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https://www.readbyqxmd.com/read/26761915/radiofrequency-microtenotomy-for-elbow-epicondylitis-midterm-results
#1
James P Tasto, John M Richmond, Jeffrey R Cummings, Renee Hardesty, David Amiel
We conducted a prospective, nonrandomized, single-center clinical study to evaluate the safety and midterm effectiveness of microtenotomy using a radiofrequency probe to treat chronic tendinosis of the elbow. All patients had failed conservative treatment for 6 months. The radiofrequency-based microtenotomy was performed using the Topaz Microdebrider (ArthroCare). Patients were followed annually for up to 9 years postoperatively. Pain status was documented using a visual analog scale self-reported measure. Eighty consecutive patients with tendinosis of the elbow were enrolled; 69 patients were treated for lateral epicondylitis and 11 for medial epicondylitis...
January 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/26632734/early-surgical-management-of-large-scalp-infantile-hemangioma-using-the-topclosure%C3%A2-tension-relief-system
#2
Zhanyong Zhu, Xilin Yang, Yueqiang Zhao, Huajun Fan, Mosheng Yu, Moris Topaz
Infantile hemangiomas (IHs) are the most common benign vascular neoplasms of infancy and childhood. The majority do not need medical intervention. However, large ulcerated scalp IHs may lead to fatal bleeding as well as severe cosmetic disfigurement that indicate early surgical excision, inflicting substantial surgical risks, with short- and long-term morbidity.The TopClosure Tension-Relief System (TRS) is an innovative skin stretching and wound closure-secure system that facilitates primary closure of relatively large skin defects...
November 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26612483/investigating-the-challenges-and-opportunities-in-home-care-to-facilitate-effective-information-technology-adoption
#3
Güneş Koru, Dari Alhuwail, Maxim Topaz, Anthony F Norcio, Mary Etta Mills
BACKGROUND: As home care utilization increases, information technology (IT) becomes a critical tool for providing quality home care. However, most home health agencies (HHAs) in the United States are in a position to adopt and leverage IT solutions in budget-constrained settings, where it is crucial to address important and pressing challenges and opportunities for achieving effectiveness in IT adoption. OBJECTIVES: (1) Explore HHAs' challenges and opportunities related to delivering home care as well as performing administrative functions and conducting business, (2) learn about current IT implementation levels and activities in home care, and (3) make recommendations to facilitate efforts and initiatives designed for adopting IT in home care effectively...
January 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/25851314/development-of-a-double-lumen-cannula-for-a-percutaneous-rvad
#4
Dongfang Wang, Cameron Jones, Cherry Ballard-Croft, Ju Zhao, Guangfeng Zhao, Stephen Topaz, Joseph B Zwischenberger
The objectives were to design/fabricate a double-lumen cannula (DLC) for a percutaneous right ventricular assist device (pRVAD) and to test the feasibility/performance of this pRVAD system. A 27 Fr DLC prototype was made and tested in six adult sheep. The pRVAD DLC was inserted into the right jugular vein; advanced through the superior vena cava, the right atrium (RA), the right ventricle (RV); ending in the pulmonary artery (PA). A CentriMag pump and optional gas exchanger were connected to the DLC. Blood was withdrawn from RA, pumped through gas exchanger, and perfused PA...
July 2015: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/25526444/stress-relaxation-and-tension-relief-system-for-immediate-primary-closure-of-large-and-huge-soft-tissue-defects-an-old-new-concept-new-concept-for-direct-closure-of-large-defects
#5
Moris Topaz, Narin Nard Carmel, Guy Topaz, Mingsen Li, Yong Zhong Li
Stress-relaxation is a well-established mechanism for laboratory skin stretching, with limited clinical application in conventional suturing techniques due to the inherent, concomitant induction of ischemia, necrosis and subsequent suture failure. Skin defects that cannot be primarily closed are a common difficulty during reconstructive surgery. The TopClosure tension-relief system (TRS) is a novel device for wound closure closure, providing secured attachment to the skin through a wide area of attachment, in an adjustable manner, enabling primary closure of medium to large skin defects...
December 2014: Medicine (Baltimore)
https://www.readbyqxmd.com/read/24930609/a-paired-membrane-umbrella-double-lumen-cannula-ensures-consistent-cavopulmonary-assistance-in-a-fontan-sheep-model
#6
Dongfang Wang, Guodong Gao, Mark Plunkett, Guangfeng Zhao, Stephen Topaz, Cherry Ballard-Croft, Joseph B Zwischenberger
OBJECTIVES: The Avalon Elite (Macquet, Rastatt, Germany) double-lumen cannula can provide effective cavopulmonary assistance in a Fontan (total cavopulmonary connection) sheep model, but it requires strict alignment. The objective was to fabricate and test a newly designed paired umbrella double-lumen cannula without alignment requirement. METHODS: The paired membrane umbrellas were designed on the double-lumen cannula to bracket infusion blood flow toward the pulmonary artery...
September 2014: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/24385119/a-substitute-for-skin-grafts-flaps-or-internal-tissue-expanders-in-scalp-defects-following-tumor-ablative-surgery
#7
Moris Topaz, Narin-Nard Carmel, Guy Topaz, Isaac Zilinsky
BACKGROUND: The skin of the scalp is relatively thick, minimally mobile, with distinct hair distribution. TopClosure® is a novel device for skin stretching and secure wound closure. OBJECTIVES: To evaluate the efficacy of the TopClosure® system in primary closure of moderate and large scalp defects, as a substitute for skin grafts, flaps, and tissue expanders. METHODS: We report a retrospective series of 8 patients requiring resection of 9 scalp tumors resulting with moderate to large size defects that otherwise would have required reconstruction with skin grafts, flaps, or tissue expanders...
January 2014: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/23937030/-arthroscopic-treatment-of-painful-heel-syndrome-with-radio-frequency
#8
Shu-Yuan Li, Peng Zhang, Feng Qu, Jun-Liang Wang, Yu-Jie Liu, Min Wei
OBJECTIVE: To evaluate therapy effect of radiofrequency in the treatment of painful heel syndrome under arthroscopy. METHODS: From January 2006 to December 2011, 13 patients with painful heel syndrome being admitted into our hospital were studied. There were 5 males and 8 femals, ranging in age from 35 to 68 years. All these surgeries were performed under local anesthesia. After constructing a man-made lacouna in the subcutaneous tissue above plantar fascia, a medial and a lateral portal were established on both sides of plantar fascia and at the anterior edge of calcaneal tuberosity...
May 2013: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/23885446/-health-information-technology-where-are-we-heading
#9
Nachman Ash, Ilan Levy
The current issue of "Harefuah" dedicates a special corner to Health Information Technology (HIT), with a collection of five review papers discussing different areas of the field, focusing on its benefits to the quality of healthcare. In the first paper Topaz and Ash describe the United States MeaningfuL Use project, and list the lessons that the Israeli health system should learn from it. Zelingher and Ash analyze the decision of the Israeli Ministry of Health to move from the old coding system of ICD-9-CM to a combination of SNOMED-CT as a clinical terminology system and ICD-10-CM as the classification coding system...
May 2013: Harefuah
https://www.readbyqxmd.com/read/23162229/improved-wound-management-by-regulated-negative-pressure-assisted-wound-therapy-and-regulated-oxygen-enriched-negative-pressure-assisted-wound-therapy-through-basic-science-research-and-clinical-assessment
#10
Moris Topaz
Regulated negative pressure-assisted wound therapy (RNPT) should be regarded as a state-of-the-art technology in wound treatment and the most important physical, nonpharmaceutical, platform technology developed and applied for wound healing in the last two decades. RNPT systems maintain the treated wound's environment as a semi-closed, semi-isolated system applying external physical stimulations to the wound, leading to biological and biochemical effects, with the potential to substantially influence wound-host interactions, and when properly applied may enhance wound healing...
May 2012: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/23093126/open-technique-is-more-effective-than-percutaneous-technique-for-topaz-radiofrequency-coblation-for-plantar-fasciitis
#11
COMPARATIVE STUDY
Kae Sian Tay, Yung Chuan Sean Ng, Inderjeet Rikhraj Singh, Keen Wai Chong
BACKGROUND: Microtenotomy coblation using a radiofrequency (RF) probe is a minimally invasive procedure for treating chronic tendinopathy. It has been described for conditions including tennis elbow and rotator cuff tendinitis. There have been no long term studies to show its effectiveness in plantar fasciitis. METHODS: A prospective non-randomised trial was conducted on 48 patients who had failed conservative treatment for plantar fasciitis, between 2007 and 2009...
December 2012: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/22331264/physiologically-aged-red-blood-cells-undergo-erythrophagocytosis-in-vivo-but-not-in-vitro
#12
Yehonatan Gottlieb, Orit Topaz, Lyora A Cohen, Liat David Yakov, Tom Haber, Abigail Morgenstern, Avital Weiss, Karen Chait Berman, Eitan Fibach, Esther G Meyron-Holtz
BACKGROUND: The lifespan of red blood cells is terminated when macrophages remove senescent red blood cells by erythrophagocytosis. This puts macrophages at the center of systemic iron recycling in addition to their functions in tissue remodeling and innate immunity. Thus far, erythrophagocytosis has been studied by evaluating phagocytosis of erythrocytes that were damaged to mimic senescence. These studies have demonstrated that acquisition of some specific individual senescence markers can trigger erythrophagocytosis by macrophages, but we hypothesized that the mechanism of erythrophagocytosis of such damaged erythrocytes might differ from erythrophagocytosis of physiologically aged erythrocytes...
July 2012: Haematologica
https://www.readbyqxmd.com/read/21047605/radiofrequency-microtenotomy-for-the-treatment-of-plantar-fasciitis-shows-good-early-results
#13
Ng Yung Chuan Sean, Inderjeet Singh, Chong Keen Wai
BACKGROUND: Microtenotomy coblation using a radiofrequency (RF) probe is a minimally invasive procedure for treating chronic tendinopathy. It has been described for conditions including tennis elbow and rotator cuff tendinitis. There have been no studies to show the effectiveness of such a procedure for plantar fasciitis. METHODS: 14 Patients with plantar fasciitis with failed conservative treatment underwent TOPAZ RF treatment for their symptoms between 2007 and 2008...
December 2010: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/19825686/a-new-minimally-invasive-technique-for-treating-plantar-fasciosis-using-bipolar-radiofrequency-a-prospective-analysis
#14
COMPARATIVE STUDY
Lowell Weil, Jason P Glover, Lowell Scott Weil
The purpose of this study was to evaluate the effectiveness of a new minimally invasive technique using bipolar radiofrequency in the treatment of plantar fasciosis. A prospective study was performed on 10 patients with recalcitrant plantar fasciosis that failed conservative care. A percutaneous microtenotomy was performed unilaterally with a Topaz microdebrider. Outcome measures included visual analog scale, American Orthopaedic Foot & Ankle Society (AOFAS) Hindfoot and Midfoot Scale, and patient satisfaction assessment...
February 2008: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/19816915/utilization-of-excimer-laser-debulking-for-critical-lesions-unsuitable-for-standard-renal-angioplasty
#15
On Topaz, Pritam R Polkampally, Allyne Topaz, Chudamani R Polkampally, Jessica Jara, Majid Rizk, Kara McDowell, George Feldman
BACKGROUND: The energy emitted by ultraviolet laser is avidly absorbed in atherosclerotic plaques. Conceptually, it could be applied for debulking of selected atherosclerotic renal artery stenoses. We describe early experience with revascularization of critical renal artery lesions deemed unsuitable for standard renal angioplasty. Institutional Review Board permission to conduct the data analysis was obtained. METHODS: Among 130 percutaneous renal artery interventions with balloon angioplasty and adjunct stenting, there were 12 (9%) patients who underwent laser debulking prior to stenting...
November 2009: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/19238505/excimer-laser-debulking-for-percutaneous-coronary-intervention-in-left-main-coronary-artery-disease
#16
On Topaz, Pritam R Polkampally, Pramod K Mohanty, Maged Rizk, Julie Bangs, Nelson L Bernardo
Excimer laser has been successfully applied to complex atherosclerotic plaques in acute coronary syndromes; however, its role in debulking in left main coronary artery disease has not been fully explored. Details of a series of 20 patients who underwent excimer laser revascularization of a spectrum of left main coronary artery lesions are presented. Twenty symptomatic patients who received excimer laser debulking were examined for procedural outcome and follow up results. The left main coronary artery was characterized as protected, semi-protected, poorly protected, or unprotected, depending on the presence or absence of patent bypass grafts to the left anterior descending (LAD) and circumflex (CX) arteries...
November 2009: Lasers in Medical Science
https://www.readbyqxmd.com/read/18509965/-arthroscopically-assisted-radiofrequency-probe-to-treat-achilles-tendinitis
#17
Yu-Jie Liu, Zhi-Gang Wang, Zhong-Li Li, Xu Cai, Mi Zhou, Min Wei, Juan-Li Zhu
OBJECTIVE: To evaluate the effectiveness of micro-tenotomy using a radiofrequency (RF) probe to treat chronicity achilles tendinitis. METHODS: Seventeen cases of chronicity achilles tendinitis were treated by RF probe. Eleven cases were male, and 6 female. The average age of the patients was 25 (17-48) years. Nine were athlete, 4 sports activity and 4 students. Seven were in left side, and 10 right side. Before receiving the RF therapy all patients had achilles tendinitis symptoms...
January 15, 2008: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/17989324/microcoil-embolization-of-an-arteriovenous-fistula-from-the-arteria-bulbi-penis-to-the-corpus-spongiosum-penis-in-the-treatment-of-erectile-dysfunction-normal-function-regained-immediately-after-intervention
#18
B Glodny, J Petersen, N Bendix, H Gruber, T Trieb, R Herwig, P Rehder
A 39-year-old man presented with erectile dysfunction that had persisted since its sudden onset 5 years ago. He exhibited none of the classic risk factors, and all attempts at medication had been unsuccessful. An ultrasound examination revealed the presence of an arteriovenous shunt in the corpus spongiosum penis. Selective digital subtraction angiography of the left internal pudendal artery showed an arteriovenous fistula from the arteria bulbi penis to the corpus spongiosum penis. The outflow of venous blood took place via the penile veins into the periprostatic vein plexus...
November 2007: British Journal of Radiology
https://www.readbyqxmd.com/read/17916468/radiofrequency-based-plasma-microtenotomy-compared-with-arthroscopic-subacromial-decompression-yields-equivalent-outcomes-for-rotator-cuff-tendinosis
#19
RANDOMIZED CONTROLLED TRIAL
Ettore Taverna, Ferdinando Battistella, Valerio Sansone, Carlo Perfetti, James P Tasto
PURPOSE: This study aimed to determine whether radiofrequency (RF)-based plasma microtenotomy (microdebridement) was effective for treating chronic supraspinatus tendinosis. METHODS: The institutional ethics committee approved the study design, and all patients signed informed consent forms. Patients (age range, 30 to 70 years) were considered for enrollment if 6 months of active conservative treatment had failed and they had Neer stage II impingement syndrome, positive radiographic evidence of type II acromion, and magnetic resonance imaging or ultrasound evidence of supraspinatus tendinosis...
October 2007: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/17426922/excimer-laser-in-myocardial-infarction-a-comparison-between-stemi-patients-with-established-q-wave-versus-patients-with-non-stemi-non-q
#20
MULTICENTER STUDY
, On Topaz, Douglas Ebersole, Johannes B Dahm, Edwin L Alderman, Hooman Madyoon, Kishor Vora, John D Baker, David Hilton, Tony Das
Patients sustaining acute myocardial infarction (AMI) often require urgent percutaneous revascularization within the first 24 h from onset of the infarction due to continuous ischemia and hemodynamic instability. Upon arrival to the cardiac catheterization, the electrocardiogram of AMI patients may exhibit acute ST-elevation (STEMI) with or without accompanying Q-wave or depression of the ST segment (non-STEMI or non-Q-wave infarction). Data comparing acute outcome of device application in patients presenting for urgent revascularization with established Q-wave myocardial infarction (QWMI) versus those with non-STEMI (NQMI) are sparse...
January 2008: Lasers in Medical Science
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