: In this research, a prospective cohort study was adopted, and breast cancer patients who received central venous catheter chemotherapy in Sanhuan Cancer Hospital during September 2020 to March 2022 were selected as a treatment group to take the rivaroxaban anticoagulation therapy with 10 mg...
March 23, 2024: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
https://read.qxmd.com/read/38436100/does-central-venous-stenosis-affects-the-brachial-artery-flow-volume-and-peripheral-vascular-resistive-index-in-patients-on-maintenance-hemodialysis-a-retrospective-study
#7
JOURNAL ARTICLE
Hassan Saied Foula, Masayuki Itakura, Naofumi Miwa, Keisuke Momohara, Hiroshi Sakurai, Takeshi Onogi, Kentarou Okubo, Mohamed Foula, Mohamed Elrggal, Mennah Magdy, Masato Tsuboi, Takashi Sato
BACKGROUND: A well-functioning vascular access (VA) is crucial for the patients on maintenance hemodialysis (HD). Central venous stenosis (CVS) is a common, yet, overlooked complication of VA as its diagnosis is challenging. Moreover, its effect on the flow volume (FV) and the peripheral resistive index (RI) was not well discussed before. Despite the availability of doppler ultrasound (DUS) in most centers, direct visualization of central veins using DUS is quite difficult. METHODS: This is a retrospective single-center self-controlled cohort study that was conducted in a specialized vascular access management tertiary center in Japan and included all patients with CVS who underwent percutaneous transluminal angiography (PTA) with or without vascular stenting in the period from January 2014 to September 2022...
March 4, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38409566/evaluation-of-electrocardiogram-parameters-and-heart-rate-variability-during-blood-pressure-elevation-by-phenylephrine-in-cirrhotic-rats
#8
JOURNAL ARTICLE
Farzaneh Ketabchi, Mohammadreza Khoram, Amirreza Dehghanian
Cirrhotic cardiomyopathy is a myocardial disease that may go undetected in the early stages due to peripheral vasodilatation. The aim of the study was to evaluate the electrocardiogram (ECG) and heart rate variability (HRV) after raising blood pressure by phenylephrine injection in rats with liver cirrhosis. Twenty male Sprague-Dawley rats were divided into the Sham and common bile duct ligation (CBDL) groups. After 44 days, animals were anesthetized and the right femoral artery and vein catheterized. After a steady-state period, a bolus injection of phenylephrine (PHE, 10 μg/μl/IV, baroreflex maneuver) was followed by a slow injection of PHE (100 μg/ml/5 min/IV, sustained maneuver)...
February 26, 2024: Cardiovascular Toxicology
https://read.qxmd.com/read/38389268/rescue-from-permanent-kidney-injury-in-acute-thrombosis-of-both-renal-veins-the-inferior-vena-cava-and-both-iliofemoral-veins-by-catheter-based-thrombectomy
#9
JOURNAL ARTICLE
Felix Hofer, Jan Mueller, Dragan Copic, Sabine Eichinger-Hasenauer, Christian Kinstner, Lukas Reider, Marieke Merrelaar, Stephan Korn, Wolfgang Bauer, Renate Koppensteiner, Constantin Aschauer, Gere Sunder-Plassmann, Alice Schmidt, Oliver Schlager
CASE: A 33-year-old man with previously diagnosed lupus membranous nephropathy presented with painful swelling in both legs. Laboratory tests revealed acute kidney injury, and imaging studies by duplex ultrasound and computed tomography scan showed acute thrombosis of both renal veins, the infrahepatic inferior vena cava, and both iliofemoral venous segments. Initially, pharmacomechanical thrombolysis led to an insufficient morphological result. The therapeutic breakthrough was achieved by catheter-based mechanical thrombectomy of the infrarenal vena cava and both renal veins, which successfully cleared all affected venous segments from thrombus, paralleled by improvement of the patient's condition...
February 22, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38357736/in-vivo-porcine-model-of-acute-iliocaval-deep-vein-thrombosis
#10
JOURNAL ARTICLE
Sophia H Roberts, Mohamed S Zaghloul, Usama Ismail, Roger A Rowe, Connor Engel, Rodrigo Meade, Santiago Elizondo-Benedetto, Guy M Genin, Mohamed A Zayed
The study establishes a rapid, technically straightforward, and reproducible porcine large animal model for acute iliocaval deep vein thrombosis (DVT). The procedure can be performed with basic endovascular skillsets. With its procedural efficiency and consistency, the platform is promising for comparative in vivo testing of venous thrombectomy devices in a living host, and for future verification and validation studies to determine efficacy of novel thrombectomy devices relative to predicates.
February 15, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38339974/an-anatomic-classification-scheme-for-surgical-planning-of-renal-artery-aneurysms
#11
JOURNAL ARTICLE
Fangda Li, Siting Li, Zenghan Cao, Rong Zeng, Xiaolong Liu, Changwei Liu, Bao Liu, Yuexin Chen, Wei Ye, Lei Wang, Leng Ni, Yuehong Zheng
PURPOSE: Renal artery aneurysm (RAA) is a rare disease. This study proposed and evaluated a new classification for RAA to assist in surgical decision-making. MATERIALS AND METHODS: Single-center data of 105 patients with RAAs from the vascular department of vascular surgery were collected retrospectively. A new classification scheme was proposed. Type I aneurysms arise from the main trunk, accessory branch, or first-order branches away from any bifurcation. Type II aneurysms arise from the first bifurcation with narrow necks (defined as dome-to-neck ratio >2) or from intralobular branches...
February 10, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38326308/how-to-omit-the-potential-pitfalls-in-distal-radial-access-lessons-from-cadaveric-and-cta-analysis
#12
JOURNAL ARTICLE
Ping Wang, Yuezhan Shan, Benshan Xiao, Xiang Zhang, Jianfei Hou, Ni Cui, Xianglong Cao, Kailiang Cheng
OBJECTIVES: To verify the anatomical basis, ideal puncture sites, and potential pitfalls of the distal radial artery (dRA) in the anatomical snuffbox region for distal radial access (dTRA). MATERIALS AND METHODS: Overall, 26 formalin-fixed upper limbs and computed tomography angiography (CTA) of the upper limbs of 168 consecutive patients were studied. Cadaveric dissection and dRA 3D reconstruction were used to evaluate the dRA route for dTRA. The puncture sites, dRA diameter, and angle of the dRA and tendons of the extensor pollicis brevis were also measured in the patients and cadavers...
February 7, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38301082/complications-and-related-risk-factors-of-peripherally-inserted-central-catheters-in-neonates-a-historical-cohort-study
#13
JOURNAL ARTICLE
Seyyed Mostajab Razavinejad, Najib Saeed, Shahnaz Pourarian, Mehrdad Rezaei, Reza Bahrami, Negar Yazdani, Hamide Barzegar, Fatemeh Yarmahmoodi
BACKGROUND: Peripherally inserted central catheters (PICCs) are an effective method for medication and nutrition infusion in preterm neonates. The present study aimed to identify the incidence of the most common complications of PICC implantation and evaluate the risk factors of each complication. METHODS: This historical cohort study was conducted on 2500 neonates with birth weights (BWs)≥500 g and gestational age (GA)>24 weeks who had a history of PICC inserted in three NICUs between August 2015 and August 2018...
April 1, 2023: Archives of Iranian Medicine
https://read.qxmd.com/read/38273175/video-based-indocyanine-green-fluorescence-applied-to-robotic-duodenum-preserving-pancreatic-head-resection
#14
JOURNAL ARTICLE
Yan Li, Kezhen Zong, Ming Li, Yanyao Liu, Zhongjun Wu, Baoyong Zhou
BACKGROUND: Duodenum-preserving pancreatic head resection (DPPHR) serves as a surgical intervention for managing benign and low-grade malignant neoplasms located in the head of the pancreas. This surgical approach enables the thorough excision of pancreatic head lesions, reducing the necessity for digestive tract reconstruction and enhancing the patient's quality of life.1 Performing a minimally invasive DPPHR is a complex surgical procedure, particularly when safeguarding the bile duct and the pancreaticoduodenal arterial arch...
January 25, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38247558/consumer-experience-and-outcomes-of-insertion-removal-and-management-practices-of-short-and-midline-peripheral-intravenous-catheters-in-acute-health-care-a-mixed-methods-systematic-review-protocol
#15
JOURNAL ARTICLE
Michelle Nelson, Linda Coventry, Melanie Baker
OBJECTIVE: This review will synthesize and integrate current research on the practices relating to the insertion, removal, and management of short and midline peripheral intravenous catheters on consumer experiences and outcomes in acute health care. The aim is to provide consolidated evidence to support policy decision-makers and health care workers in overcoming peripheral intravenous catheter device management challenges. Implementing the evidence provided by this review could increase positive consumer outcomes and reduce the gap between research evidence and clinical practice...
January 22, 2024: JBI evidence synthesis
https://read.qxmd.com/read/38183179/evaluating-the-impact-of-external-forces-on-peripheral-intravenous-catheter-movement-using-ultrasound-a-randomized-pilot-study
#16
JOURNAL ARTICLE
Amit Bahl, Vance Clement, Emily DiLoreto, Nicholas Mielke, Alexandria Carr, Gregory Panza, S Matthew Gibson
BACKGROUND: A major contributor to peripheral intravenous catheter (PIVC) failure may be related to PIVC movement within the vein which is associated with vein wall damage. The magnitude of PIVC movement against the vein wall has not previously been quantified. This study aimed to examine PIVC movement within the vein when minor forces were applied to the PIVC. METHODS: This was a prospective, pilot trial including healthy volunteers in an outpatient research laboratory...
January 5, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38115161/the-pulsating-stent-sign-in-may-thurner-syndrome
#17
JOURNAL ARTICLE
Robert R Attaran, Yasser Jamil
PURPOSE: To report a case of a patient with May-Thurner syndrome who underwent endovenous stenting and was found to have pulsating arterial compression on the venous stent. REPORT: A 74-year-old man presented with 18 months of progressive right thigh and calf edema. After an extensive work-up, the patient underwent a venogram with intravascular ultrasound (IVUS), revealing compression of the right iliac vein by the external iliac artery and psoas muscle. Following stent deployment, fluoroscopy revealed extrinsic compression by an artery, but IVUS confirmed sufficient stent expansion...
December 19, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/38101470/predictive-factors-for-infusion-site-induration-after-outpatient-chemotherapy-in-japan-a-secondary-analysis
#18
JOURNAL ARTICLE
Mari Abe-Doi, Ryoko Murayama, Kojiro Morita, Gojiro Nakagami, Hiromi Sanada
PURPOSE: Even in the absence of extravasation, some patients develop induration at the peripheral intravenous catheterization site prior to the next day's treatment. Infusion site induration commonly affects patients who undergo repeated chemotherapy administrations. Vessel health is crucial for the continuation of chemotherapy. However, there is no effective method to prevent induration. Hence, this study aimed to investigate the factors that could cause induration for preventing its occurrence...
December 13, 2023: Asian Nursing Research
https://read.qxmd.com/read/38087498/pocus-guided-small-saphenous-vein-cannulation-a-novel-approach-for-peripheral-venous-assess-in-prone-position
#19
JOURNAL ARTICLE
Chitta Ranjan Mohanty, Rakesh Vadakkethil Radhakrishnan, Anju Gupta, Amiya Kumar Barik
Peripheral intravenous cannulation (PIVC) is a routine procedure in perioperative, and critical care settings and nearly one-third of the patients may have difficult intravenous access (DIVA). PIVC is challenging in a prone position in an intraoperative setting when there is a need for emergency access. Point of care ultrasonography (POCUS) is becoming the standard for assisting DIVA and improving the success rate. The small saphenous vein (SSV) in the posterolateral side of the mid-calf is a consistent vein in the lower extremity that provides an acceptable diameter and optimal depth for POCUS-guided PIVC in the prone position...
December 12, 2023: Journal of Vascular Access
https://read.qxmd.com/read/38072566/preventive-effect-of-aspirin-on-peripherally-inserted-central-catheter-related-vein-thrombosis-in-patients-with-malignant-tumors
#20
RANDOMIZED CONTROLLED TRIAL
Caiyan Yu, Shaohua Sun, Xiuqing Shi, Li Wang, Qian Zhang, Lin Zhang, Dehua Song
UNLABELLED: The majority of patients receiving chemotherapy undergo PICC catheterization. However, PICCs are significantly associated with catheter related complications, including deep vein thrombosis, blood infection, fibrin sheath, catheter prolapse, catheter displacement and blockage. Of all the risks, PICC-related VT was the most prevailing clinic symptom and resulted in a high risk of death. AIM: The study aimed to investigate the preventive efficacy and safety of aspirin for patients with malignant tumors receiving venous thrombosis (VT) related with peripherally inserted central catheters (PICC) treatment...
December 2023: Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing
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