keyword
https://read.qxmd.com/read/38537032/direct-aortic-cannulation-versus-femoral-arterial-cannulation-for-early-outcomes-in-acute-type-a-aortic-dissection-a-study-level-meta-analysis
#1
REVIEW
Yoshiyuki Yamashita, Serge Sicouri, Stephanie Kjelstrom, Georgia Montone, Aleksander Dokollari, Khalid Ridwan, Nicholas Clarke, Roberto Rodriguez, Scott M Goldman, Basel Ramlawi
PURPOSE: To investigate the impact of direct aortic cannulation (DAC) versus femoral arterial cannulation (FAC) on clinical outcomes of surgery for acute type A aortic dissection. METHODS: PubMed/MEDLINE, Scopus, and Cochrane Central Register of Controlled Trials were searched until August 25, 2023, to conduct a meta-analysis. Primary endpoints of the study were operative mortality and postoperative stroke. Secondary endpoints were cardiopulmonary bypass time, myocardial ischemic time, hypothermic circulatory arrest time, temporary neurological dysfunction (TND), combined stroke and TND, re-exploration for bleeding, and need for renal replacement therapy...
March 27, 2024: Perfusion
https://read.qxmd.com/read/38533134/assessment-of-the-length-of-the-pedicle-of-the-anterolateral-thigh-flap
#2
JOURNAL ARTICLE
Bartłomiej Wilk, Ewa Tramś, Marcin Zlotorowicz, Kamil Kołodziejczyk, Ewa Nosarzewska, Jarosław Czubak
Purpose To estimate the length of the pedicle of the anterolateral thigh flap (ALT) and to assess how this length corresponds with the distances between the anatomical landmarks. Methods The study group consisted of patients who underwent computed tomography angiograms ranging minimally from the anterior superior iliac spine (ASIS) superiorly and tibia inferiorly. In the study we included 44 patients. In the axial window we identified single scans with (1) ASIS, (2) the apex of the greater trochanter, (3) the origin of the descending branch of the lateral femoral circumflex artery (LFCA), (4) the superolateral corner of the patella, (5) knee joint gap...
February 2024: Curēus
https://read.qxmd.com/read/38532885/regulation-of-interstitial-fluid-flow-in-adventitia-along-vasculature-by-heartbeat-and-respiration
#3
JOURNAL ARTICLE
Hongyi Li, Bei Li, Wenqi Luo, Xi Qi, You Hao, Chaozhi Yang, Wenqing Li, Jiazheng Li, Zhen Hua, Tan Guo, Zhijian Zheng, Xue Yu, Lei Liu, Jianping Zhao, Tiantian Li, Dahai Huang, Jun Hu, Zongmin Li, Fang Wang, Hua Li, Chao Ma, Fusui Ji
Converging studies showed interstitial fluid (ISF) adjacent to blood vessels flows in adventitia along vasculature into heart and lungs. We aim to reveal circulatory pathways and regulatory mechanism of such adventitial ISF flow in rat model. By MRI, real-time fluorescent imaging, micro-CT, and histological analysis, ISF was found to flow in adventitial matrix surrounded by fascia and along systemic vessels into heart, then flow into lungs via pulmonary arteries and back to heart via pulmonary veins, which was neither perivascular tissues nor blood or lymphatic vessels...
April 19, 2024: IScience
https://read.qxmd.com/read/38530485/safety-and-efficacy-of-brachial-approach-for-coronary-angiography-and-percutaneous-coronary-intervention
#4
JOURNAL ARTICLE
Islam Ghanem, Mohamed Mesbah, Hesham Refaat
BACKGROUND: There are many percutaneous coronary approaches. The most commonly used one is the radial artery because of its lowest risk of adverse vascular events. However, it could not be an option in some situations as congenital radial artery hypoplasia and spasm. In these cases, the second most common access is the femoral artery. The current literature over the brachial artery access is controversial. Thus, the aim of this study was to verify the brachial artery approach's effectiveness and safety...
March 26, 2024: Egyptian Heart Journal: EHJ
https://read.qxmd.com/read/38530383/the-accessory-vascularization-of-the-tensor-fasciae-latae-muscle-towards-a-new-classification
#5
JOURNAL ARTICLE
Silvia Gandolfi, B Chaput, Y Berkane, E Lupon, A Karra
PURPOSE: The tensor fasciae latae (TFL) muscle is supplied by the lateral femoral circumflex artery (LCFA), arising from the deep femoral artery. However, it has been noted that there is also a consistent vascular anastomotic network. The aim of this study was to describe the accessory vascularization of the TFL muscle through a descriptive anatomical study, in order to hypothesize the feasibility of harvesting a TFL flap in the event of an injury to the main pedicle. In addition, we illustrate this hypothesis with a successful clinical case of Scarpa freconstruction following ligature of the deep femoral artery...
March 26, 2024: Surgical and Radiologic Anatomy: SRA
https://read.qxmd.com/read/38530245/totally-endoscopic-micro-invasive-aortic-valve-replacement
#6
Farhad Bakhtiary, Saad Salamate, Ali El-Sayed Ahmad
Micro-invasive totally endoscopic aortic valve replacement surgery is a minimally invasive cardiac procedure that can be performed with the help of several techniques and technologies that employ the latest innovations in instrumentation and technological advances in the field, thereby greatly limiting the overall invasiveness of the procedure. With the help of a 3-dimensional camera, long instruments, a very small thoracotomy and a soft-tissue retractor without any rib retractor, the aortic valve can be easily and safely accessed for replacement...
March 26, 2024: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://read.qxmd.com/read/38529332/estimation-of-aortic-stiffness-by-finger-photoplethysmography-using-enhanced-pulse-wave-analysis-and-machine-learning
#7
JOURNAL ARTICLE
Henrik Hellqvist, Mikael Karlsson, Johan Hoffman, Thomas Kahan, Jonas Spaak
INTRODUCTION: Aortic stiffness plays a critical role in the evolution of cardiovascular diseases, but the assessment requires specialized equipment. Photoplethysmography (PPG) and single-lead electrocardiogram (ECG) are readily available in healthcare and wearable devices. We studied whether a brief PPG registration, alone or in combination with single-lead ECG, could be used to reliably estimate aortic stiffness. METHODS: A proof-of-concept study with simultaneous high-resolution index finger recordings of infrared PPG, single-lead ECG, and finger blood pressure (Finapres) was performed in 33 participants [median age 44 (range 21-66) years, 19 men] and repeated within 2 weeks...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38528441/percutaneous-femoral-access-stuck-guide-wire-decannulation-difficulty-due-to-unravelling-and-knotting
#8
JOURNAL ARTICLE
Bhanu Pratap Singh Chauhan, Binita Dholakia, Ashfaque Khan, Chirag Hirani, Satheesh Kumar, Dibya Jyoti Mahakul, Abhishek Katyal, Wajid Nazir, Daljit Singh
Percutaneous techniques for femoral arterial access are increasingly being performed due to advances in endovascular cerebral procedures, as they provide a less morbid and minimally invasive approach than open procedures. Common complications associated with this peripheral puncture include hematoma, bleeding, pseudoaneurysm, arteriovenous fistula, retroperitoneal bleeding, inadvertent venous puncture, dissection, etc. The retrograde femoral access is currently the most frequently used arterial access as it is technically straightforward, allows for the use of larger size sheaths and catheters, allows repeated attempts, etc...
March 27, 2024: Journal of Cerebrovascular and Endovascular Neurosurgery
https://read.qxmd.com/read/38527704/combined-decompression-of-pudendal-and-inferior-cluneal-nerves-for-entrapment-neuralgias-using-transperitoneal-robotic-laparoscopy-feasibility-and-our-4-steps-technique
#9
JOURNAL ARTICLE
Olivier Celhay, Horace Roman, Gilles Pasticier, Estelle Calvarin, Christophe Gomez, Jocelyn Susperregui, Corinne Palamara, Clément Michiels
OBJECTIVE: To demonstrate the feasibility of a combined decompression of pudendal and inferior cluneal nerves for entrapment syndrome using a transperitoneal robotic laparoscopy. DESIGN: Demonstration of our 4 steps technique with narrated video footage. SETTING: Pudendal and inferior cluneal neuralgias caused by an entrapment syndrome are both responsible for perineal pain (1). Although more precise data are lacking, these two neuralgias are frequently associated...
March 23, 2024: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/38527489/risk-factors-for-venous-thromboembolism-and-eventual-amputation-in-traumatic-femoral-and-iliac-vein-injuries-a-trauma-quality-improvement-program-analysis
#10
JOURNAL ARTICLE
Allison K Falcon, Ladd M Caballero, Dina M Filiberto, Emily K Lenart, Thomas S Easterday, Maunil N Bhatt, Erica L Mitchell, Saskya Byerly
BACKGROUND: Iliac and femoral venous injuries represent a challenging dilemma in trauma surgery with mixed results. Venous restoration of outflow (via repair or bypass) has been previously identified as having higher rates of VTE (venous thromboembolism) compared to ligation. We hypothesized that rates of VTE and eventual amputation were similar whether restoration of venous outflow vs ligation was performed at initial operation. METHODS: Patients in the 2019-2021 National Trauma Data Bank with iliac and femoral vein injuries were abstracted and analyzed...
March 25, 2024: American Surgeon
https://read.qxmd.com/read/38527149/radial-versus-femoral-access-for-mechanical-thrombectomy-in-patients-with-stroke-a-noninferiority-randomized-clinical-trial
#11
JOURNAL ARTICLE
David Hernandez, Manuel Requena, Marta Olivé-Gadea, Marta de Dios, Laura Ludovica Gramegna, Marian Muchada, Álvaro García-Tornel, Francesco Diana, Federica Rizzo, Eila Rivera, Marta Rubiera, Carlos Piñana, Marc Rodrigo-Gisbert, David Rodríguez-Luna, Jorge Pagola, Tomás Carmona, Jesús Juega, Noelia Rodríguez-Villatoro, Carlos Molina, Marc Ribo, Alejandro Tomasello
BACKGROUND: Transfemoral access is predominantly used for mechanical thrombectomy in patients with stroke with a large vessel occlusion. Following the interventional cardiology guidelines, routine transradial access has been proposed as an alternative, although its safety and efficacy remain controversial. We aim to explore the noninferiority of radial access in terms of final recanalization. METHODS: The study was an investigator-initiated, single-center, evaluator-blinded, noninferiority randomized clinical trial...
April 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38525818/naturally-derived-injectable-dual-cross-linked-adhesive-hydrogel-for-acute-hemorrhage-control-and-wound-healing
#12
JOURNAL ARTICLE
Ziran Zhu, Huijun Ye, Kaiwen Zhang, Gang He, Zheng Pan, Yiwen Xian, Yu Yang, Chong Zhang, Decheng Wu
Developing biocompatible injectable hydrogels with high mechanical strength and rapid strong tissue adhesion for hemostatic sealing of uncontrolled bleeding remains a prevailing challenge. Herein, we engineer an injectable and photo-cross-linkable hydrogel based on naturally derived gelatin methacrylate (GelMA) and N -hydroxysuccinimide-modified poly(γ-glutamic acid) (γPGA-NHS). The chemically dual-cross-linked hydrogel rapidly forms after UV light irradiation and covalently bonds to the underlying tissue to provide robust adhesion...
March 25, 2024: Biomacromolecules
https://read.qxmd.com/read/38525189/the-ratio-of-systolic-and-diastolic-pressure-is-associated-with-carotid-and-femoral-atherosclerosis
#13
JOURNAL ARTICLE
Yuanping Wang, Cheng Chen, Qiaofen Lin, Qingling Su, Yiquan Dai, Hongyu Chen, Tianmin He, Xiantao Li, Ruimei Feng, Wuqing Huang, Zhijian Hu, Jun Chen, Shanshan Du, Pingfan Guo, Weimin Ye
BACKGROUND: Although the impact of hypertension on carotid intima-media thickness (IMT) and plaques has been well established, its association with femoral IMT and plaques has not been extensively examined. In addition, the role of the ratio of systolic and diastolic pressure (SDR) in the subclinical atherosclerosis (AS) risk remains unknown. We assessed the relationship between SDR and carotid and femoral AS in a general population. METHODS: A total of 7,263 participants aged 35-74 years enrolled from January 2019 to June 2021 in a southeast region of China were included in a cross-sectional study...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38524676/navigating-missing-link-innovative-cannulation-for-robotic-mitral-valve-repair-in-the-absence-of-inferior-vena-cava
#14
Yahya Alwatari, Lindsey Randall, Phillip G Rowse, Richard C Daly, Arman Arghami
Cardiac surgeries often require the use of cardiopulmonary bypass to allow visualization and manipulation of tissues. Vascular anomalies may impose challenges with access configuration. A patient was evaluated for robot-assisted mitral valve repair and found to have an atretic inferior vena cava secondary due to chronic occlusion. The patient was cannulated arterially through the left common femoral artery, and two cannulation sites were applied for venous drainage: the right intrajugular vein and a second percutaneous access site directly into the right atrium through the chest wall...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38524596/a-sodium-alginate-silk-fibroin-biosponge-loaded-with-thrombin-effective-hemostasis-and-wound-healing
#15
JOURNAL ARTICLE
Yansen Li, Ming Li, Chang Li, Jing Chang, Yuwen Hui, Chuanlin Wang, Wei Guo, Zhulin Li
In trauma first aid, rapid hemostasis is a priority, extricating patients from hemorrhagic shock and infection risks. This paper explores novel hemostatic materials, using ion-crosslinking and freeze-drying techniques. Iterative experiments determined optimal conditions for the temperature-variable mixing-freeze-drying chemical reaction of sodium alginate (SA)/silk fibroin (SF). We used SA, SA/SF, SA/SF-TB and commercial hemostatic sponge control samples to perform hemostasis experiments on rat liver injury and femoral artery injury models, and to perform wound healing experiments on rat back full-layer skin...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38524021/intraoperative-acute-cardiac-tamponade-as-a-result-of-intracardiac-perforation-requiring-emergency-continuous-pericardiocentesis-and-open-sternotomy-a-case-report-and-literature-review-of-a-rare-but-fatal-complication
#16
Christopher M Russo, Mitchell E Harrison, Nathaniel M Harry, John R Benjamin, Christian Popa
Intraoperative acute cardiac tamponade associated with iatrogenic intracardiac perforation from percutaneous interventional cardiac procedures is a rare but potentially catastrophic complication. We report a case of intraoperative acute hemopericardium caused by a left atrial (LA) perforation resulting in cardiac tamponade in a patient undergoing a baffling procedure for the correction of two anomalous pulmonary veins draining into her superior vena cava (SVC) that required continuous pericardiocentesis with autologous blood transfusion via the femoral vein and an emergency intraoperative transfer from the interventional cardiology cath lab to the cardiac operating room for an open sternotomy and primary repair...
February 2024: Curēus
https://read.qxmd.com/read/38523822/infected-femoral-artery-pseudoaneurysm-ligation-and-revascularisation-a-case-report
#17
Mohammed Alsagheer Alhewy, Ehab Abd Elmoneim Ghazala, Hassan Gado, Wael Abdo Abdo Abd-Elgawad, Ahmed Atef Khamis
KEY CLINICAL MESSAGE: Although ligating femoral pseudoaneurysm is a safe procedure, some cases require revascularization, and the appropriate treatment should be tailored to the patient. ABSTRACT: In this case report, we highlight the challenge in treating infected femoral artery pseudoaneurysm. The patient, a 37-year-old male intravenous drug abuser, presented to the emergency department with a 2-month history of a progressively growing lump over his right groin...
March 2024: Clinical Case Reports
https://read.qxmd.com/read/38523430/the-importance-of-early-femoral-access-when-reboa-catheter-must-be-removed-prior-to-hemorrhage-control
#18
JOURNAL ARTICLE
Michele N Fiorentino, Michael C Smith, Stephen P Gondek
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a tool for hemorrhage control. We describe a case where the REBOA Catheter needed to be removed prior to hemorrhage control. The patient is a 40-year-old man that presented following motor vehicle collision. A REBOA Catheter was placed via the right common femoral artery (CFA). CT scan demonstrated extravasation from the left inferior epigastric artery. The Interventional Radiology (IR) team would only be able to perform angioembolization via contralateral access where the REBOA Catheter was in place...
March 24, 2024: American Surgeon
https://read.qxmd.com/read/38523388/a-child-with-intravascular-fasciitis-mimicking-deep-vein-thrombosis-a-case-report
#19
Yeşim Yiğit, Oğuzhan Erdoğan, Ayşen Türedi Yıldırım, Erdener Özer, Hüseyin Gülen
BACKGROUND: Intravascular fasciitis (IF) is a benign, reactive, myofibroblastic proliferation that originates from the superficial or deep fascia of small / medium-sized arteries and veins. CASE REPORT: An 8-year-old male patient was admitted to a health center with the complaint of swelling in the inguinal region. Lower extremity venous Doppler ultrasonography showed deep vein thrombosis (DVT) of the femoral vein and anticoagulation with low-molecular weight heparin (LMWH) was initiated...
2024: Turkish Journal of Pediatrics
https://read.qxmd.com/read/38521563/access-site-femoral-arterial-pseudoaneurysm
#20
JOURNAL ARTICLE
Andrei M Jipa, Mina S Makary
No abstract text is available yet for this article.
April 2024: Journal of Vascular and Interventional Radiology: JVIR
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