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https://www.readbyqxmd.com/read/29781286/medical-therapy-versus-balloon-sinus-dilation-in-adults-with-chronic-rhinosinusitis-merlot-12-month-follow-up
#1
J Pablo Stolovitzky, Neelesh Mehendale, Keith E Matheny, William J Brown, Anthony A Rieder, Douglas R Liepert, Ewen Tseng, Andrew Gould
Background Chronic rhinosinusitis (CRS) is a devastating disease affecting nearly 30 million people in the United States. An interim analysis of data from the present study suggested that, in patients who had previously failed medical therapy, balloon sinus dilation (BSD) plus medical management (MM) provides a significant improvement in the quality of life (QOL) at 24 weeks postprocedure compared to MM alone. Objective The primary objective of this final analysis was to evaluate the durability of treatment effects through the 52-week follow-up...
January 1, 2018: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/29781284/opioid-prescription-among-sinus-surgeons
#2
Khashayar Arianpour, Brandon Nguyen, Brian Yuhan, Peter F Svider, Jean Anderson Eloy, Adam J Folbe
Background Misuse and diversion of opioids have contributed to the U.S. opioid crisis, making an understanding of specialty-specific and procedure-specific trends essential. Objective The objective of this analysis was to evaluate nationwide trends in opioid prescribing patterns among sinus surgeons performing functional endoscopic sinus surgery and maxillary sinus balloon dilation, specifically examining factors associated with variations. Methods High-volume sinus surgeons were identified through the Centers for Medicare and Medicaid Services database and cross-referenced against prescriptions to Medicare Part D beneficiaries during 2013 through 2015...
January 1, 2018: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/29759706/the-human-left-atrial-venous-circulation-as-a-vascular-route-for-atrial-pharmacological-therapies-effects-of-ethanol-infusion
#3
Miguel Valderrábano, Percy Francisco Morales, Moisés Rodríguez-Mañero, Candela Lloves, Paul A Schurmann, Amish S Dave
OBJECTIVES: This study catalogued the human venous left atrium (LA) circulation system and the ablative effects of ethanol in different branches. BACKGROUND: Vascular routes to target the LA could have significant therapeutic potential. Beyond the vein of Marshall (VOM), the fluoroscopic LA venous anatomy has not been described. METHODS: Patients undergoing ethanol infusion in the VOM as adjunctive therapy to atrial fibrillation (AF) catheter ablation were included in this study...
September 2017: JACC. Clinical Electrophysiology
https://www.readbyqxmd.com/read/29742729/complications-in-transorbital-penetrating-injury-by-bamboo-branch-a-case-report
#4
Lei Feng, Xiaojun He, Jie Chen, Shuang Ni, Biao Jiang, Jian-Ming Hua
RATIONALE: Wooden transorbital penetrating injury is an uncommon and serious trauma that may cause multiply complications. PATIENT CONCERNS: Here we describe a 62-year-old Chinese woman with a transorbital penetrating injury caused by a long bamboo branch. DIAGNOSIS: Computed tomography scan and magnetic resonance imaging showed the presence of a wooden foreign body. INTERVENTIONS: Cerebrovascular digital subtraction angiography and temporary balloon occlusion were performed with general anesthesia...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29737747/-efficacy-analysis-on-pediatric-balloon-sinuplasty-via-intubation-in-the-treatment-of-chronic-maxillary-sinusitis-of-98-cases
#5
Jian Qiao Jiang, Xiang Yang Shi, Xue Juan Zhang
No abstract text is available yet for this article.
March 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29737532/the-role-of-industry-influence-in-sinus-balloon-dilation-trends-over-time
#6
Shekhar K Gadkaree, Vinay K Rathi, Esther Gottschalk, Allen L Feng, Katie M Phillips, George A Scangas, Ralph Metson
OBJECTIVE: Balloon dilation (BD) is a controversial alternative to conventional sinus surgery. The role of industry on practice patterns remains unknown. The aim of this study was to determine whether industry payments from BD manufacturers influence practice patterns for otolaryngologists and evaluate how these payments change over time. METHODS: Retrospective cohort study using Medicare Provider Utilization and Payment (PUP) Data and Center for Medicare and Medicaid Services Open Payments (OP) general payment datasets...
May 8, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29729465/the-procedure-related-complications-of-transarterial-onyx-embolization-of-dural-arteriovenous-fistula-using-transvenous-balloon-protection
#7
Feng Guo, Yupeng Zhang, Shikai Liang, Fei Liang, Peng Yan, Chuhan Jiang
OBJECTIVE: Transarterial embolizatioin with transvenous balloon protection has been described as a promising technique for intracranial dural arteriovenous fistula. The aim of our study was to report our preliminary experiences of this technique with regard to its safety and efficacy, emphasize the procedure-related complications. METHODS: Fourteen consecutive patients with DAVF were treated with transvenous balloon assisted technique between March 2014 and November 2017...
May 2, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29724762/endovascular-treatment-of-dural-arteriovenous-fistulas-using-transarterial-liquid-embolization-in-combination-with-transvenous-balloon-assisted-protection-of-the-venous-sinus
#8
D F Vollherbst, C Ulfert, U Neuberger, C Herweh, M Laible, S Nagel, M Bendszus, M A Möhlenbruch
BACKGROUND AND PURPOSE: Sinus-preserving endovascular embolization was described as a promising treatment technique for dural arteriovenous fistulas. Our aim was to report our single-center experience in patients with dural arteriovenous fistulas who were treated with transarterial liquid embolization in combination with transvenous balloon-assisted protection of the affected venous sinus. MATERIALS AND METHODS: A retrospective analysis of a prospectively collected data base was performed...
May 3, 2018: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/29706456/a-cost-effectiveness-analysis-of-the-up-front-use-of-balloon-catheter-dilation-in-the-treatment-of-pediatric-chronic-rhinosinusitis
#9
Laura Kathryn House, Andrea F Lewis, Mary G Ashmead
BACKGROUND: The treatment of pediatric sinusitis continues to be a controversial topic. It has been recommended to treat pediatric chronic rhinosinusitis (CRS) with adenoidectomy before proceeding to more invasive techniques. There are concerns regarding side effects of endoscopic sinus surgery in pediatric patients. With the advent of balloon catheter dilation (BCD) as a minimally invasive technique, some authors are recommending up front adenoidectomy with BCD in order to maximize disease resolution while minimizing risk...
April 19, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29700217/a-novel-combined-approach-using-a-penumbra-catheter-and-balloon-catheter-for-cerebral-venous-sinus-thrombosis
#10
Yoshikazu Matsuda, Yoshihiro Owai, Koji Kakishita, Naoyuki Nakao
Cerebral venous sinus thrombosis is sometimes fatal. We describe a case of sinus thrombosis in a 43-year-old woman presenting with generalized seizure, delirium, and a 2 week history of headache and nausea. The patient underwent mechanical thrombectomy using a novel combined approach, in which a Shouryu HR balloon catheter (Kaneka) was anchored in the right transverse sinus (TS), sigmoid sinus (SS), and superior sagittal sinus (SSS), while a Penumbra 5 MAX ACE (Penumbra) catheter was moved back and forth between the right TS, SS, and SSS...
April 26, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29696417/sinus-and-upper-airway-surgery-in-children
#11
REVIEW
Chadi A Makary, Hassan H Ramadan
PURPOSE OF REVIEW: Chronic sinus and upper airway disease in children is a common health problem encountered every day. Its pathophysiology is complicated which leads to different treatment options and approaches. We seek to review the current literature and evidence to surgical treatments. RECENT FINDINGS: Medical treatment with antibiotics and topical nasal sprays continues to be the first-line treatment. Surgical interventions include adenoidectomy, balloon catheter sinuplasty (BCS), and endoscopic sinus surgery (ESS)...
April 25, 2018: Current Allergy and Asthma Reports
https://www.readbyqxmd.com/read/29688826/randomized-controlled-trial-examining-the-effects-of-balloon-catheter-dilation-on-sinus-pressure-barometric-headaches
#12
Adrienne M Laury, Philip G Chen, Kevin C McMains
Objective To determine if balloon catheter dilation of sinus ostia affects the severity or frequency of headache among patients who have barometric pressure-related "sinus" headache. Study Design Prospective single-blinded randomized controlled trial. Setting Tertiary care medical center. Subjects and Methods Subjects with a diagnosis of sinus pressure headache without evidence of mucosal thickening on computed tomography were recruited. Subjects were blinded and randomized to undergo balloon dilation of affected sinus ostia (active treatment) or balloon dilation in the nasal cavity (placebo)...
April 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29668459/mucocele-of-the-paranasal-sinuses-retrospective-analysis-of-a-series-of-seven-cases
#13
Karen B Dzhambazov, Borislav D Kitov, Hristo B Zhelyazkov, Nikoleta I Traykova, Ivo I Kehayov, Tanya T Kitova
AIM: The present study aimed at identifying the risk factors, typical clinical symptoms and applied treatment in seven cases with mucocele of the paranasal sinuses. MATERIALS AND METHODS: Seven patients suffering from mucocele of the paranasal sinuses were admitted to the Clinic of Neurosurgery and the Clinic of Ear, Nose and Throat Diseases between 2014 and 2016. There were 4 females and 3 males aged between 22 and 78 (95% CI [31.44, 70.23]). Initial symptoms, their duration, clinical presentation upon admission, localization of the mucocele, type of surgical intervention and outcome have all been studied...
March 1, 2018: Folia Medica
https://www.readbyqxmd.com/read/29663095/is-antral-membrane-balloon-elevation-truly-minimally-invasive-technique-in-sinus-floor-elevation-surgery-a-systematic-review
#14
REVIEW
Huda Moutaz Asmael
BACKGROUND: Minimally invasive antral membrane balloon elevation was introduced as a less traumatic technique in sinus floor elevation surgery. This is the first systematic review to assess the results of previous studies utilizing this technique. AIMS OF THE STUDY: The objectives of this study were to assess the bone gain, sinus augmentation success rate, implant survival rate, and complications with minimally invasive antral membrane balloon elevation technique in comparison with the sinus floor elevation by traditional transalveolar technique (Summers' technique)...
April 17, 2018: International Journal of Implant Dentistry
https://www.readbyqxmd.com/read/29656325/dosing-of-the-second-generation-cryoballoon-using-acute-time-to-pulmonary-vein-isolation-as-an-indicator-of-durable-ablation-in-a-canine-model
#15
Wilber Su, Nicolas Coulombe, Nicole Kirchhof, Erin Grassl, Dan Wittenberger
BACKGROUND: Rigid time-based dosing protocol(s) currently used in the clinic for cryoballoon ablation of atrial fibrillation may be inadequate to guide the circumferential and transmural cryothermal energy transfer across the pulmonary vein (PV) and may result in injury to collateral tissues or electrical gaps between the PV and left atrium (LA). OBJECTIVE: A physiologic endpoint (e.g., acute time-to-PV isolation a.k.a. time-to-effect; TTE) may be effective in the determination of a transmural lesion formation and may allow for individualized ablation dosing across each PV...
April 14, 2018: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://www.readbyqxmd.com/read/29649813/different-characteristics-clinical-outcomes-and-left-atrial-reverse-remodeling-in-patients-with-mitral-stenosis-maintaining-sinus-rhythm-for-at-least-10-years-after-successful-percutaneous-mitral-valvuloplasty
#16
In-Jeong Cho, Soo-Jin Kim, Donghee Han, Darae Kim, Chi Young Shim, Geu-Ru Hong, Hyuk-Jae Chang
BACKGROUND: We aimed to investigate the characteristics and echocardiographic changes in patients with severe mitral stenosis (MS) who maintained sinus rhythm (SR) for at least 10 years after successful percutaneous mitral balloon valvuloplasty (PMV). METHODS: We retrospectively reviewed 107 patients who had successful PMV and follow-up echocardiography for at least 10 years without mitral valve surgery. Preprocedural, immediate postprocedural (PMV), and long-term follow-up echocardiography (at least 10 years after PMV) data were reviewed...
April 12, 2018: Cardiology
https://www.readbyqxmd.com/read/29602009/endovascular-recanalization-of-occluded-dural-sinus-in-a-patient-with-dural-arteriovenous-fistulas-case-report-and-literature-review
#17
Kun Zhang, Bu-Lang Gao, Liang-Fu Zhu, Jiang-Yu Xue, Bo-Wen Yang, Tian-Xiao Li
Symptomatic sinus occlusion complicated with dural arteriovenous fistulas (dAVFs) can be treated endovascularly with occlusion of the fistula. No studies have reported the use of endovascular transvenous approaches alone to recanalize the occluded sinuses for the treatment of the involved dAVFs without stent deployment. In this study, we presented a 75-year-old man with occlusion of the transverse and sigmoid sinuses complicated with a dAVF. Balloon angioplasty was used to recanalize the occluded sinuses resulting in good effects...
March 27, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29600422/balloon-and-coil-occlusion-of-a-superior-sagittal-sinus-cortical-vein-facilitates-percutaneous-supraorbital-venous-malformation-sclerotherapy
#18
Jacob J Bundy, Anthony N Hage, Jeffrey Forris Beecham Chick, Ravi N Srinivasa, Joseph J Gemmete
Venous malformations are the most common of all vascular anomalies. Venous malformations are treated using a multidisciplinary approach with sclerotherapy representing the primary treatment modality. While rare, sclerotherapy in the central nervous system carries the risk of venous thrombosis, non-target embolization, and venous infarction and hemorrhage. Options for controlling venous outflow when treating venous malformations in the head and neck are limited. This report details the use of balloon and coil occlusion of a superior sagittal sinus cortical vein to facilitate percutaneous sclerotherapy of a supraorbital venous malformation...
March 29, 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/29584855/outcomes-of-the-warden-procedure-for-partial-anomalous-pulmonary-venous-drainage-in-children
#19
Matthew S Yong, Sophie Griffiths, Terry Robertson, Johann Brink, Yves d'Udekem, Christian Brizard, Igor E Konstantinov
OBJECTIVES: When drainage of an anomalous pulmonary vein is high into the superior vena cava (SVC), traditional techniques of 1-patch or 2-patch repair may be challenging. The cavoatrial anastomosis technique (the Warden procedure) was developed to reduce the risk of sinus node dysfunction and SVC obstruction. Herein, we describe the outcomes of the Warden procedure in children at a single institution. METHODS: A retrospective study was conducted on all children with partial anomalous pulmonary venous drainage (PAPVD) undergoing the Warden procedure from 1996 to 2015...
March 23, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29569338/gorilla-endoscopic-sinus-surgery-a-life-saving-collaboration-between-human-and-veterinary-medicine
#20
Greg E Davis, Fred M Baik, Robert M Liddell, Andrew G Ayars, Kelley R Branch, Paul S Pottinger, Allen D Hillel, Kelly Helmick, Darin Collins
BACKGROUND: Chronic rhinosinusitis is a common disease process in humans; however, in the primate population of gorillas, it has rarely been described. This case describes lifesaving sinus surgery on a critically ill gorilla performed by a human otolaryngology team in collaboration with the gorilla's veterinary medicine team. METHODS: The 35-year-old western silverback gorilla was treated for 3 months with aggressive medical therapy for a worsening sinus infection...
March 23, 2018: International Forum of Allergy & Rhinology
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