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Pacemakers and anesthesia

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https://www.readbyqxmd.com/read/27898500/patterns-and-trends-of-transcatheter-aortic-valve-implantation-in-italy-insights-from-rispeva
#1
Arturo Giordano, Nicola Corcione, Giuseppe Biondi-Zoccai, Sergio Berti, Anna Sonia Petronio, Carlo Pierli, Patrizia Presbitero, Pietro Giudice, Gennaro Sardella, Antonio L Bartorelli, Roberto Bonmassari, Ciro Indolfi, Alfredo Marchese, Elvis Brscic, Alberto Cremonesi, Luca Testa, Nedy Brambilla, Francesco Bedogni
AIMS: Clinical trials have shown that transcatheter aortic valve implantation for aortic stenosis compares favorably to surgical replacement in high-risk patients and is superior to medical therapy in those at prohibitive risk. There is uncertainty however on patterns and trends in transcatheter aortic valve implantation, especially focusing on Italy. METHODS: The RISPEVA study is a prospective Italian registry including 21 institutions. Patients have been enrolled since late 2012, and data collection includes several baseline, procedural, in-hospital, and follow-up details...
November 24, 2016: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/27883975/evaluation-of-current-practices-in-transcatheter-aortic-valve-implantation-the-written-worldwide-tavi-experience-survey
#2
Enrico Cerrato, Luis Nombela-Franco, Tamim M Nazif, Helene Eltchaninoff, Lars Søndergaard, Henrique B Ribeiro, Marco Barbanti, Fabian Nietlispach, Peter De Jaegere, Pierfrancesco Agostoni, Ramiro Trillo, Pilar Jimenez-Quevedo, Fabrizio D'Ascenzo, Olaf Wendler, Gabriel Maluenda, Mao Chen, Corrado Tamburino, Carlos Macaya, Martin B Leon, Josep Rodes-Cabau
BACKGROUND: Transcatheter aortic valve implantation (TAVI) has been adopted worldwide as the standard treatment for severe aortic stenosis in symptomatic patients at prohibitive or high surgical risk, but there are still several areas where consensus and evidence are lacking. The purpose was to obtain a global view of current practice related to TAVI with the potential to identify the main areas of consensus and divergence between centers. METHODS: An online questionnaire was distributed in centers performing TAVI including a total of 59 questions concerning pre-procedural evaluation, procedural practices and post-procedural management...
November 9, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27793402/one-year-outcomes-of-transcatheter-aortic%C3%A2-valve-implantation-using-the-direct%C3%A2-aortic%C3%A2-approach
#3
Giuseppe Bruschi, Marian Branny, Molly Schiltgen, Federica Ettori, Bertrand Marcheix, Hafid Amrane, Hasan Bushnaq, M Erwin S H Tan, Uday Trivedi, Piotr Branny, Silvio Klugmann, Giuseppe Coletti, Nicolas Dumonteil, Fabiano Porta, Anna Nordell, Neil Moat
BACKGROUND: The direct aortic (DA) approach allows for transcatheter aortic valve implantation (TAVI) in patients with difficult peripheral vascular anatomy. The CoreValve ADVANCE Direct Aortic (ADVANCE DA) study was performed to assess the outcomes of DA TAVI with the CoreValve System (Medtronic, Minneapolis, MN) in routine practice. METHODS: Patients were selected for the DA approach by local cardiac surgical teams, and TAVI was performed with patients under general anesthesia...
October 25, 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27660584/postinduction-paced-pulseless-electrical-activity-in-a-patient-with-a-history-of-oropharyngeal-instrumentation-induced-reflex-circulatory-collapse
#4
Ryan J Kline, Ky Pham, Carmen L Labrie-Brown, Ken Mancuso, Paul LeLorier, James Riopelle, Alan David Kaye
BACKGROUND: Reflex hypotension and bradycardia have been reported to occur following administration of several drugs associated with administration of anesthesia and also following a variety of procedural stimuli. CASE REPORT: A 54-year-old postmenopausal female with a history of asystole associated with sedated upper gastrointestinal endoscopy and post-anesthetic-induction tracheal intubation received advanced cardiac resuscitation after insertion of a temporary transvenous pacemaker failed to prevent pulseless electrical activity...
2016: Ochsner Journal
https://www.readbyqxmd.com/read/27629727/ventricular-effective-refraction-period-and-ventricular-repolarization-analysis-in-experimental-tachycardiomyopathy-in-swine
#5
Agnieszka Noszczyk-Nowak, Urszula Pasławska, Jacek Gajek, Adrian Janiszewski, Robert Pasławski, Dorota Zyśko, Józef Nicpoń
BACKGROUND: Swine are recognized animal models of human cardiovascular diseases. However, little is known on the CHF-associated changes in the electrophysiological ventricular parameters of humans and animals. OBJECTIVES: The aim of this study was to analyze changes in the durations of ventricular effective refraction period (VERP), QT and QTc intervals of pigs with chronic tachycardia-induced tachycardiomyopathy (TIC). MATERIAL AND METHODS: The study was comprised of 28 adult pigs (8 females and 20 males) of the Polish Large White breed...
May 2016: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/27495961/outcome-after-general-anesthesia-versus-monitored-anesthesia-care-in-transfemoral-transcatheter-aortic-valve-replacement
#6
Paola D'Errigo, Marco Ranucci, Remo Daniel Covello, Fausto Biancari, Stefano Rosato, Marco Barbanti, Francesco Onorati, Corrado Tamburino, Gennaro Santoro, Claudio Grossi, Francesco Santini, Katia Bontempi, Danilo Fusco, Fulvia Seccareccia
OBJECTIVE: To evaluate outcomes of monitored anesthesia care (MAC) compared with general anesthesia (GA) in patients undergoing transfemoral transcatheter aortic valve replacement (TAVR). DESIGN: Secondary analysis from the observational and prospective OBSERVANT (OBservational Study of Effectiveness of avR-taVi procedures for severe Aortic steNosis Treatment) study. SETTING: Multicenter study, including Italian hospitals performing TAVR interventions...
October 2016: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/27435593/method-to-test-the-long-term-stability-of-functional-electrical-stimulation-via-multichannel-electrodes-e-g-applicable-for-laryngeal-pacing-and-to-define-best-points-for-stimulation-in-vivo-animal-analysis
#7
Bernd Faenger, Dirk Arnold, Nikolaus P Schumann, Orlando Guntinas-Lichius, Hans-Christoph Scholle
The study aim was to identify and analyze intramuscular electrically sensitive points. Electrically sensitive points are herein defined as positions, which allow muscles stimulation with a minimum possible fatigue for a maximum amount of time. A multichannel array electrode was used which could be interesting to retain the function of larynx muscle after paralysis. Eight array electrodes were implanted in the triceps brachii muscle of four rats. While being under anesthesia, the animals were intramuscularly stimulated at 16 different positions...
July 19, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27384120/-a-case-of-cardiac-arrest-caused-by-coronary-spasm-related-to-induction-of-general-anesthesia-before-carotid-endarterectomy
#8
Kimitoshi Sato, Katsutoshi Abe, Yasuharu Kosaka, Takeshi Ohuchi, Hirotsugu Okamoto, Junya Ako, Toshihiro Kumabe
Coronary vasospasm(CV)can cause severe arrhythmia and myocardial infarction(MI). Intraoperative CV is not limited to cardiac surgery alone. We report the case of a patient who experienced cardiac arrest after the induction of general anesthesia, but did not demonstrate any abnormalities on preoperative examination. The patient was a 60-year-old man with no history of ischemic heart disease, with NASCET 80% asymptomatic left internal carotid stenosis(ICS). We decided to perform carotid endarterectomy(CEA). Preoperative stress myocardial scintigraphy did not reveal decreased local uptake...
July 2016: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/27274376/anesthetic-management-of-patient-with-sjogren-s-syndrome-who-underwent-cesarean-section-a-case-report
#9
Na Eun Kim, Jae Hyuk Lee, In Sun Chung, Jun Yong Lee
Sjogren's syndrome is one of the most common autoimmune disorders and has a female predominance. Maternal circulating autoantibodies such as anti-Ro/SSA and anti-La/SSB antibodies can cause congenital heart block of fetus, and in severe case, emergency pacemaker implantation may be needed for neonate. Therefore, it is very important to understand maternal and fetal condition and pay attention to the status of the neonate during delivery. In this paper, we present a case of patient with Sjogren's syndrome who underwent cesarean section under spinal anesthesia...
June 2016: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/27168363/deterioration-of-autonomic-neuronal-receptor-signaling-and-mechanisms-intrinsic-to-heart-pacemaker-cells-contribute-to-age-associated-alterations-in-heart-rate-variability-in%C3%A2-vivo
#10
Yael Yaniv, Ismayil Ahmet, Kenta Tsutsui, Joachim Behar, Jack M Moen, Yosuke Okamoto, Toni-Rose Guiriba, Jie Liu, Rostislav Bychkov, Edward G Lakatta
We aimed to determine how age-associated changes in mechanisms extrinsic and intrinsic to pacemaker cells relate to basal beating interval variability (BIV) reduction in vivo. Beating intervals (BIs) were measured in aged (23-25 months) and adult (3-4 months) C57BL/6 male mice (i) via ECG in vivo during light anesthesia in the basal state, or in the presence of 0.5 mg mL(-1) atropine + 1 mg mL(-1) propranolol (in vivo intrinsic conditions), and (ii) via a surface electrogram, in intact isolated pacemaker tissue...
August 2016: Aging Cell
https://www.readbyqxmd.com/read/27092198/a-case-report-of-successful-permanent-pacemaker-implantation-via-the-iliac-vein
#11
Tetsuo Yamaguchi, Takamichi Miyamoto, Yasuteru Yamauchi, Tohru Obayashi
UNLABELLED: An 85-year-old man was referred to our hospital with a pacemaker pocket infection. A permanent pacemaker had been implanted via the right subclavian vein. The pacemaker and pacing leads were removed and a temporary pacemaker was implanted. After vancomycin treatment for 4 weeks, pacemaker implantation via the right external iliac vein was performed under local anesthesia because of left subclavian vein occlusion, infection of the right pocket, and difficulty with epicardial lead insertion...
April 2016: Journal of Arrhythmia
https://www.readbyqxmd.com/read/26930104/s24-history-of-pacemakers-and-anesthesia
#12
January Tsai
No abstract text is available yet for this article.
July 2015: Journal of Anesthesia History
https://www.readbyqxmd.com/read/26760570/the-safety-of-neuromuscular-blockade-reversal-in-patients-with-cardiac-transplantation
#13
David W Barbara, Jon M Christensen, William J Mauermann, Joseph A Dearani, Joseph A Hyder
BACKGROUND: Neuromuscular blockade (NMB) reversal with neostigmine and glycopyrrolate has been reported to cause cardiac arrest in patients with a history of cardiac transplantation. The purpose of this study was to examine the safety of NMB reversal with acetylcholinesterase inhibitors and muscarinic anticholinergics in these patients. METHODS: We queried the medical records of a large tertiary referral center for patients with a history of prior heart transplantation who underwent anesthesia including receipt of NMB reversal...
December 2016: Transplantation
https://www.readbyqxmd.com/read/26712989/role-of-temporary-pacing-at-the-right-ventricular-outflow-tract-in-anesthetic-management-of-a-patient-with-asymptomatic-sick-sinus-syndrome
#14
Kusha Nag, Amrutha Bindu Nagella, V R Hemanth Kumar, Dewan Roshan Singh, M Ravishankar
A 60-year-old woman posted for percutaneous nephrolithotomy with ureterolithotripsy was found to have a history of hypertension and ischemic heart disease from past 6 months on regular treatment. Pulse rate was irregularly irregular in a range of 56-60/min, unresponsive to atropine, with a sinus pause on the electrocardiogram. Although the patient was asymptomatic, anticipating unmasking of the sick sinus syndrome during general anesthesia in the prone position, a temporary pacemaker was implanted at right ventricular outflow tract (RVOT) septum before the scheduled surgery...
September 2015: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/26702227/a-child-with-jervell-and-lange-nielsen-syndrome-for-permanent-pacemaker-implantation-and-sympathectomy-anesthesia-management-and-considerations
#15
Abhijit S Nair, Anand M Nirale, Thota Venkata Sanjeev Gopal, K Sriprakash
No abstract text is available yet for this article.
October 2015: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/26642777/general-or-local-anesthesia-for-tavi-a-systematic-review-of-the-literature-and-meta-analysis
#16
E H A Maas, B M A Pieters, M Van de Velde, S Rex
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is becoming a valuable alternative to surgical aortic valve replacement in patients with severe aortic stenosis that are at high surgical risk or deemed inoperable. The optimal anesthesia technique for TAVI is still undecided. We performed a systematic review and metaanalysis to compare the safety of locoregional anesthesia (LRA) with or without conscious sedation and general anesthesia (GA) for the TAVI-procedure. METHODS: We searched PUBMED, MEDLINE, EMBASE and the Cochrane central register of controlled trials from January 1st 2002 to February 15th 2015...
2016: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/26538375/ultra-flexible-piezoelectric-devices-integrated-with-heart-to-harvest-the-biomechanical-energy
#17
Bingwei Lu, Ying Chen, Dapeng Ou, Hang Chen, Liwei Diao, Wei Zhang, Jun Zheng, Weiguo Ma, Lizhong Sun, Xue Feng
Power supply for medical implantable devices (i.e. pacemaker) always challenges not only the surgery but also the battery technology. Here, we report a strategy for energy harvesting from the heart motion by using ultra-flexible piezoelectric device based on lead zirconate titanate (PZT) ceramics that has most excellent piezoelectricity in commercial materials, without any burden or damage to hearts. Experimental swine are selected for in vivo test with different settings, i.e. opened chest, close chest and awake from anesthesia, to simulate the scenario of application in body due to their hearts similar to human...
2015: Scientific Reports
https://www.readbyqxmd.com/read/26442422/-management-of-a-patient-with-aortic-stenosis-undergoing-lung-cancer-surgery
#18
Yukako Yoshima, Shota Sonobe, Toshiya Hashimura, Hideki Otada
A 79-year-old man with aortic stenosis (AS) was scheduled for right middle lobectomy under general anesthesia. AS is a significant risk factor for the development of cardiac complications after noncardiac surgery. Anesthetic management adjusting left ventricular preload and coload, and keeping sinus rhythm was successful with no complications. But after moving back to the intensive care unit after surgery, ECG showed paroxysmal complete atrioventricular blocks and we inserted a temporary transvenous pacemaker catheter...
August 2015: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/26337913/-experience-of-transcatheter-aortic-valve-implantation-in-the-central-military-hospital
#19
REVIEW
Patricia Martín-Hernández, Hugo Gutiérrez-Leonard, José Luis Ojeda-Delgado, Jorge Fagoaga-Valdivia, Rodolfo Barrios-Nanni, Martha Elena Rodríguez-Somarriba, Luis Manuel Páez-Lizárraga, Luis Enrique Berúmen-Domínguez, Lázaro Hernández-Jiménez, Victoria Rebollo-Hurtado, María Del Rocio Blázquez-Cruz
OBJECTIVE: Transcatheter aortic valve implantation (TAVI) is an alternative treatment for patients with severe symptomatic aortic stenosis, inoperable or at high surgical risk. The purpose of this communication is to report the results of the experience of this new technique and compare them with literature. METHODS: Review of 17 patients data with symptomatic severe aortic stenosis at high surgical risk or inoperable, treated with a transcatheter implantation aortic valve (TAVI) via femoral surgical access with Core Valve (Medtronic, EE...
October 2015: Archivos de Cardiología de México
https://www.readbyqxmd.com/read/25970232/patients-with-single-ventricle-physiology-undergoing-noncardiac-surgery-are-at-high-risk-for-adverse-events
#20
Morgan L Brown, James A DiNardo, Kirsten C Odegard
BACKGROUND: Patients with single ventricle physiology are at increased anesthetic risk when undergoing noncardiac surgery. OBJECTIVE: To review the outcomes of anesthetics for patients with single ventricle physiology undergoing noncardiac surgery. METHODS: This study is a retrospective chart review of all patients who underwent a palliative procedure for single ventricle physiology between January 1, 2007 and January 31, 2014. Anesthetic and surgical records were reviewed for noncardiac operations that required sedation or general anesthesia...
August 2015: Paediatric Anaesthesia
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