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Hilwati Hashim, A Sobri Muda, Aida Abdul Aziz, Zuhanis Abdul Hamid
INTRODUCTION: Embolisation has long been used as an adjunct to surgical resection in the treatment of brain arteriovenous malformation (bAVM). The most commonly used embolic material, n-butylcyanoacrylate glue, requires experience and skill to handle its quick and unpredictable flow and polymerisation. A new liquid embolic agent, ethylene vinyl alcohol copolymer (Onyx), is less adhesive and polymerises slowly, which provides better control for radiologists performing embolisation. OBJECTIVE: To report our experience in embolisation using Onyx alone or in combination with histoacryl for bAVM embolisation in our tertiary referral centre...
July 2016: Malaysian Journal of Medical Sciences: MJMS
Mafalda Sousa, Iolanda Ribeiro, Luísa Proença, Joana Silva, Ana Ponte, Jaime Rodrigues
No abstract text is available yet for this article.
2016: Endoscopy
J Izaaryene, M Saeed Kilani, P-H Rolland, J-Y Gaubert, A Jacquier, J-M Bartoli, V Vidal
PURPOSE: The goal of this study was to assess the distal dispersion, the adhesion strength to catheter, the vascular toxicity and the ability in excluding embolized vessels using Purefill(®) (α-hexil-cyanoacrylate) as embolic material, which is a new high purity cyanoacrylate and compare these results with those obtained with N-butyl-2-cyanoacrylate (Histoacryl(®)) and a mixture of N-butyl-2-cyanoacrylate and methacryloxysulfolane. MATERIAL AND METHODS: In six pigs, the right rete mirabile (RM) and right renal arteries were embolized with α-hexil-cyanoacrylate, and the left rete mirabile and left renal artery were embolized with N-butyl-2-cyanoacrylate and N-butyl-2-cyanoacrylate+Methacryloxysulfolane for comparison...
July 27, 2016: Diagnostic and Interventional Imaging
Konstantinos A Vakalopoulos, Zhouqiao Wu, Leonard F Kroese, Johannes Jeekel, Gert-Jan Kleinrensink, Dimitra Dodou, King H Lam, Johan F Lange
BACKGROUND: Tissue adhesives (TAs) in gastrointestinal surgery are gradually gaining acceptance. Before implementation as colonic sealants, an evaluation of the sealing capability of a TA when in contact with fecal matter, as in a leaking anastomosis, is needed. In this study, we used clinically available TAs for the sutureless closure of colonic defects evaluating mechanical strength and tissue healing. METHODS: A total of 160 rats were divided into 8 groups. Two ...
June 16, 2016: American Journal of Surgery
Qiong Wu, Hua Jiang, Enqiang Linghu, Lanjing Zhang, Weifeng Wang, Jie Zhang, Zhandi He, Juan Wang, Yunsheng Yang, Guohui Sun, Gang Sun
AIMS: We evaluated the feasibility, efficacy and safety of a novel technique of balloon-occluded retrograde transvenous obliteration (BRTO) assisted endoscopic Histoacryl (N-buthyl-2-cyanoacrylate) injection. MATERIAL AND METHODS: A total with 11 patients were enrolled and analyzed in this single center, open-label, prospective study. Patients with high-risk gastric varices (defined as fundal varices, large GV (>5 mm), presence of a red spot, and Child-Pugh score C) and concurrent gastrorenal shunt underwent endoscopic Histoacryl injection while the gastrorenal shunt was temporarily occluded with an occlusion balloon...
June 16, 2016: Minimally Invasive Therapy & Allied Technologies: MITAT
G Saliou, L Giammattei, A Ozanne, M Messerer
OBJECT: Hemangiobastomas (HB) are rare lesions accounting for 1 to 5% of all spinal cord tumors. Due to their hypervascular nature, an angiography may be proposed preoperatively in order to identify tumoral vascular anatomy. Preoperative embolization may be indicated to reduce intraoperative bleeding, thus facilitating tumor resection and minimizing surgical risk. The aim of this paper is to report our experience of preoperative embolization in intramedullary hemangioblastomas. METHODS: We performed a retrospective analysis of all patients operated on for intramedullary hemangioblastomas between 1995 and 2014 who had undergone embolization before surgery...
May 25, 2016: Neuro-Chirurgie
Robert Baumbach, Siegbert Faiss, Wolfgang Cordruwisch, Carsten Schrader
Acute gastrointestinal bleeding is a common major emergency (Internal medical or gastroenterological or medical), approximately 85 % of which occur in the upper GI tract. It is estimated that about a half of upper GI bleeds are caused by peptic ulcers. Upper GI bleeds are associated with more severe bleeding and poorer outcomes when compared to middle or lower GI bleeds. Prognostic determinants include bleeding intensity, patient age, comorbid conditions and the concomitant use of anticoagulants. A focused medical history can offer insight into the bleeding intensity, location and potential cause (along with early risk stratification)...
April 2016: Deutsche Medizinische Wochenschrift
Joan F Julián Ibáñez, Jordi Tarascó Palomares, Jordi Navinés López, José M Balibrea Del Castillo, Erich K Odermatt, Miguel A Pacha González, Luis F Del Castillo Riestra, Natàlia Guardia Torner, Pau Turon Dols, Jaime Fernández-Llamazares Rodríguez
Background Clinical effectiveness and safety of biological and synthetic adhesives in digestive closures have been evaluated. Their use is becoming more prevalent, as rigidity and inflexibility are its more remarkable weaknesses. However, little is known about their role in gastric and anastomotic closures. Moreover, usefulness of novel flexible types of synthetic adhesives as n-butyl-cyanoacrylate has not been assessed yet. Materials and Methods One centimeter long gastrotomy was performed in 24 male Wistar rats, which were divided depending on the type of closure method employed: manual USP 5/0 silk interrupted suture versus sutureless closure with Histoacryl Flexible (n-butyl-cyanoacrylate with softener) or Histoacryl Double Component (n-butyl-cyanoacrylate with softener and hardener)...
October 2016: Surgical Innovation
Kim M, K Es, Kim Hw, Kim Y, Kang Mh, C Yj, C Kh, Lee Km, An Jy
Central venous catheterization is a common diagnostic and therapeutic procedure in modern clinical practice. Pseudoaneurysms of the subclavian artery are rare and usually occur immediately after the causative event, whether the cause was trauma or a medical procedure. Here, we report a case of a 71-year-old woman with delayed presentation of catheter-related subclavian pseudoaneurysm. The patient's symptoms began two weeks after the initial catheterization, probably because of slow leakage of blood from the injured subclavian artery caused by incomplete compression of the puncture site and uremic coagulopathy...
April 2015: JNMA; Journal of the Nepal Medical Association
Vladimír Ferianec, Mikuláš Redecha, Peter Papcun, Marián Križko, Ivan Hollý, Karol Holomáň
OBJECTIVE: Acardiac twin occurs in 1:35,000 pregnancies. Several techniques have been described to treat this condition. Some techniques have been suggested as golden standard; however, new are still being tried. CASE REPORT: This is a case of a 32-year-old patient who had successful ablation of the acardiac twin with Histoacryl. The diagnosis of the acardiac twin was made in the 11 weeks + 3 weeks of pregnancy. Due to the development of myocardial hypertrophy and pericardial transudate of the pumping fetus, we had performed ablation of the acardiac twin with Histoacryl in the 21 weeks' +5 weeks' gestation...
February 2016: Taiwanese Journal of Obstetrics & Gynecology
Delphine Weil, Jean-Paul Cervoni, Nadim Fares, Marika Rudler, Christophe Bureau, Aurélie Plessier, Thong Dao, Arnaud Pauwels, Dominique Thabut, Paul Castellani, Frederic Oberti, Nicolas Carbonell, Laure Elkrief, Vincent Di Martino, Thierry Thevenot
BACKGROUND AND AIMS: Bleeding from gastric varices is more severe than that from esophageal varices, but its management remains debated. We aimed to determine how French hepatogastroenterologists manage cirrhotic patients with gastric varices. METHODS: Hepatogastroenterologists (n=1163) working in general or university hospitals received a self-administered questionnaire. RESULTS: Overall, 155 hepatogastroenterologists (13.3%) from 112 centers (33...
May 2016: European Journal of Gastroenterology & Hepatology
J F Cadena-León, D M Quimbayo-Wilches, J A Ramírez-Mayans, R Cervantes-Bustamante, E M Toro-Monjaraz
No abstract text is available yet for this article.
January 23, 2016: Revista de Gastroenterología de México
Konstantinos A Vakalopoulos, Zhouqiao Wu, Leonard F Kroese, Paul H van der Horst, King H Lam, Dimitra Dodou, Johannes J Jeekel, Johan F Lange
BACKGROUND: Tissue adhesives may be useful for sealing bowel anastomoses by preventing anastomotic leakage. Prior to clinical implementation, an in-depth analysis of the clinical and immunohistopathological effects of tissue adhesives on the target tissue and of the mechanical strength of the adhesive bond in an in vivo model is needed. MATERIALS AND METHODS: In 84 rats, two bowel segments were glued using one of the following tissue adhesive: Bioglue, Gelatin-resorcinol-formaldehyde (GRF), Glubran 2, Histoacryl Flex, Omnex, Duraseal Xact, or Tissucol...
January 24, 2016: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
Maciej Guziński, Jacek Kurcz, Krzysztof Tupikowski, Ewelina Antosz, Paulina Słowik, Jerzy Garcarek
BACKGROUND: Renal arterial embolization (RAE) is one of the adjunctive methods in the treatment of renal tumors. Embolization is performed in patients prior to nephrectomy, in patients with inoperable renal tumors as palliative treatment. OBJECTIVES: The purpose of the study was to present and to analyze our own experiences in the embolization of renal tumors. MATERIAL AND METHODS: A retrospective analysis of 33 patients treated using RAE between 2011 and 2013 was carried out...
September 2015: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
Naamah Jacobs Weltman, Yasmeen Al-Attar, Johnson Cheung, David Philip Bruce Duncan, Ashley Katchky, Amir Azarpazhooh, Lusine Abrahamyan
OBJECTIVES: The management of patients on anticoagulation therapy is challenging. The objective of this study was to conduct a systematic review to establish the effectiveness of hemostatic interventions to prevent postoperative bleeding following dental extractions among patients taking warfarin. METHODS: A systematic review of the literature was conducted using PubMed, EMBASE and the Cochrane Central Register of Controlled Trials databases and applying relevant MeSH terms...
2015: Journal—Canadian Dental Association, Journal de L'Association Dentaire Canadienne
Konrad Kobryn, Sławomir Kozieł, Waldemar Patkowski, Michał Grąt, Tadeusz Wróblewski, Marek Krawczyk
INTRODUCTION: Liver transplantation (LTx) is a widely accepted method of treatment for end stage liver diseases. There are many reports on the management of gastrointestinal bleeding (GIB) after LTx, however the number of studies concerning salvage endoscopic procedures during LTx are scarce. AIM: We present our material of intraoperative endoscopic procedures due to GIB during LTx. MATERIAL AND METHODS: During this period there were 4 females and 1 male at the mean age of 52...
September 2015: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Norio Noguchi, Naoharu Matsunaga, Kenji Mori, Isao Sakaida
We report abdominal bleeding caused by an arteriovenous fistula (AVF) of the gastroepiploic artery. A 20-year-old man visited our hospital with epigastric pain and hypovolemic shock. Contrast-enhanced abdominal computed tomography revealed a high-density region within a huge low-density mass. Angiography revealed AVF of the gastroepiploic artery. Therefore, we performed transcatheter arterial embolization using n-butyl-2-cyanoacrylate (Histoacryl(®)) to control the intraperitoneal hemorrhage.
December 2015: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
Eugene Lim, R S Sundaraamoorthy, David Tan, Hui-Seong Teh, Tzu-Jen Tan, Anton Cheng
INTRODUCTION: Infected Necrotizing Pancreatitis carries a high mortality and necessitates intervention to achieve sepsis control. The surgical strategy for proven infected necrosis has evolved, with abandonment of open necrosectomy to a step-up approach consisting of percutaneous drains and Video-assisted retroperitoneal debridement (VARD). We present a case that underwent VARD complicated by bleeding and colonic perforation and describe its management. PRESENTATION OF CASE: A 38 year-old male with acute pancreatitis developed infected necrotizing pancreatitis...
September 2015: Annals of Medicine and Surgery
Kirsi Rönkä, Jaana Vironen, Jyrki Kössi, Tanja Hulmi, Seppo Silvasti, Tapio Hakala, Imre Ilves, Indrek Song, Merja Hertsi, Petri Juvonen, Hannu Paajanen
OBJECTIVE: Three different mesh fixation techniques were compared to find out how to perform a safe and cost-effective open inguinal hernioplasty in day-case setting with the best outcomes with regard to chronic pain. SUMMARY BACKGROUND DATA: Mesh fixation method may influence on the incidence of chronic pain after Lichtenstein hernioplasty. METHODS: Lichtenstein hernioplasty was performed under local anesthesia in 625 patients as day-case surgery in 8 Finnish hospitals...
November 2015: Annals of Surgery
Ka Rham Kim, Chung Hwan Jun, Kyu Man Cho, Jin Woo Wi, Seon Young Park, Sung Bum Cho, Wan Sik Lee, Chang Hwan Park, Young Eun Joo, Hyun Soo Kim, Sung Kyu Choi, Jong Sun Rew
BACKGROUND/AIMS: To evaluate the efficacy of proton pump inhibitors (PPIs) in reducing rebleeding and bleeding-related death rates after endoscopic gastric variceal obliteration (GVO) using N-butyl-2-cyanoacrylate (NBC). METHODS: This study enrolled 341 patients who were consecutively diagnosed with and treated for bleeding gastric varices. The patients were divided into PPI and non-PPI groups, and their endoscopic findings, initial hemostasis outcomes, rebleeding and bleeding-related death rates, and treatment-related complications were analyzed...
September 2015: Korean Journal of Internal Medicine
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