keyword
https://read.qxmd.com/read/38493269/comparison-of-the-use-of-internal-limiting-membrane-flaps-versus-conventional-ilm-peeling-on-post-operative-anatomical-and-visual-outcomes-in-large-macular-holes
#21
JOURNAL ARTICLE
George Riding, Boon Lin Teh, David Yorston, David H Steel
BACKGROUND: Idiopathic full-thickness macular hole (iFTMH) closure rates following conventional vitrectomy, gas tamponade and internal limiting membrane (ILM) peeling decrease when the minimum linear diameter (MLD) ≥ 500 microns. ILM flap creation has been proposed to improve closure in larger holes. This study evaluated the anatomical and functional impact of ILM flap introduction to routine practice in iFTMH ≥500 microns. METHODS: Retrospective, interventional analysis of prospectively collected data of 191 eyes from consecutive surgeries for primary iFTMH ≥500 microns performed by two surgeons between June 2018 and June 2022, during which both surgeons replaced ILM peeling with ILM flap creation...
March 16, 2024: Eye
https://read.qxmd.com/read/38492788/sex-differences-in-the-short-and-long-term-outcomes-following-rotational-atherectomy-a-meta-analysis
#22
JOURNAL ARTICLE
Song Peng Ang, Chayakrit Krittanawong, Muhammed Haris Usman, Jose Iglesias, Jia Ee Chia, Kanan Jahangirli, Temitope Akinyemi, Debabrata P Mukherjee
BACKGROUND: Rotational atherectomy (RA) is used to address complex calcified coronary lesions but data regarding the association between gender and outcomes of patients undergoing RA remained uncertain. We aimed to investigate the short and long-term outcomes of patients undergoing RA based on sex. METHODS: A systematic literature search was performed in PubMed, Embase and Cochrane databases from its inception until August 2023 for relevant studies. Endpoints were pooled using the DerSimonian and Laird random-effects model as odd ratio (OR) with 95% confidence intervals (CI)...
March 14, 2024: American Journal of Cardiology
https://read.qxmd.com/read/38489705/effect-of-bakri-balloon-tamponade-combined-with-different-suture-methods-on-preventing-postpartum-hemorrhage-in-women-with-pregnancy-induced-hypertension-undergoing-cesarean-delivery
#23
RANDOMIZED CONTROLLED TRIAL
Yeting Liu, Yanying Wu, Fengjiao Li, Xiaocui Song, Jingjing Zhao
OBJECTIVE: To investigate the effect of Bakri balloon tamponade (BBT) combined with different suture methods on preventing postpartum hemorrhage in women with pregnancy-induced hypertension (PIH) undergoing cesarean delivery (CD). METHODS: This randomized, double-blind, controlled trial was conducted at The First Affiliated Hospital of Xingtai Medical College from October 2020 to June 2023. Patients with PIH who had persistent bleeding after CD and were unresponsive to uterine contractions, sutures, or uterine disconnection procedures were eligible participants...
March 15, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38488250/face-down-positioning-or-posturing-after-pars-plana-vitrectomy-for-macula-involving-rhegmatogenous-retinal-detachments
#24
REVIEW
Timothy Hm Fung, Tsz Wing Yim, Noemi Lois, David M Wright, Su-Hsun Liu, Tom Williamson
BACKGROUND: A macula-involving rhegmatogenous retinal detachment (RRD) is one of the most common ophthalmic surgical emergencies and causes significant visual morbidity. Pars plana vitrectomy (PPV) with gas tamponade is often performed to repair primary macula-involving RRDs with a high rate of anatomical retinal reattachment. It has been advocated by some ophthalmologists that face-down positioning after PPV and gas tamponade helps reduce postoperative retinal displacement. Retinal displacement can cause metamorphopsia and binocular diplopia...
March 15, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38487034/acute-dissection-of-a-syphilitic-saccular-aneurysm-of-the-ascending-aorta-and-arch-in-a-hypertensive-patient-a-rare-phenomenon
#25
Hubert Daisley, Dennecia George, Johann Daisley
We report the case of a 77-year-old male who suffered from hypertension and died suddenly. At autopsy, he was found to have hypertensive cardiomegaly and a dissecting syphilitic saccular aneurysm of the ascending aorta and arch with tamponade. Chronic aortic regurgitation, which is often seen in syphilitic aortitis, produces an additive effect to the concentric left ventricular hypertrophy seen in hypertension.
2024: Autopsy & Case Reports
https://read.qxmd.com/read/38486796/efficacy-of-neuroendoscopic-assisted-surgery-in-the-management-of-symptomatic-sacral-perineural-tarlov-cysts-a-technical-report
#26
JOURNAL ARTICLE
Ying Jiang, Lan Dong, Yi-Qi Pan, Jun Zhao, Wen-Fang Li, Teng-Fei Zhang, Ting Zhang, Da-Wei Dai
INTRODUCTION: The Tarlov cysts are pathological enlargements of the cerebrospinal fluid spaces between the endoneurium and perineurium, which can cause intolerable sciatic pain, motor impairment of lower limbs, and bladder/bowel dysfunction. Currently, the treatment results are unsatisfactory due to the low cure rates and extensive surgical trauma. Thus, there is an ongoing exploration of surgical techniques for Tarlov treatment. In the current study, we present a novel neuroendoscopic-assisted technique that combines the fenestration, leakage sealing, and tamponade of the Tarlov cyst...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38486220/effect-of-silicone-oil-versus-gas-tamponade-on-macular-layer-microstructure-after-pars-plana-vitrectomy-for-macula-on-rhegmatogenous-retinal-detachment
#27
JOURNAL ARTICLE
Abdulaziz Mohammed Al-Shehri, Saud Aljohani, Khalid Abdulaziz Aldihan, Musa Johaiman Alrashedi, Saad Alrasheed, Patrik Schatz
PURPOSE: To analyze structural changes in the macular retinal layers and sub-foveal choroidal thickness (SFCT) in eyes after macula-on rhegmatogenous retinal detachment (RRD) repair by pars plana vitrectomy with either silicone oil (SO) or gas tamponade, and the effect of these changes on visual acuity. PATIENTS AND METHODS: Retrospective study which included 26 eyes in the SO Group and 32 in the Gas Group. Optical coherence tomography (OCT) scans of the affected eyes were obtained before surgery, and 3 months after PPV in the Gas Group, and during silicone oil in situ and 3 months after SO removal, in the SO Group...
March 14, 2024: BMC Ophthalmology
https://read.qxmd.com/read/38485596/characterization-of-radial-artery-perforation-patterns-using-optical-coherence-tomography
#28
JOURNAL ARTICLE
Yongxia Wu, Zixuan Li, Senhu Wang, Yuntao Wang, Hao Liu, Rui Yan, Jiahui Song, Jincheng Guo
BACKGROUND: The characterization of radial artery perforation (RAP) patterns using optical coherence tomography (OCT) has not been well established. This study aimed to identify the characteristic RAP patterns in patients diagnosed through post-procedural OCT examination. METHODS: This retrospective study included 1936 consecutive patients who underwent radial artery (RA) OCT following OCT-guided transradial coronary intervention (TRI) from January 2016 to July 2022...
March 8, 2024: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/38485556/adverse-events-associated-with-umbilical-vascular-catheters-in-the-neonatal-intensive-care-unit-a-retrospective-cohort-study
#29
JOURNAL ARTICLE
Kim Gibson, Amber Smith, Rebecca Sharp, Amanda Ullman, Scott Morris, Adrian Esterman
BACKGROUND: Umbilical catheters are commonly inserted in newborns in the neonatal intensive care unit (NICU) yet are associated with serious adverse events (AEs) such as malposition, migration, infection, thrombosis, hepatic complications, cardiac effusion, and cardiac tamponade. There is a need to determine the incidence and risk factors for AEs to inform safe practice. OBJECTIVES: The objective of this study was to determine the incidence and risk factors for AEs (all-cause and individual types) associated with umbilical venous catheters (UVCs) and umbilical arterial catheters (UACs) in the NICU...
March 13, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38484119/effect-of-medium-term-pfcl-tamponade-on-eyes-previously-filled-with-silicon-oil
#30
JOURNAL ARTICLE
Shilpa Viswanath, Ramandeep Singh, Manu Sharma
No abstract text is available yet for this article.
March 13, 2024: Retina
https://read.qxmd.com/read/38484094/inflammatory-retinal-deposits-after-perfluoro-n-octane-tamponade
#31
JOURNAL ARTICLE
Dhananjay Shukla, Jay Kalliath, Anuradha Dhawan
No abstract text is available yet for this article.
March 13, 2024: Retina
https://read.qxmd.com/read/38481322/acute-type-a-aortic-intramural-hematoma-complicated-with-preoperative-hemopericardium-early-and-late-surgical-outcome-analyses
#32
JOURNAL ARTICLE
Chun-Yu Lin, Ming-Chang Kao, Hsin-Fu Lee, Meng-Yu Wu, Chi-Nan Tseng
BACKGROUND: Acute type A aortic intramural hematoma (ATAIMH) is a variant of acute type A aortic dissection (ATAAD), exhibiting an increased risk of hemopericardium and cardiac tamponade. It can be life-threatening without emergency treatment. However, comprehensive studies of the clinical features and surgical outcomes of preoperative hemopericardium in patients with ATAIMH remain scarce. This retrospective study aims to investigate the clinical features and early and late outcomes of patients who underwent aortic repair surgery for ATAIMH complicated with preoperative hemopericardium...
March 13, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38476776/evolving-the-scope-of-cardiac-point-of-care-ultrasound-in-the-current-era
#33
REVIEW
Sameer Maheshwari, Himansu Dagor
Point-of-care ultrasound (POCUS) has become a flexible and multifaceted diagnostic instrument in the realm of cardiac care, transforming the landscape of cardiovascular assessment. This review aims to explore the extensive scope of POCUS applications in cardiac care, highlighting its diverse utility across various medical specialties. POCUS, conducted at the patient's bedside, offers real-time insights into cardiac anatomy and function, providing a valuable adjunct to traditional diagnostic methods. In critically ill patients, POCUS has demonstrated its effectiveness in the rapid evaluation of the left and right ventricular function, identification of pericardial effusion and tamponade, assessment of volume status, and detection of valvular lesions...
February 2024: Curēus
https://read.qxmd.com/read/38470916/evaluation-of-prone-vs-supine-positioning-in-fresh-rhegmatogenous-retinal-detachment-treated-with-pars-plana-vitrectomy-and-gas
#34
JOURNAL ARTICLE
Anushka Agarwalla, Rohan Chawla, Shorya Vardhan Azad, Pradeep Venkatesh, Rajpal Vohra, Vinod Kumar
PURPOSE: To compare Supine versus Prone positioning in fresh rhegmatogenous retinal detachments (RRDs) treated with vitrectomy and gas tamponade. METHODS: This was a prospective randomized controlled trial of 72 eyes with fresh RRD who underwent 25-gauge vitrectomy. 37 eyes were allotted supine position and 35 were allotted prone position. Cases were evaluated for single surgery reattachment rates, best corrected visual acuity (BCVA), intraocular pressure (IOP), cataract formation and any complications...
March 8, 2024: Retina
https://read.qxmd.com/read/38469821/cardiovascular-manifestations-of-erdheim-chester-disease-a-narrative-review-with-two-cases
#35
REVIEW
Alan Wong, Aditya Sharma, Randy Ramcharitar
Erdheim-Chester disease (ECD) is a rare 'L' (Langerhans) group histiocytic neoplasm that affects a multitude of organ systems, causing osteosclerotic bone lesions, periaortic encasement ('coated' aorta), retroperitoneal fibrosis involving kidneys and ureters ('hairy kidney'), and infiltration of the central nervous system. Cardiovascular involvement can occur in up to 70% of patients and is usually found during computed tomography/magnetic resonance imaging evaluation. When present, cardiovascular symptoms can have wide variability in presentation from asymptomatic to pericarditis, fatal cardiac tamponade, myocardial infarction, conduction abnormalities, heart failure, renal artery stenosis, and claudication...
March 12, 2024: Vascular Medicine
https://read.qxmd.com/read/38466481/successful-removal-of-an-intra-pericardic-kirschner-wire-via-fluoroscopy-guided-minimal-invasive-approach-a-case-report
#36
JOURNAL ARTICLE
Olivier Georges, Florence De Dominicis, Malek Ben Rahal, Jules Le Pessot, Pascal Berna, Osama Abou Arab, Christophe Beyls
BACKGROUND: Kirschner wires are widely used in trauma surgery. Their migration into the pericardium is a rare but often fatal phenomenon, requiring urgent management. CASE PRESENTATION: We describe the case of a 65-year-old patient who underwent Kirschner wire placement to treat a humeral head fracture. Three months after the operation, pleural and pericardial effusions with cardiac tamponade were observed, leading to the diagnosis of wire migration within the pericardium...
March 11, 2024: Surgical Case Reports
https://read.qxmd.com/read/38466299/contamination-profile-of-different-formulations-of-silicone-oil-tamponade-before-and-after-intraocular-permanence-for-rhegmatogenous-retinal-detachment
#37
JOURNAL ARTICLE
Carlo Bellucci, Nicolò Riboni, Guido Ricciotti, Federico Spadini, Andrea Pasquali, Maurizio Rossi, Stefano Gandolfi, Erika Ribezzi, Enrico Marraffa, Federica Bianchi, Maria Careri, Paolo Mora
PURPOSE: The purpose of this study was to search for contaminants in silicone oil tamponades removed from eyes treated for retinal detachment, and to correlate chemical results with some clinical/functional parameters of the considered eyes. METHODS: We examined a sequential cohort of eyes grouped according to the tamponade received: (1) Siluron2000 (S2), (2) RS-OIL ECS5000 (S5), and (3) Densiron Xtra (DX). Samples were collected at the beginning of the scheduled removal and analyzed by untargeted headspace gas-chromatography mass spectrometry (HS-GC-MS)...
March 1, 2024: Translational Vision Science & Technology
https://read.qxmd.com/read/38465285/polymicrobial-purulent-pericarditis-from-a-pancreatico-pericardial-fistula
#38
JOURNAL ARTICLE
Christopher Richardson, Mark Cromer, Luis Tatem, Raymond Wade, Derek Russell
A 54-year-old male with chronic pancreatitis presented with dyspnea. Computed tomography scans demonstrated a subdiaphragmatic fluid collection with pericardial fistulization. Pericardial fluid cultures were polymicrobial in nature. Purulent pericarditis is rare but carries a high mortality rate. We present the first documented case of pancreatico-pericardial fistulization causing purulent pericarditis.
April 3, 2024: JACC. Case reports
https://read.qxmd.com/read/38463737/stop-exsanguination-by-inflation-management-of-aorta-esophageal-fistula-bleeding
#39
Kristina M Pagano, Alexander A Fokin, Michael Parra, Ivan Puente
Aortoesophageal fistula is rare and typically presents itself to the emergency department as Chiari's Triad of mid-thoracic pain, sentinel arterial hemorrhage, and exsanguination after a symptom-free interval. However, fatal bleeding may be the first and last presentation of an aortoesophageal fistula. When a patient experiences massive hematemesis without witnesses, EMS may assume that bleed is of a traumatic mechanism. We present a case of a 59-year-old male with no previous medical history who was transported to a trauma center unconscious and with massive bleeding of unknown origin...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38462930/the-impact-of-short-term-postoperative-face-up-position-on-unintentional-retinal-displacement-after-pars-plana-vitrectomy-for-rhegmatogenous-retinal-detachment
#40
JOURNAL ARTICLE
Juan Manuel Lopez, Mariano Iros, Anibal Francone, Carl-Joe Mehanna, Emanuele Crincoli, Agnes Glacet Bernard, Alexandra Miere, Eric H Souied
OBJECTIVE: To assess the effectiveness and safety of a rigorous short-term supine position in preventing inadvertent retinal displacement after pars plana vitrectomy (PPV) with gas tamponade for rhegmatogenous retinal detachment (RRD). METHODS: We conducted a retrospective observational analysis of a case series at two ophthalmological surgical centers. We included eyes diagnosed with macula-off RRD that maintained a strict face-up position for three hours immediately after PPV with intraoperative perfluorocarbon liquid (PFCL) and 20% sulfur hexafluoride (SF6) tamponade...
March 11, 2024: European Journal of Ophthalmology
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