keyword
https://read.qxmd.com/read/38237702/characterization-of-long-term-survival-in-medicare-patients-undergoing-arteriovenous-hemodialysis-access
#21
JOURNAL ARTICLE
Matthew R Smeds, Thomas W Cheng, Elizabeth King, Michael Williams, Alik Farber, Vipul C Chitalia, Jeffrey J Siracuse
BACKGROUND: Patients undergoing arteriovenous (AV) access creation for hemodialysis often have significant comorbidities. Our goal was to quantify the long-term survival and associated risks factors for long-term mortality in these patients to aid in optimization of goals and expectations. METHODS: The Vascular Implant Surveillance and Interventional Outcomes Network Vascular Quality Initiative Medicare linked data was used to assess long-term survival in the HD registry...
January 17, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38193637/retrograde-distal-access-versus-femoral-access-for-below-the-knee-angioplasty
#22
REVIEW
Marcos G Toledo Barros, Andre V Fonseca, Jorge E Amorim, Vladimir Vasconcelos
BACKGROUND: The prevalence of peripheral artery disease (PAD) in the general population is about 12% to 14% and it increases with age. PAD increased from 164 million people in 2000 to 202 million people in 2010. More than two-thirds of people with PAD are based in low- or middle-income countries. Critical limb ischaemia (CLI) occurs in 1% to 2% of people with intermittent claudication over five years. One third of people with CLI have isolated below the knee (BTK) lesions. CLI and isolated BTK lesions are associated with a higher incidence of limb loss when compared with people with multilevel arterial disease...
January 9, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38189593/anticoagulation-for-people-receiving-long-term-haemodialysis
#23
REVIEW
Patrizia Natale, Suetonia C Palmer, Marinella Ruospo, Henrietta Longmuir, Benjamin Dodds, Ritam Prasad, Tracey J Batt, Matthew D Jose, Giovanni Fm Strippoli
BACKGROUND: Haemodialysis (HD) requires safe and effective anticoagulation to prevent clot formation within the extracorporeal circuit during dialysis treatments to enable adequate dialysis and minimise adverse events, including major bleeding. Low molecular weight heparin (LMWH) may provide a more predictable dose, reliable anticoagulant effects and be simpler to administer than unfractionated heparin (UFH) for HD anticoagulation, but may accumulate in the kidneys and lead to bleeding...
January 8, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38140761/concomitant-percutaneous-coronary-intervention-in-patients-undergoing-transcatheter-aortic-valve-implantation
#24
JOURNAL ARTICLE
Julius Fischer, Julius Steffen, Tobias Arlart, Magda Haum, Sarah Gschwendtner, Philipp M Doldi, Konstantinos Rizas, Hans Theiss, Daniel Braun, Martin Orban, Sven Peterß, Jörg Hausleiter, Steffen Massberg, Simon Deseive
BACKGROUND: Patients undergoing transcatheter aortic valve implantation (TAVI) frequently have coronary artery disease requiring percutaneous coronary intervention (PCI). Usually, PCI and TAVI are performed in two separate procedures and current studies are investigating potential benefits regarding the order. However, the two interventions may also be performed simultaneously, thereby limiting the risk associated with repeated vascular access. Data evaluating benefit and harm of concomitant procedures are scarce...
December 22, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/38135568/comparison-of-ultrasound-versus-fluoroscopy-guided-femoral-access-in-trans-catheter-aortic-valve-replacement-in-the-era-of-contemporary-devices-the-easier-registry
#25
JOURNAL ARTICLE
Emiliano Bianchini, Alberto Morello, Michele Bellamoli, Enrico Romagnoli, Cristina Aurigemma, Marco Tagliaferri, Carolina Montonati, Nicolas Dumonteil, Michele Cimmino, Emmanuel Villa, Nicola Corcione, Luca Bettari, Antonio Messina, Alessio Stanzione, Giovanni Troise, Donata Mor, Antonio Maggi, Raffaello Bellosta, Matteo Alberto Pegorer, Giuseppe Biondi Zoccai, Alfonso Ielasi, Francesco Burzotta, Carlo Trani, Diego Maffeo, Didier Tchétché, Andrea Buono, Arturo Giordano
BACKGROUND: Vascular complications (VCs) still represent one of the principal concerns of trans-femoral trans-catheter aortic valve replacement (TF-TAVR). New-generation devices can minimize such complications but the arterial access management is left to the operator's choice. This study aims to describe the rate of VCs in a contemporary cohort of patients undergoing TAVR with new-generation devices and to determine whether an ultrasound-guided (USG) vs. a fluoroscopy-guided (FG) femoral access management has an impact on their prevention...
December 16, 2023: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/38086336/development-and-validation-of-a-prediction-model-for-failure-of-the-transfemoral-approach-of-endovascular-treatment-for-large-vessel-occlusion-acute-ischemic-stroke
#26
JOURNAL ARTICLE
Ghislaine Holswilder, Edouard F Bonneville, Julia van Hees, Stijn W F Kremer, Hendrikus J A van Os, Aad van der Lugt, Wouter J Schonewille, Geert J Lycklama À Nijeholt, Charles B L M Majoie, Bart J Emmer, Nyika D Kruyt, Marieke J H Wermer, Marianne A A van Walderveen
INTRODUCTION: Extracranial vascular characteristics determine the accessibility of the large vessel intracranial occlusion for endovascular treatment (EVT) in acute ischemic stroke. We developed and validated a prediction model for failure of the transfemoral approach to aid clinical decision making regarding EVT. METHODS: A prediction model was developed from data of patients included in the Dutch multicenter MR CLEAN Registry (March 18th 2014 until June 15th 2016) with penalized logistic regression...
December 12, 2023: Cerebrovascular Diseases
https://read.qxmd.com/read/38055177/impact-of-access-site-on-periprocedural-bleeding-and-cerebral-and-coronary-events-in-high-bleeding-risk-percutaneous-coronary-intervention-findings-from-the-riva-pci-trial
#27
JOURNAL ARTICLE
Martin Borlich, Uwe Zeymer, Harm Wienbergen, Hans-Peter Hobbach, Alessandro Cuneo, Raffi Bekeredjian, Oliver Ritter, Birgit Hailer, Klaus Hertting, Marcus Hennersdorf, Werner Scholtz, Peter Lanzer, Harald Mudra, Markus Schwefer, Peter-Lothar Schwimmbeck, Christoph Liebetrau, Holger Thiele, Christoph Claas, Thomas Riemer, Ralf Zahn, Leon Iden, Gert Richardt, Ralph Toelg
INTRODUCTION: The preference for using transradial access (TRA) over transfemoral access (TFA) in patients requiring percutaneous coronary intervention (PCI) is based on evidence suggesting that TRA is associated with less bleeding and fewer vascular complications, shorter hospital stays, improved quality of life, and a potential beneficial effect on mortality. We have limited study data comparing the two access routes in a patient population with atrial fibrillation (AF) undergoing PCI, who have a particular increased risk of bleeding, while AF itself is associated with an increased risk of thromboembolism...
December 6, 2023: Cardiology and Therapy
https://read.qxmd.com/read/38015053/outcomes-with-tibial-and-humeral-intraosseous-access-compared-to-peripheral-intravenous-access-in-out-of-hospital-cardiac-arrest
#28
JOURNAL ARTICLE
Cameron Benner, Jonathan Jui, Matthew R Neth, Ritu Sahni, Kathryn Thompson, Jeffrey Smith, Craig Newgard, Mohamud R Daya, Joshua R Lupton
BACKGROUND: The optimal initial vascular access strategy for out-of-hospital cardiac arrest (OHCA) remains unknown. Our objective was to evaluate the association between peripheral intravenous (PIV), tibial intraosseous (TIO), or humeral intraosseous (HIO) as first vascular attempt strategies and outcomes for patients suffering OHCA. METHOD: This was a secondary analysis of the Portland Cardiac Arrest Epidemiologic Registry, which included adult patients (≥18 years-old) with EMS-treated, non-traumatic OHCA from 2018-2021...
November 28, 2023: Prehospital Emergency Care
https://read.qxmd.com/read/38012126/arteriovenous-access-creation-and-hazards-of-hospitalization-and-death-in-patients-starting-hemodialysis
#29
JOURNAL ARTICLE
Natalia Alencar de Pinho, Mathilde Prezelin-Reydit, Jerome Harambat, Cécile Couchoud, Florence Glaudet, Christian Combe, Virginie Rondeau, Karen Leffondré
BACKGROUND: Recent evidence suggests overestimation of benefits associated with arteriovenous (AV) fistula versus graft in certain populations. We assessed hazards of all-cause and cause-specific hospitalization and death associated with AV access type in patients who started hemodialysis with a catheter in France, overall and by subgroups of age, sex, and comorbidities. METHODS: From the REIN Registry, we included patients who initiated hemodialysis with a catheter from 2010 through 2018, and identified first-created fistula or graft through the French national health-administrative database...
November 27, 2023: Nephrology, Dialysis, Transplantation
https://read.qxmd.com/read/37992799/impact-of-the-covid-19-pandemic-on-canadian-emergency-medical-system-management-of-out-of-hospital-cardiac-arrest-a-retrospective-cohort-study
#30
JOURNAL ARTICLE
Richard Armour, Ehsan Ghamarian, Jennie Helmer, Jason E Buick, Kevin Thorpe, Michael Austin, Jennifer Bacon, Marc Boutet, Alexis Cournoyer, Richard Dionne, Marc Goudie, Steve Lin, Michelle Welsford, Brian Grunau
AIM: We sought to describe the impact of the COVID-19 pandemic on the care provided by Canadian emergency medical system (EMS) clinicians to patients suffering out of hospital cardiac arrest (OHCA), and whether any observed changes persisted beyond the initial phase of the pandemic. METHODS: We analysed cases of adult, non-traumatic, OHCA from the Canadian Resuscitation Outcome Consortium (CanROC) registry who were treated between January 27th , 2018, and December 31st , 2021...
November 20, 2023: Resuscitation
https://read.qxmd.com/read/37923113/the-association-of-tibial-vs-humeral-intraosseous-vascular-access-with-patient-outcomes-in-adult-out-of-hospital-cardiac-arrests
#31
JOURNAL ARTICLE
Callahan Brebner, Michael Asamoah-Boaheng, Bianca Zaidel, Justin Yap, Frank Scheuermeyer, Valerie Mok, Michael Christian, Takahisa Kawano, Lovepreet Singh, Sean van Diepen, Jim Christenson, Brian Grunau
AIM: Humeral and tibial intraosseous (IO) vascular access can deliver resuscitative medications for out-of-hospital cardiac arrest (OHCA), however the optimal site is unclear. We examined the association between IO tibia vs. humerus as the first-attempted vascular access site with OHCA outcomes. METHODS: We used prospectively-collected data from the British Columbia Cardiac Arrest registry, including adult OHCAs treated with IO humerus or IO tibia as the first-attempted intra-arrest vascular access...
December 2023: Resuscitation
https://read.qxmd.com/read/37892835/vascular-complications-following-transcatheter-aortic-valve-implantation-using-manta-collagen-plug-based-versus-prostar-suture-based-from-a-french-single-center-retrospective-registry
#32
JOURNAL ARTICLE
Clément Benic, Pierre Philippe Nicol, Sinda Hannachi, Martine Gilard, Romain Didier, Bahaa Nasr
TAVI requires a large-bore arteriotomy. Closure is usually performed by the suture system. Some studies report a vascular complication rate of up to 21%. MANTA is a recently developed percutaneous closure system dedicated to large caliber vessels based on an anchoring system. Early studies report a lower rate of vascular complications with MANTA devices. This single-center retrospective study included all patients who underwent femoral TAVI at the Brest University Hospital from 20 November 2019 to 31 March 2021...
October 23, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37879273/the-effectiveness-of-dressings-and-securement-devices-to-prevent-central-venous-catheter-associated-complications-a-systematic-review-and-meta-analysis
#33
REVIEW
Hui Xu, Areum Hyun, Gabor Mihala, Claire M Rickard, Marie L Cooke, Frances Lin, Marion Mitchell, Amanda J Ullman
BACKGROUND: Central venous catheters are commonly used in healthcare, but they come with a range of potential complications. Over the last 15 years, an influx of securement and dressing products has been released, with unknown overall effectiveness to prevent these complications. OBJECTIVE: To compare the effects of dressings and securement devices for central venous catheters on a range of common complications including catheter-related bloodstream infection, catheter tip colonisation, entry/exit-site infection, skin colonisation, skin irritation, failed catheter securement, dressing durability and mortality...
October 9, 2023: International Journal of Nursing Studies
https://read.qxmd.com/read/37859641/diagnostic-significance-of-paradoxical-left-ventricular-hypertrophy-in-detecting-cardiac-amyloidosis
#34
JOURNAL ARTICLE
Shingo Ota, Yasuhiro Izumiya, Ryoko Kitada, Takahiro Nishi, Akira Taruya, Teruaki Wada, Masahiro Takahata, Yuichi Ozaki, Manabu Kashiwagi, Yasutsugu Shiono, Akio Kuroi, Kazushi Takemoto, Takashi Tanimoto, Hironori Kitabata, Daiju Fukuda, Atsushi Tanaka
BACKGROUND: Cardiac amyloidosis (CA) progresses rapidly with a poor prognosis. Therefore, methods for early diagnosis that are easily accessible in any hospital, are required. We hypothesized that based on the pathology of CA, morphological left ventricular hypertrophy (LVH) without electrical augmentation, namely paradoxical LVH, could be used to diagnose CA. This study aimed to investigate whether paradoxical LVH has diagnostic significance in identifying CA in patients with LVH. METHODS: Patients who presented with left ventricular (LV) wall thickness ≥ 12 mm on cardiac magnetic resonance (CMR) were enrolled from a multicentre CMR registry...
December 2023: IJC Heart & Vasculature
https://read.qxmd.com/read/37858849/complications-of-right-heart-catheterization-in-patients-%C3%A2-70-years-of-age-with-suspected-pulmonary-hypertension-experience-from-a-tertiary-care-center
#35
REVIEW
Guillermo Cueto-Robledo, Leslie-Marisol González-Hermosillo, Mateo Porres-Aguilar, Dulce Ileana Navarro-Vergara, Marisol Garcia-Cesar, Maria Berenise Torres-Rojas, Alma Daniela Martinez-Carrillo, Hector R Cajigas
INTRODUCTION: Right heart catheterization (RHC) represents the gold standard diagnostic approach for pulmonary hypertension (PH). Historically, the complication rates of RHC are known to be low. OBJECTIVES: The study aimed to evaluate the indications for performing RHC and the occurrence of adverse events related to the procedure in patients > over 70 years of age in a Mexican Tertiary Care Center. METHODS: We conducted a retrospective single-center registry from July 2017- July 2022...
October 17, 2023: Current Problems in Cardiology
https://read.qxmd.com/read/37827962/the-world-apheresis-association-registry-2023-update
#36
REVIEW
Hans Vrielink, Kaatje Le Poole, Bernd Stegmayr, Jan Kielstein, Gösta Berlin, Osman Ilhan, Guldane Cengiz Seval, Heinrich Prophet, Astrid Aandahl, Dries Deeren, Ines Bojanic, Milan Blaha, Miriam Lanska, Zdenka Gasova, Zdenka Bhuiyan-Ludvikova, Sarka Blahutova, Radomira Hrdlickova, Judita Audzijoniene, Antanas Griskevicius, Tanya Glatt, Virginia Strineholm, Michael Ott, Thomas Nilsson, Elizabeth Newman, Kurt Derfler, Volker Witt, Fredrik Toss
The WAA apheresis registry contains data on more than 140,000 apheresis procedures conducted in 12 different countries. The aim is to give an update of indications, type and number of procedures and adverse events (AEs). MATERIAL AND METHODS: The WAA-registry is used for registration of apheresis procedures and is free of charge. The responsible person for a center can apply at the site www.waa-registry.org RESULTS: Data includes reported AEs from 2012 and various procedures and diagnoses during the years 2018-2022; the latter in total from 27 centers registered a total of 9500 patients (41% women) that began therapeutic apheresis (TA) during the period...
October 7, 2023: Transfusion and Apheresis Science
https://read.qxmd.com/read/37817674/changes-in-vascular-access-profile-for-pediatric-hemodialysis-patients-over-time-a-registry-based-study-from-catalonia
#37
JOURNAL ARTICLE
Ramon Roca-Tey, Gema Ariceta, Héctor Ríos, Alejandro Cruz, Jordi Comas, Jaume Tort
BACKGROUND: The criteria for vascular access (VA) selection in pediatric hemodialysis (HD) population has changed over time until the current patient-centered approach using the individualized Life-Plan. We analyzed the type of VA used by incident and prevalent end-stage kidney disease (ESKD) pediatric patients (pts) treated with HD in Catalonia. METHOD: Data from the Catalan Renal Registry of ESKD pts under 18 years of age undergoing kidney replacement therapy (KRT) were examined for a 22-year period (1997-2018)...
October 11, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37802172/-safe-femoral-artery-approach-in-endovascular-procedures-a-systematic-review-of-its-safety-and-feasibility
#38
REVIEW
Federico Sanguettoli, Rita Pavasini, Giampiero Nobile, Francesco Pricoco, Samia Tasneem, Simone Biscaglia, Carlo Tumscitz, Gianluca Campo, Gianni Casella, Gianmarco Iannopollo
Femoral access site-related bleeding represent a prognostically impactful issue in interventional cardiology. The impact of a combined use of ultrasound guidance for femoral access and vascular closure device (VCD) deployment for arteriotomy closure in femoral artery procedures on bleeding complications is still largely unknown. A systematic review was conducted on Pubmed (Medline), Cochrane library and Biomed Central databases between March and April 2023. A total of 9 studies have been selected, of namely 4 registries, 4 prospective studies and one randomized clinical trial...
October 4, 2023: Current Problems in Cardiology
https://read.qxmd.com/read/37750487/outcomes-of-percutaneous-access-to-the-first-versus-third-segment-of-axillary-artery-during-aortic-procedures
#39
JOURNAL ARTICLE
Andrea Melloni, Luca Bertoglio, Wouter Van den Eynde, Christopher J Agrusa, Gianbattista Parlani, Dominic P J Howard, Javier Rio, Stefano Fazzini, Wassim Mansour, Nuno V Dias, Sonia Ronchey, Daniela Branzan
PURPOSE: This article aims at investigating the outcomes of percutaneous access via the first versus third axillary artery (AXA) segments with closure devices during aortic procedures. MATERIALS AND METHODS: All patients receiving percutaneous AXA access closed with Perclose ProGlide device (Abbott, Santa Clara, California) from 2008 to 2021 were included in a retrospective multicenter registry (NCT: 04589962). Efficacy endpoint was the technically successful percutaneous procedure (no open conversion)...
September 26, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/37742734/implementing-methods-in-the-elegance-registry-to-increase-diversity-in-clinical-research
#40
JOURNAL ARTICLE
Eric A Secemsky, Jay Giri, Marianne Brodmann, Yann Gouëffic, Weiguo Fu, Alexandra J Greenberg-Worisek, Michael R Jaff, Lee Kirksey, Maureen P Kohi
BACKGROUND: Women and underrepresented minorities (URMs) who are at an increased risk of presenting with severe peripheral artery disease (PAD) and have different responses to treatment compared to non-Hispanic white males yet are underrepresented in PAD research. METHODS: ELEGANCE is a global, prospective, multi-center, post-market registry of PAD patients treated with drug-eluting devices (DEDs) that aims to enroll at least 40% women and 40% URMs. The study design incorporates strategies to increase enrollment of women and URMs...
September 22, 2023: Journal of Vascular Surgery
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