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Michel Pompeu Barros Oliveira Sá, Erik Everton Silva Vieira, Luiz Rafael Pereira Cavalcanti, Roberto Gouveia Silva Diniz, Sérgio da Costa Rayol, Alexandre Motta de Menezes, Ricardo Felipe de Albuquerque Lins, Ricardo Carvalho Lima
OBJECTIVE: We aimed to analyze whether patent foramen ovale (PFO) closure reduces the risk of stroke, assessing also some safety outcomes after the publication of a new trial. INTRODUCTION: The clinical benefit of closing a PFO has been an open question, so it is necessary to review the current state of published medical data in regards to this subject. METHODS: MEDLINE, EMBASE, CENTRAL/CCTR, SciELO, LILACS, Google Scholar and reference lists of relevant articles were used to search for randomized controlled trials (RCTs) that reported any of the following outcomes: stroke, death, major bleeding or atrial fibrillation...
September 2018: Brazilian Journal of Cardiovascular Surgery
Seracetttin Eğin, Ali Alemdar, Fazıl Sağlam, Burak Güney, Hakan Güven
Presently described is a case treated via stent and vacuum-assisted closure (VAC). The patient developed an oesophagojejunostomy leak (OL) on the ninth postoperative day after a radical total gastrectomy. The patient was a 55-year-old male patient with adenocarcinoma localized to the small curvature on the corpus of the stomach. Relaparatomy was performed for the OL, including placement of an uncovered stent. The abdomen was washed 4 times. As the OL did not decrease, 2 covered stents (22 mm and 18 mm in diameter and 80 mm long) were inserted endoscopically...
November 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Daisuke Kobayashi, Morris M Salem, Thomas J Forbes, Brent M Gordon, Brian D Soriano, Vivian Dimas, Bryan H Goldstein, Carl Owada, Alexander Javois, John Bass, Thomas K Jones, Darren P Berman, Matthew J Gillespie, John W Moore, Daniel S Levi
OBJECTIVES: To report the results of the Nit-Occlud PDA prospective postapproval study (PAS) along with a comparison to the results of the pivotal and continued access trials. BACKGROUND: The Nit-Occlud PDA (PFM Medical, Cologne, Germany), a nitinol coil patent ductus arteriosus (PDA) occluder, was approved by the Food and Drug Administration in 2013. METHODS: The PAS enrolled a total of 184 subjects greater than 6 months of age, weighing at least 5 kg, with PDAs less than 4 mm by angiography at 11 centers...
December 3, 2018: Catheterization and Cardiovascular Interventions
S K Kamarajah, S J Chapman, J Glasbey, D Morton, N Smart, T Pinkney, A Bhangu
Background: Achieving stable closure of complex or contaminated abdominal wall incisions remains challenging. This study aimed to characterize the stage of innovation for biological mesh devices used during complex abdominal wall reconstruction and to evaluate the quality of current evidence. Methods: A systematic review was performed of published and ongoing studies between January 2000 and September 2017. Eligible studies were those where a biological mesh was used to support fascial closure, either prophylactically after midline laparotomy, or for reinforcement after repair of incisional hernia with midline incision...
December 2018: BJS open
P Wilson, L Hickey
INTRODUCTION: In a single centre evaluation of a novel hernia repair device, 200 consecutive patients underwent 247 laparoscopic (TAPP) groin hernia repairs (47 bilateral) using n-butyl-2-cyanoacrylate (Liquiband®Fix8™) for mesh fixation and peritoneal closure over a 2-year period by a single experienced laparoscopic surgeon. PATIENTS AND METHODS: All groin hernia patients requiring TAPP repair were included in the study: Inguinal 142, Femoral 14, Spigelian 4, and Inguinal disruption 40...
November 30, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Ritu Raj Singh, Jeremy S Nussbaum, Nikhil A Kumta
The endoscopic management armamentarium of gastrointestinal disruptions including perforations, leaks, and fistulas has slowly but steadily broadened in recent years. Previously limited to surgical or conservative medical management, innovations in advanced endoscopic techniques like natural orifice transluminal endoscopic surgery (NOTES) have paved the path towards development of endoscopic closure techniques. Early recognition of a gastrointestinal defect is the most important independent variable in determining successful endoscopic closure and patient outcome...
2018: Translational Gastroenterology and Hepatology
Amit N Vora, Sunil V Rao
Transcatheter aortic valve implantation is an important therapeutic option for patients with symptomatic, severe aortic stenosis at increased risk for open surgical aortic valve replacement. Although a number of alternative vascular access sites have been developed, transfemoral access is overwhelmingly the dominant access strategy for this procedure. Access was achieved in the initial clinical experience primarily via surgical cutdown, but more recently, there has been increasing use of a fully percutaneous approach...
November 2018: Journal of Thoracic Disease
Tawseef Dar, Bharath Yarlagadda, Prasad Gunasekaran, Dhanunjaya Lakkireddy, Mark A Wiley
Ventricular free wall rupture (VFWR) is a rare entity and is mostly related to post myocardial infarction (MI) complications usually involving left ventricle. In traumatic chest injuries, the right ventricle (RV) is more commonly involved due to its anatomic and structural vulnerability, as in our case. Survival, although rare, has almost always been secondary to urgent surgical repair, which is the current standard of care for such cases. However, extremely tenuous hemodynamic parameters preclude urgent surgical interventions in most of these cases...
August 2018: Journal of Atrial Fibrillation
Qiang Chen, Hua Cao, Gui Can Zhang, Liang Wan Chen, Heng Lu, Lin Li Yu
OBJECTIVE: This study aimed to assess the safety and feasibility of transcatheter device closure of atrial septal defects (ASDs) guided completely by transthoracic echocardiography (TTE). METHODS: A total of 152 patients underwent transcatheter device closure of ASDs guided completely by TTE in our center from September 2014 to June 2017. We used routine delivery sheaths during the procedure and then closed the ASDs by releasing a domestic occluder. RESULTS: The closure was successful in 150 patients, and surgical repair was required in two patients...
December 2018: Anatolian Journal of Cardiology
Alexander Schachtrupp, Oliver Wetter, Jörg Höer
BACKGROUND: Inadequate suture tension is a risk factor for the failure of laparotomy closure. Suture tension dynamics in the abdominal wall are still obscure due to the lack of measuring devices. To answer the questions if intra-abdominal hypertension (IAH) influences suture tension in midline laparotomies and if IAH leads to a permanent loss of suture tension, microsensors were applied in a porcine model of IAH. MATERIAL AND METHODS: Microsensors measuring suture tension "on the thread" with a frequency of 1/s were developed and implanted in the suture lines of midline laparotomies in four pigs...
January 2019: Journal of Surgical Research
Sabin J Bozso, Jeevan Nagendran, Roderick G G MacArthur, Michael W A Chu, Bob Kiaii, Ismail El-Hamamsy, Raymond Cartier, Ali Shahriari, Michael C Moon
OBJECTIVES: We describe the Canadian results of the Ascyrus Medical Dissection Stent (AMDS), a novel partially uncovered aortic arch hybrid graft implanted antegrade during hypothermic circulatory arrest to promote true lumen expansion and enhance aortic remodeling. METHODS: From March 2017 to February 2018, 16 consecutive patients (66 ± 12 years; 38% female) presented with acute type A aortic dissections and underwent emergent surgical aortic repair with AMDS implantation...
October 26, 2018: Journal of Thoracic and Cardiovascular Surgery
Annunziata Nusca, Edoardo Bressi, Iginio Colaiori, Marco Miglionico, Germano Di Sciascio
Transcatheter interventions for valvular and structural heart diseases are rapidly expanding due to greater operators' experience and development of new generation devices associated with increased procedural safety. They represent the standard strategy for patients with prohibitive risk for open surgery. These procedures are associated with a significant occurrence of both thrombotic and bleeding complications, thus in this setting, even more than in other percutaneous procedures, the balance between thrombotic and bleeding risk is critical...
October 2018: Cardiovascular Diagnosis and Therapy
(no author information available yet)
OBJECTIVEThe Medina embolization device (MED) is a novel, braided self-expanding endovascular device designed to occlude aneurysms by constructing an in situ intrasaccular flow diverter. Although a single device can be positioned at the neck of simple spherical in vitro aneurysms, the best way to occlude more complex in vivo aneurysms (using multiple MEDs or a combination of MEDs and platinum coils) is currently unknown.METHODSFifty-two aneurysms of 3 different types were created in 31 canines, yielding 48 patent aneurysms...
October 1, 2018: Journal of Neurosurgery
Sandrine Frantz, Jean Parinaud, Marion Kret, Gaelle Rocher-Escriva, Aline Papaxanthos-Roche, Hélène Creux, Lucie Chansel-Debordeaux, Antoine Bénard, Claude Hocké
STUDY QUESTION: Does endometrial scratch in women undergoing a first or second IVF/ICSI attempt improve the clinical pregnancy rate (CPR)? SUMMARY ANSWER: Endometrial scratch (ES) in women undergoing their first or second IVF/ICSI attempt does not enhance the CPR under the technical conditions of our study. WHAT IS KNOWN ALREADY: Several studies have suggested that physical scratch of the endometrium before an IVF attempt could improve embryo implantation...
November 29, 2018: Human Reproduction
Xianfeng Du, Huimin Chu, Ping Ye, Bin He, Huaiqin Xu, Shubin Jiang, Miao Lin, Rong Lin, Jing Liu, Binhao Wang, Mingjun Feng, Yibo Yu, Xiaomin Chen
BACKGROUND/PURPOSE: Experience in procedures combining left atrial appendage (LAA) closure (LAAC) and catheter ablation (CA) was scarce in Chinese nonvalvular atrial fibrillation (AF) patients with high risks for stroke and bleeding. We aimed to investigate the efficacy and safety of the combination therapy with LAAC and AF CA in a single procedure based on the multicenter data and medium-term follow-up results. METHODS: A total of 122 AF patients with a mean CHA2 DS2 -VASc score of 4...
October 25, 2018: Journal of the Formosan Medical Association, Taiwan Yi Zhi
K Majid, M A Anwar, A Shepherd, M Malina, T Hussain
INTRODUCTION: Percutaneous access and closure is commonly performed for patients undergoing endovascular aneurysm repair (EVAR). It has proven to be a safe and successful method of closure associated with fewer complications when compared with the traditional open technique. Fascial closure is an alternative technique that can be used for closure reducing the risks associated with the open technique. The aim of this study was to assess the safety and durability of fascial closure for failed percutaneous closure device following EVAR...
November 28, 2018: Annals of the Royal College of Surgeons of England
Arka Chatterjee, William B Hillegass
Closure of patent foramen ovale (PFO) in embolic stroke of undetermined source (ESUS) reduces recurrent stroke compared with antiplatelet therapy in select patients but increases risk of atrial fibrillation. Device closure is an attractive option for young patients with an anatomically higher risk PFO and imaging proven ESUS. Benefit of PFO closure in ESUS compared with oral anticoagulation remains undefined.
November 15, 2018: Catheterization and Cardiovascular Interventions
Stanislao Rizzo, Pierre-Olivier Barale, Sarah Ayello-Scheer, Robert G Devenyi, Marie-Noëlle Delyfer, Jean-François Korobelnik, Aleksandra Rachitskaya, Alex Yuan, K Thiran Jayasundera, David N Zacks, James T Handa, Sandra R Montezuma, Dara Koozekanani, Paulo E Stanga, Lyndon da Cruz, Peter Walter, Albert J Augustin, Marzio Chizzolini, Lisa C Olmos de Koo, Allen C Ho, Bernd Kirchhof, Paul Hahn, Lejla Vajzovic, Raymond Iezzi, David Gaucher, J Fernando Arevalo, Ninel Z Gregori, Salvatore Grisanti, Emin Özmert, Young Hee Yoon, Gregg T Kokame, Jennifer I Lim, Peter Szurman, Eugene de Juan, Flavio A Rezende, Joël Salzmann, Gisbert Richard, Suber S Huang, Francesco Merlini, Uday Patel, Cynthia Cruz, Robert J Greenberg, Sally Justus, Laura Cinelli, Mark S Humayun
PURPOSE: To analyze and provide an overview of the incidence, management, and prevention of conjunctival erosion in Argus II clinical trial subjects and postapproval patients. METHODS: This retrospective analysis followed the results of 274 patients treated with the Argus II Retinal Prosthesis System between June 2007 and November 2017, including 30 subjects from the US and European clinical trials, and 244 patients in the postapproval phase. Results were gathered for incidence of a serious adverse event, incidence of conjunctival erosion, occurrence sites, rates of erosion, and erosion timing...
November 20, 2018: Retina
Xiang-Fei Feng, Peng-Pai Zhang, Jian Sun, Qun-Shan Wang, Yi-Gang Li
Left atrial appendage (LAA) closure (LAAC) has emerged as an alternative therapeutic approach to medical therapy for stroke prevention in patients with nonvalvular atrial fibrillation (NVAF). However, complex LAA anatomy may preclude its use. LAmbre is a new, self-expanding LAA occluder, and is highly adaptable to different LAA morphologies. We explored the feasibility, safety, and efficacy of LAAC using LAmbre device in NVAF patients with or without prior catheter ablation (CA). LAAC using LAmbre device was applied in NVAF patients with (group C) or without (group N) prior CA...
November 20, 2018: International Heart Journal
Daisuke Matsubara, Koichi Kataoka, Hironori Takahashi, Takaomi Minami, Takanori Yamagata
Percutaneous catheter closure of patent ductus arteriosus (PDA) is difficult when the ductus is large and long or shows calcification. We created a patient-specific 3-dimensional (3D) model for PDA, with which we simulated device deployment, thereby selecting the device/size in a patient-by-patient manner. We assessed whether this 3D model is effective for catheter PDA closure.The 3D model was created in this institute, requiring 3 days and 90 US dollars. After its introduction, 7 consecutive patients (the study group) with severe PDA underwent closure with the aid of the 3D model...
November 20, 2018: International Heart Journal
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