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https://www.readbyqxmd.com/read/29997979/an-unusual-foreign-body-aspiration-requiring-an-unusual-retrieval-technique
#1
Gabriel Farkas, Debra Lederman, Tana Pradhan, Kassem Harris
Foreign body aspiration during medical procedures has been reported in the literature. These iatrogenic incidents could be related to instruments malfunction or to accidental occurrences during medical treatment. In this paper, we present a report of a woman coming for a laparoscopic abdominal hysterectomy who developed intraoperative bronchospasm. In an attempt to administer aerosolized albuterol, the resident anesthesia provider fractured the Luer-lock tip of the 60-cc syringe, which he was using to hold the albuterol nebulizer...
May 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29996603/-contrast-study-of-double-balloon-catheter-with-and-without-oxytocin-for-cervical-ripening
#2
Y Q Wang, Y J Xi, Y Y Wang, X Ma, Y Y Ma
Objective: To evaluate the efficacy and related issues for cervical ripening by double-balloon catheter with and without oxytocin. Methods: The prospective non-randomly control research was conducted from March 2015 to June 2017 in Yuquan Hospital of Tsinghua University. The primipara with induced labor indications and balloon placement conditions were divided into two groups. Seventy-eight cases were in the balloon with oxytocin group, in which oxytocin was used if there were no contraction 1 hour after balloon placement...
July 3, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29995808/treatment-of-pancreatic-head-cancer-with-obstructive-jaundice-by-endoscopy-ultrasonography-guided-gastrojejunostomy-a-case-report-and-literature-review
#3
Zhaohua Shen, Li Tian, Xiaoyan Wang
RATIONALE: Ultrasonography-guided gastrojejunostomy (EUS-GJ) might be a safe, innovative and minimally invasive interventional treatment for patients with gastric outlet obstruction (GOO) as an alternative to the surgical approach. To date, few cases have been reported in the literature. PATIENT CONCERNS: A case of pancreatic head carcinoma with obstructive jaundice occurred in a 78-year-old man with a prior history of pancreatic head cancer. Biliary stent placement was conducted 1 year earlier...
July 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29991378/static-balloon-atrial-septostomy-for-the-purpose-of-left-heart-intervention-in-postoperative-adult-chd
#4
Takanari Fujii, Hideshi Tomita, Yoshihito Hata, Takeshi Sasaki, Dai Asada, Suguru Tarui, Yoshinori Miyahara, Kozo Ishino, Takashi Soga
Background and purposeStatic balloon atrial septostomy is a widely accepted intervention for children with CHD. Successful surgical palliation is creating increasing numbers of adult CHD patients who need subsequent left heart intervention requiring transseptal access. In these patients, the interatrial septum is usually thick and fibrotic because of a previous open heart surgery or catheter intervention, and conventional transseptal puncture may be unsuccessful. Static balloon atrial septostomy to access the left atrium may facilitate intervention via the interatrial septum in such situations...
July 11, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29987121/intrapulmonary-vein-ablation-without-stenosis-a-novel-balloon-based-direct-current-electroporation-approach
#5
Chance M Witt, Alan Sugrue, Deepak Padmanabhan, Vaibhav Vaidya, Sarah Gruba, James Rohl, Christopher V DeSimone, Ammar M Killu, Niyada Naksuk, Joanne Pederson, Scott Suddendorf, Dorothy J Ladewig, Elad Maor, David R Holmes, Suraj Kapa, Samuel J Asirvatham
BACKGROUND: Current thermal ablation methods for atrial fibrillation, including radiofrequency and cryoablation, have a suboptimal success rate. To avoid pulmonary vein (PV) stenosis, ablation is performed outside of the PV, despite the importance of triggers inside the vein. We previously reported on the acute effects of a novel direct current electroporation approach with a balloon catheter to create lesions inside the PVs in addition to the antrum. In this study, we aimed to determine whether the effects created by this nonthermal ablation method were associated with irreversible lesions and whether PV stenosis or other adverse effects occurred after a survival period...
July 9, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29984217/detrimental-effects-of-endovascular-intervention-in-active-rheumatoid-vasculitis
#6
Jong Kwon Park
Balloon angioplasty can cause shear stress and tear of the vascular endothelium during mechanical dilatation, leading to increased inflammation and coagulation reactions of the vascular endothelium. Herein, a worst case of active rheumatoid vasculitis is described, where due to progressing ischemic necrosis of the leg, endovascular intervention was unavoidably performed in the presence of active rheumatoid vasculitis. After percutaneous balloon angioplasty, the patient developed recurrent thrombotic occlusion of the leg arteries, and finally, limb amputation resulted in despite vigorous treatment including medication, immunosuppression, catheter-directed thrombolysis, and post-thrombolysis anticoagulation...
June 2018: Vascular Specialist International
https://www.readbyqxmd.com/read/29980926/benign-anastomotic-biliary-strictures-untreatable-by-ercp-a-novel-percutaneous-balloon-dilatation-technique-avoiding-indwelling-catheters
#7
Elisabeth Dhondt, Peter Vanlangenhove, Hans Van Vlierberghe, Roberto Troisi, Ruth De Bruyne, Lynn Huyck, Luc Defreyne
OBJECTIVE: To evaluate long-term patency rates of a novel percutaneous threefold balloon dilatation protocol in benign anastomotic biliary strictures. METHODS: Patients with a benign biliary stricture after hepatobiliary surgery or liver transplantation, untreatable with endoscopy, underwent a percutaneous treatment cycle consisting of a 20-min balloon dilatation session on day one, repeated on days three and five. No catheters were left behind after the last dilatation session...
July 6, 2018: European Radiology
https://www.readbyqxmd.com/read/29977843/safety-of-carotid-canal-during-transtympanic-dilatation-of-the-eustachian-tube-a-cadaver-pilot-study
#8
Mustafa Kapadia, Muaaz Tarabichi, Murtaza Najmi, Mahmoud Hamza
To assess the safety of Transtympanic balloon dilatation of the cartilaginous proximal Eustachian tube under endoscopic guidance as it relates to the integrity of the carotid canal in cadaver model. Endoscopic guided Transtympanic dilatations of the cartilaginous proximal end of the Eustachian tube were performed in 15 ears of 8 fresh frozen cadaver heads. CT scans were done before and after dilatation. Images were reviewed by two otologists and one radiologist. Balloon catheter placement and dilatation of the proximal Eustachian tube was feasible in all specimens...
June 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/29977787/organized-blood-clot-masquerading-as-endobronchial-tumor-a-review-of-management-and-recent-advances
#9
Lakshmi Saladi, Dmitry Lvovsky
Central airway obstruction, a frequently encountered emergency, is usually associated with blood clots, tumors, foreign bodies or mucus plugs. Airway obstruction due to blood clots can be seen as a complication of lung malignancies, infections, bronchiectasis, arteriovenous malformations or pulmonary infarction. In patients with long standing blood clots, the thrombus gets organized and firmly adherent to the airway. The diagnosis is often misleading as these clots mimic tumors clinically and on imaging. Hemoptysis is the most common presenting symptom though many patients can be asymptomatic...
2018: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/29968242/-treatment-of-anastomotic-tubular-stricture-after-anterior-resection-of-rectal-cancer
#10
Xiyu Sun, Huizhong Qiu, Bin Wu, Guole Lin, Haifeng Shi, Yi Xiao
OBJECTIVE: To investigate the treatment of colorectal anastomotic tubular stricture after anterior resection of rectal cancer. METHODS: A retrospective study on 23 cases of anastomotic tubular stricture after anterior resection of rectal cancer from 2008 to 2017 at the Division of Colorectal Surgery, Department of General Surgery of Peking Union Medical College Hospital was performed. The general conditions of the patients, surgical procedures of rectal cancer, perioperative treatment, specific conditions of anastomotic stricture, treatment methods and outcomes were summarized and analyzed...
June 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29968090/drug-distribution-and-basic-pharmacology-of-paclitaxel-resveratrol-coated-balloon-catheters
#11
Ulrich Speck, Akvile Häckel, Eyk Schellenberger, Stefanie Kamann, Melanie Löchel, Yvonne P Clever, Daniel Peters, Bruno Scheller, Sabrina Trog, Stephanie Bettink
PURPOSE: To experimentally investigate a new homogenously paclitaxel/resveratrol-coated balloon catheter in terms of transport of the coating to the treated tissue and local effects including histology and functional tests. METHODS: Adherence of the coating to the balloon was explored by in vitro simulation of its passage to the lesion. Paclitaxel and resveratrol transfer to the vessel wall was investigated in porcine coronary and peripheral arteries. Matrix-assisted laser desorption/ionization (MALDI) was used for direct microscopic visualization of paclitaxel in arterial tissue...
July 2, 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/29965989/induction-of-labor-after-one-previous-cesarean-section-in-women-with-an-unfavorable-cervix-a-retrospective-cohort-study
#12
Tove Wallstrom, Jenny Bjorklund, Joanna Frykman, Hans Jarnbert-Pettersson, Helena Akerud, Elisabeth Darj, Kristina Gemzell-Danielsson, Eva Wiberg-Itzel
OBJECTIVE: Uterine rupture is a well-known but unusual complication in vaginal deliveries with a Cesarean section in the history. The risk of uterine rupture is at least two-fold when labor is induced. In Sweden, women are allowed to deliver vaginally after one previous Cesarean section, regardless if labor starts spontaneously or is induced. The aim of the study is to compare the proportion of uterine ruptures between the three methods (balloon catheter, Minprostin® and Cytotec®) for induction of labor in women with an unfavorable cervix and one previous Cesarean section...
2018: PloS One
https://www.readbyqxmd.com/read/29965939/mobile-forward-looking-infrared-technology-allows-rapid-assessment-of-resuscitative-endovascular-balloon-occlusion-of-the-aorta-in-hemorrhage-and-blackout-conditions
#13
Morgan R Barron, John P Kuckelman, John M McClellan, Michael J Derickson, Cody J Phillips, Shannon T Marko, Kyle Sokol, Matthew J Eckert, Matthew J Martin
INTRODUCTION: Objective assessment of final resuscitative endovascular balloon occlusion of the aorta (REBOA) position and adequate distal aortic occlusion is critical in patients with hemorrhagic shock, especially as feasibility is being increasingly investigated in the prehospital setting. We propose that mobile forward-looking infrared (FLIR) thermal imaging is a fast, reliable, and noninvasive method to assess REBOA position and efficacy in scenarios applicable to battlefield and prehospital care...
July 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29963389/endoscopic-port-access-tm-left-ventricle-outflow-tract-resection-and-atrioventricular-valve-surgery
#14
Johan van der Merwe, Filip Casselman, Frank Van Praet
The continuous evolution in robotic-, endoscopic- and trans-catheter cardiac interventions resulted in innovative techniques that simultaneously address left ventricular outflow tract obstruction (LVOTO) and concomitant atrioventricular valve (AVV) pathology in the context of hypertrophic obstructive cardiomyopathy (HOCM). We present our brief report of 13 consecutive HOCM patients with concomitant AVV disease, who underwent endoscopic left ventricular septal myomectomy (LVSM) and AVV surgery by Endoscopic Port AccessTM Surgery (EPAS) between March 1st 2010 and October 31st 2015...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29959499/-hybrid-operating-theater
#15
REVIEW
T Fuchs-Buder, N Settembre, D Schmartz
A hybrid suite is an operating theater with imaging equipment equivalent to that used in an angiography suite with computed tomography (CT) and magnetic resonance imaging (MRI). They are often situated outside the operating room area and typically serve as multifunctional rooms designed to support a variety of catheter-based endovascular procedures and open surgery to be performed in the same location. The possibility to perform these in the same location facilitates the combination of both approaches to so-called hybrid procedures...
July 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29958603/the-sinus-and-nasal-quality-of-life-survey-sn-5-in-the-management-of-pediatric-chronic-rhinosinusitis-a-systematic-review-and-meta-analysis
#16
REVIEW
Jonathan S Ni, Anvesh R Kompelli, Shaun A Nguyen, Rodney J Schlosser, Clarice Clemmens, Zachary M Soler
OBJECTIVES: Pediatric chronic rhinosinusitis (CRS) is a prevalent condition with quality of life (QoL) impacts that are seldom reported in the literature. We aimed to conduct a systematic review and meta-analysis on studies using the Sinus and Nasal Quality of Life Survey (SN-5), the only validated symptom questionnaire in pediatric CRS. METHODS: A literature search was conducted to identify studies that used the SN-5 to measure QoL before and after medical or surgical interventions for pediatric CRS...
August 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29958175/intravascular-ultrasound-assessment-and-correlation-with-angiographic-findings-demonstrating-femoropopliteal-arterial-dissections-post-atherectomy-results-from-the-idissection-study
#17
Nicolas W Shammas, James T Torey, W John Shammas, Susan Jones-Miller, Gail A Shammas
BACKGROUND: Dissections occur post atherectomy of the infrainguinal arteries. We hypothesized that angiography under-estimates their presence significantly. METHODS: In this prospective pilot study, a total of 15 patients were evaluated by intravascular ultrasound (IVUS) following treatment of femoropopliteal de novo or non-stent restenosis using atherectomy. Eagle Eye Platinum ST IVUS catheters (Philips) were used in this study. Thirteen Jetstream XC atherectomy devices (Boston Scientific) and 2 investigational B-laser atherectomy devices (Eximo Medical) were used...
July 2018: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29957596/effect-of-stenting-on-the-near-infrared-spectroscopy-derived-lipid-core-burden-index-of-carotid-artery-plaque
#18
Cyril Štěchovský, Petr Hájek, Martin Horváth, Josef Veselka
AIMS: Catheter-based intravascular near-infrared spectroscopy (NIRS) detects a lipid signal from atherosclerotic plaque. The aim of this study was to describe the effect of carotid artery stenting (CAS) on the lipid signal in a carotid stenosis. METHODS AND RESULTS: We performed NIRS combined with intravascular ultrasound (IVUS) during 120 CAS procedures. Minimal luminal area (MLA) and plaque burden (PB) at the site of MLA were measured with IVUS and lipid core burden index (LCBI), maximal LCBI in a 4-mm segment of the artery (LCBImax) and LCBI in a 4-mm segment at the site of MLA (LCBImla) with NIRS-derived chemograms...
June 26, 2018: EuroIntervention
https://www.readbyqxmd.com/read/29949039/advances-in-clinical-cardiology-2017-a-summary-of-key-clinical-trials
#19
REVIEW
Conor McQuillan, Alastair Gray, Aileen Kearney, Ian B A Menown
INTRODUCTION: Numerous important cardiology clinical trials have been published or presented at major international meetings during 2017. This paper aims to summarize these trials and place them in clinical context. METHODS: The authors reviewed clinical trials presented at major cardiology conferences during 2017 including the American College of Cardiology, European Association for Percutaneous Cardiovascular Interventions, European Society of Cardiology, European Association for the Study of Diabetes, Transcatheter Cardiovascular Therapeutics, and the American Heart Association...
June 14, 2018: Advances in Therapy
https://www.readbyqxmd.com/read/29947830/-resuscitative-endovascular-balloon-occlusion-of-the-aorta-bridge-to-surgery
#20
REVIEW
K Elias, M Engelhardt
BACKGROUND: Severe hemorrhage remains the leading cause of death among trauma patients. Resuscitative balloon occlusion of the aorta (REBOA) is an endovascular alternative to the established emergency room thoracotomy with cross-clamping of the aorta in patients with severe abdominal or pelvic bleeding. OBJECTIVE: The article reports on initial experiences with REBOA. METHODS: Based on the literature and own experiences the pathophysiology, indications, contraindications, technical details and first results with REBOA are presented...
July 2018: Der Unfallchirurg
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