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https://www.readbyqxmd.com/read/29026955/indolent-rib-osteomyelitis-following-breast-implant-reconstruction-an-unusual-case-and-review-of-the-literature
#1
Luke Watson, Darryl Dunn, Grant Fraser-Kirk
Rib osteomyelitis is an infrequently occurring but important complication of breast implant surgery. Although prosthetic or surgical site infection (SSI) and rib osteomyelitis as separate entities are well described in the literature, only five cases of rib or sternal osteomyelitis related to implant placement have been reported globally. Historically patients who experience this complication have not demonstrated an identifiable prevalence of the traditional risk factors associated with SSI or rib osteomyelitis...
October 12, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29020717/ulnar-nerve-injury-on-removal-of-a-contraceptive-implant
#2
Eva E O'Grady, Dominic M Power
The close proximity of contraceptive implant placement to the course of the ulnar nerve can result in injury. Several factors have been implicated in this complication including: low BMI, erroneous placement of the implant, implantation over the brachial groove, and migration of the implant from its original insertion. Clinicians should familiarise themselves with the vulnerable neurovascular structures in the area and refer promptly to a specialist if any neurological symptoms develop during placement or removal of these devices...
December 2016: Practitioner
https://www.readbyqxmd.com/read/28973520/longitudinal-hemodynamics-of-transcatheter-and-surgical-aortic-valves-in-the-partner-trial
#3
Pamela S Douglas, Martin B Leon, Michael J Mack, Lars G Svensson, John G Webb, Rebecca T Hahn, Philippe Pibarot, Neil J Weissman, D Craig Miller, Samir Kapadia, Howard C Herrmann, Susheel K Kodali, Raj R Makkar, Vinod H Thourani, Stamatios Lerakis, Ashley M Lowry, Jeevanantham Rajeswaran, Matthew T Finn, Maria C Alu, Craig R Smith, Eugene H Blackstone
Importance: Use of transcatheter aortic valve replacement (TAVR) for severe aortic stenosis is growing rapidly. However, to our knowledge, the durability of these prostheses is incompletely defined. Objective: To determine the midterm hemodynamic performance of balloon-expandable transcatheter heart valves. Design, Setting, and Participants: In this study, we analyzed core laboratory-generated data from echocardiograms of all patients enrolled in the Placement of Aortic Transcatheter Valves (PARTNER) 1 Trial with successful TAVR or surgical AVR (SAVR) obtained preimplantation and at 7 days, 1 and 6 months, and 1, 2, 3, 4, and 5 years postimplantation...
September 27, 2017: JAMA Cardiology
https://www.readbyqxmd.com/read/28963771/transcatheter-aortic-valve-replacement-for-stenotic-bicuspid-aortic-valves-systematic-review-and-meta-analyses-of-observational-studies
#4
Gautam Reddy, Zhen Wang, Rick A Nishimura, Kevin L Greason, Sung-Han Yoon, Raj R Makkar, David R Holmes
OBJECTIVE: The aim of this study was to perform a systematic review and meta-analyses of observational studies of transcatheter aortic valve replacement (TAVR) for bicuspid aortic valve stenosis (BcAV). BACKGROUND: TAVR for BcAV stenosis has been associated with an increased incidence of paravalvular leaks, valve malposition, pacemaker placement and all-cause mortality. The conclusions drawn have been limited by small sample sizes. The use of TAVR for BcAV stenosis remains controversial...
September 30, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28961938/implantation-of-depth-electrodes-in-children-using-varioguide%C3%A2-frameless-navigation-system-technical-note
#5
Marcelo Budke, Josue M Avecillas-Chasin, Francisco Villarejo
BACKGROUND: Electrode placement in epilepsy surgery seeks to locate the sites of ictal onset and early propagation. An invasive diagnostic procedure, stereoelectroencephalography (SEEG) is usually implemented with frame-based methods that can be especially problematic in young children. OBJECTIVE: To evaluate the feasibility and accuracy of a new technique for frameless SEEG in children using the VarioGuide® system (Brainlab AG, München, Germany). METHODS: A frameless stereotactic navigation system was used to implant depth electrodes with percutaneous drilling and bolt insertion in pediatric patients with medically refractory epilepsy...
September 9, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28945667/immediate-early-and-delayed-implants-a-2-year-prospective-cohort-study-of-131-transmucosal-flapless-implants-placed-in-sites-with-different-pre-extractive-endodontic-infections
#6
Carlo Prati, Fausto Zamparini, Chiara Pirani, Maria Rosaria Gatto, Adriano Piattelli, Maria Giovanna Gandolfi
INTRODUCTION: To evaluate clinical outcome of early, immediate, and delayed transmucosal implants placed in patients affected by acute/chronic endodontic lesions. MATERIALS AND METHODS: Eighty-five consecutive patients received 131 titanium implants with zirconium-oxide blasted surface. Pre-extractive diagnosis represented the main criteria for implant placement timing, following "best treatment" criteria. Implants were placed with flapless transmucosal technique...
October 2017: Implant Dentistry
https://www.readbyqxmd.com/read/28929543/does-the-suburethral-sling-change-its-location
#7
Wojciech Majkusiak, Andrzej Pomian, Paweł Tomasik, Edyta Horosz, Aneta Zwierzchowska, Jacek Kociszewski, Ewa Barcz
OBJECTIVES: To ascertain whether a phenomenon of sling migration exists after suburethral sling placement, whether this might be responsible for suboptimal sling location and persistent incontinence, and whether a link exists between sling dislocation or migration and risk factors, such as obesity or age. METHODS: The present prospective cohort study was carried out in a group of 244 patients who underwent retropubic sling implantation. Sling location was determined by means of pelvic floor ultrasound, and calculated relative to the individual patient's urethral length measured before the procedure...
September 20, 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/28911958/application-of-real-time-surgical-navigation-for-zygomatic-implant-insertion-in-patients-with-severely-atrophic-maxilla
#8
Feng Wang, Michael M Bornstein, Kuofeng Hung, Shengchi Fan, Xiaojun Chen, Wei Huang, Yiqun Wu
PURPOSE: Computer-aided treatment technology has extended its applications to oral implantology. This report describes the authors' initial clinical experience on the application of a commercially available navigation system (VectorVision) in zygomatic implant (ZI) insertion in the severely atrophic maxilla. MATERIALS AND METHODS: This was a retrospective longitudinal study. Eligible patients with maxillary edentulism who were treated with ZI placement were enrolled...
August 24, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28906506/stability-of-grafted-implant-placement-sites-after-sinus-floor-elevation-using-a-layering-technique-10-year-clinical-and-radiographic-results
#9
Fouad Khoury, Pierre Keller, Philip L Keeve
PURPOSE: To evaluate long-term survival rates and radiographic stability of sinus floor elevations carried out using a two-layer grafting technique. MATERIALS AND METHODS: Records were analyzed for patients treated with sinus floor elevations using a modified technique. Phycogenic hydroxyapatite (Algipore, Dentsply Sirona Implants) and autogenous bone particles harvested from intraoral sites were grafted in two distinct layers after elevation of the sinus mucosae...
September 2017: International Journal of Oral & Maxillofacial Implants
https://www.readbyqxmd.com/read/28884953/a-retro-prospective-effectiveness-study-on-3448-implant-operations-at-one-referral-clinic-a-multifactorial-analysis-part-i-clinical-factors-associated-to-early-implant-failures
#10
Torsten Jemt
BACKGROUND: Limited numbers of large effectiveness studies on routine dental implant treatment are available in the literature. PURPOSE: To report retro-prospective data on prevalence of early implant failures in a large number of routine patients/operations at 1 referral clinic. MATERIALS AND METHODS: A total of 2848 patients were consecutively provided with 9582 implants with an anodized surface (Nobel Biocare AB) during 3448 implant operations between 2003 and 2011...
September 8, 2017: Clinical Implant Dentistry and related Research
https://www.readbyqxmd.com/read/28882349/spine-growth-modulation-in-early-adolescent-idiopathic-scoliosis-two-year-results-of-prospective-us-fda-ide-pilot-clinical-safety-study-of-titanium-clip-screw-implant
#11
Eric J Wall, Joseph E Reynolds, Viral V Jain, Donita I Bylski-Austrow, George H Thompson, Paul J Samuels, Sean J Barnett, Alvin H Crawford
STUDY DESIGN: Prospective pilot clinical safety study of novel treatment, consecutive case series from first human use in patients with early adolescent idiopathic scoliosis (AIS). OBJECTIVE: The primary purpose was to determine the initial safety of a titanium clip-screw implant system for spine growth modulation. The secondary aim was to document curvatures to 2 years postoperatively. SUMMARY OF BACKGROUND DATA: Spinal growth modulation was documented in preclinical studies...
September 2017: Spine Deformity
https://www.readbyqxmd.com/read/28865977/safety-and-efficacy-of-polyurethane-vascular-grafts-for-early-hemodialysis-access
#12
John D Kakisis, Constantine Antonopoulos, George Mantas, Evaggelos Alexiou, Konstantina Katseni, George Sfyroeras, Konstantinos Moulakakis, George Geroulakos
BACKGROUND: Arteriovenous grafts made of polyurethane (PU) have the advantage of early cannulation obviating the placement of a central vein catheter in patients with an acute need for long-term hemodialysis. The aim of the present study was to evaluate the safety, efficacy and complication rate of PU vascular grafts for dialysis access in patients in whom early cannulation was performed. METHODS: Between January 2007 and December 2015, 125 straight brachial-axillary grafts were placed in patients with an acute thrombosis of a previous arteriovenous access...
August 30, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28836933/intracerebral-hemorrhage-related-with-penicillium-species-following-deceased-donor-liver-transplant
#13
Huseyin Yonder, Sami Akbulut, Huseyin Kocaaslan, Volkan Ince, Nese Karadag, Gokhan Demirtas, Ayse Selimoglu, Sezai Yilmaz
Early or late posttransplant opportunistic infections are among the leading complications after liver transplant. The source of early posttransplant opportunistic infections is usually the patient, the implantation of an infected graft, contamination during a surgical procedure, or invasive interventions performed at the intensive care unit. A 10-year-old male patient with Wilson disease (Pediatric End-Stage Liver Disease Score of 42, Child-Pugh score of 12, total bilirubin 40 mg/dL, platelet count 55?000/mL, hemoglobin level 6...
August 24, 2017: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/28832716/risk-factors-for-implant-failure-a-retrospective-study-in-an-educational-institution-using-gee-analyses
#14
Marcelo Borba, Daniel Deluiz, Eduardo José Veras Lourenço, Luciano Oliveira, Patrícia Nivoloni Tannure
This study aimed to evaluate dental implant outcomes and to identify risk factors associated with implant failure over 12 years via dental records of patients attending an educational institution. Dental records of 202 patients receiving 774 dental implants from 2002 to 2014 were analyzed by adopting a more reliable statistical method to evaluate risk factors with patients as the unit [generalized estimating equation (GEE)]. Information regarding patient age at implantation, sex, use of tobacco, and history of systemic diseases was collected...
August 21, 2017: Brazilian Oral Research
https://www.readbyqxmd.com/read/28831335/subcutaneously-placed-breast-implants-after-a-skin-sparing-mastectomy-do-we-always-need-adm
#15
Apresh Singla, Animesh Singla, Eric Lai, David Caminer
Immediate breast reconstruction is an acceptable treatment option after mastectomy for prophylaxis of early breast cancer. Different options exist for implant placement, incision technique, patient suitability, and institutional experience. This article is a case series exploring the feasibility and outcomes of patients undergoing immediate breast reconstruction using skin-sparing mastectomy without mesh or acellular dermal matrix (ADM) and with a vertical inframammary incision. METHODS: A single-institution retrospective analysis was performed for all patients who underwent immediate single-stage reconstruction with subcutaneous silicon implants without ADM between 2009 and 2014 inclusive...
July 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28794870/cost-and-morbidity-analysis-of-chest-port-insertion-in-adults-outpatient-clinic-versus-operating-room-placement
#16
Claudio F Feo, Giorgio C Ginesu, Alessandro Bellini, Giuseppe Cherchi, Antonio M Scanu, Maria Laura Cossu, Alessandro Fancellu, Alberto Porcu
BACKGROUND: Totally implantable venous access devices (TIVADs) represent a convenient way for the administration of medications or nutrients. Traditionally, chest ports have been positioned by surgeons in the operating room, however there has been a transition over the years to port insertion by interventional radiologists in the radiology suite. The optimal method for chest port placement is still under debate. MATERIALS AND METHODS: Data on all adult patients undergoing isolated chest port placement at our institution in a 12-year period were retrospectively reviewed...
September 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28777282/intrawound-vancomycin-powder-associated-with-reduced-surgical-site-infection-in-rib-based-distraction-surgery
#17
Justin M Haller, John A Heflin, David A Hulet, Qian Ding, Angela P Presson, John T Smith
BACKGROUND: Despite clinical reports of improved pulmonary function and reduced spinal deformity with rib-based distraction surgery in early-onset scoliosis (EOS) patients, infection remains a common complication, reported as high as 32% in some studies. The purpose of this study was to evaluate intrawound vancomycin powder in pediatric patients managed with rib-based distraction for EOS. METHODS: This was a single institution retrospective cohort study of EOS patients treated with rib-based distraction...
August 2, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28749852/complications-following-enucleations-and-subsequent-oculoplastic-surgeries
#18
Jennifer S N Verhoekx, Win Hou Willy Tse, Anina Rengifo Coolman, Yashna B van Kinderen, Rene J Wubbels, Dion Paridaens
PURPOSE: To analyze the complications and subsequent type and frequency of oculoplastic surgeries after enucleation in adult patients. METHODS: The authors conducted a retrospective case note review of adult patients who underwent enucleation followed by placement of an alloplastic implant wrapped in donor sclera between 2001 and 2013. The data collected included patient demographics, surgical indication, implant size, postoperative complications, and subsequent oculoplastic surgical procedures...
July 26, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28744958/post-extraction-implant-placement-into-infected-versus-non-infected-sites-a-multicenter-retrospective-clinical-study
#19
Francesco Zuffetti, Matteo Capelli, Fabio Galli, Massimo Del Fabbro, Tiziano Testori
PURPOSE: The aim of this study was to assess whether immediate implant placement into post-extraction sites presenting a chronic infection poses a greater risk of implant failure than immediate placement in non-infected sites. MATERIALS AND METHODS: Records of patients who underwent extraction and immediate implant placement into both infected and non-infected sites from January 1998 to September 2014 at 5 different dental centers were considered for inclusion. Included records were subjected to statistical analysis of survival rates, along with a number of other patient-, implant-, surgery-, and prosthesis-related variables...
July 26, 2017: Clinical Implant Dentistry and related Research
https://www.readbyqxmd.com/read/28736903/a-retrospective-analysis-of-impella-use-in-all-comers-1-year-outcomes
#20
Mohamad Lazkani, Shishir Murarka, Akihiro Kobayashi, Luke Seibolt, Tae Yang, Ashish Pershad
BACKGROUND: There are non-randomized data about the benefits of Impella use in the setting of cardiogenic shock. However, limited data exist to help guide clinicians about whether in the context of the intervention the device should be implanted early or late; how long the device should stay in; and how the mode of explant should be. METHODS: This is a retrospective, single center registry over 5 years comparing in-hospital outcomes and 1 year mortality in an all-comers in patients who had the Impella device placed early versus those who had the device placed late as a bailout...
July 24, 2017: Journal of Interventional Cardiology
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