keyword
MENU ▼
Read by QxMD icon Read
search

Vascular access trends

keyword
https://www.readbyqxmd.com/read/27907893/factors-impacting-complication-rates-for-catheter-ablation-of-atrial-fibrillation-from-2003-to-2015
#1
Eunice Yang, Esra Gucuk Ipek, Muhammad Balouch, Yuliya Mints, Jonathan Chrispin, Joseph E Marine, Ronald D Berger, Hiroshi Ashikaga, Jack Rickard, Hugh Calkins, Saman Nazarian, David D Spragg
AIMS: Complications from catheter ablation for atrial fibrillation (AF) are well described. Changing aspects of AF ablation including patient populations referred, institutional experience, and emerging catheter and pharmacological options may impact complication rates. We assessed procedural complication trends in AF ablation patients from 2003-2015 to identify what factors affect adverse event rates. METHODS AND RESULTS: We evaluated consecutively enrolled patients undergoing initial AF ablation from 2003 through 2015...
October 6, 2016: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/27892915/patient-access-improving-wait-times-in-a-specialty-clinic
#2
Tarina Kwong
A vascular surgery clinic in an academic center faced many delays for patients in gaining access to an appointment. In January 2014, wait times from referral to patient appointment were estimated to be 3 to 4 weeks. A 6-month pilot project was conducted from January 2014 through June 2014 with the aim of scheduling 50% of new patients within 7 days of referral. The clinic manager, medical director, clinic staff, and clerical team worked in partnership to initiate a series of interventions to reduce the backlog of patients, implement scheduling guidelines, and use nurse practitioners to improve practice efficiencies...
January 2016: Health Care Manager
https://www.readbyqxmd.com/read/27876066/in-vivo-cardiovascular-magnetic-resonance-of-2d-vessel-wall-diffusion-anisotropy-in-carotid-arteries
#3
Peter Opriessnig, Harald Mangge, Rudolf Stollberger, Hannes Deutschmann, Gernot Reishofer
BACKGROUND: Diffusion weighted (DW) cardiovascular magnetic resonance (CMR) has shown great potential to discriminate between healthy and diseased vessel tissue by evaluating the apparent diffusion coefficient (ADC) along the arterial axis. Recently, ex vivo studies on porcine arteries utilizing diffusion tensor imaging (DTI) revealed a circumferential fiber orientation rather than an organization in axial direction, suggesting dominant diffusion perpendicular to the slice direction. In the present study, we propose a method to access tangential and radial diffusion of carotids in vivo by utilizing a pulse sequence that enables high resolution DW imaging in combination with a two-dimensional (2D) diffusion gradient direction sampling scheme perpendicular to the longitudinal axis of the artery...
November 23, 2016: Journal of Cardiovascular Magnetic Resonance
https://www.readbyqxmd.com/read/27845956/the-association-of-night-time-systolic-blood-pressure-with-ultrasound-markers-of-subclinical-cardiac-and-vascular-disease
#4
Anne Marie O'Flynn, Emily Ho, Eamon Dolan, Ronan J Curtin, Patricia M Kearney
INTRODUCTION: The aim of this study was to examine the association of night-time systolic blood pressure (BP) with subclinical cardiac dysfunction measured by global longitudinal strain (GLS) and subclinical vascular damage measured by carotid intima-media thickness (CIMT) and carotid plaques. METHODS: GLS was measured by speckle-tracking analysis of echocardiogram images. CIMT was measured at the distal 1 cm of the common carotid artery. The presence of carotid plaques was recorded...
November 11, 2016: Blood Pressure Monitoring
https://www.readbyqxmd.com/read/27765306/neurological-outcomes-with-embolic-protection-devices-in-patients-undergoing-transcatheter-aortic-valve-replacement-a-systematic-review-and-meta-analysis-of-randomized%C3%A2-controlled-trials
#5
Gennaro Giustino, Roxana Mehran, Roland Veltkamp, Michela Faggioni, Usman Baber, George D Dangas
OBJECTIVES: The aim of this study was to investigate the efficacy and safety of intraprocedural embolic protection (EP) during transcatheter aortic valve replacement (TAVR). BACKGROUND: Randomized controlled trials (RCTs) investigating the efficacy of EP devices during TAVR were relatively underpowered. METHODS: A systematic review and study-level meta-analysis was performed of randomized controlled trials that tested the efficacy and safety of EP during TAVR...
October 24, 2016: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/27763477/temporal-variability-of-readmission-determinants-in-postoperative-vascular-surgery-patients
#6
M J Lin, F Baky, B C Housley, N Kelly, E Pletcher, J D Balshi, S P Stawicki, D C Evans
INTRODUCTION: Clinical information continues to be limited regarding changes in the temporal risk profile for readmissions during the initial postoperative year in vascular surgery patients. We set out to describe the associations between demographics, clinical outcomes, comorbidity indices, and hospital readmissions in a sample of patients undergoing common extremity revascularization or dialysis access (ERDA) procedures. We hypothesized that factors independently associated with readmission will evolve from "short-term" to "long-term" determinants at 30-, 180-, and 360-day postoperative cutoff points...
October 2016: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/27723253/a-comprehensive-renal-vascular-access-clinic-results-in-improved-patient-outcomes-and-reduced-costs
#7
Shannon D Thomas, Eugenia C Ip, Nedal Katib, Debbie Pugh, Andrew Lennox, Zoltan Endre, Elaine Tan, Chris Ellery, Ramon L Varcoe
BACKGROUND: Management of vascular access for haemodialysis is a leading cause of morbidity and hospitalization in patients with end-stage renal disease. We sought to evaluate the change in admission and procedural outcomes before and after the establishment of a vascular surgeon-led comprehensive renal vascular access clinic (RVAC). METHOD: A retrospective clinical study was conducted after an RVAC was established in January 2013, with retrospective database created for the 24-month period prior to and after...
October 9, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27701369/trans-axillary-versus-trans-aortic-approach-for-transcatheter-aortic-valve-implantation-with-corevalve-revalving-system-insights-from-multicentre-experience
#8
Claudia Fiorina, Giuseppe Bruschi, Luca Testa, Marco De Carlo, Federico De Marco, Giuseppe Coletti, Stefano Bonardelli, Marianna Adamo, Salvatore Curello, Giovanni Scioti, Paolo Panisi, Francesco Bedogni, Anna S Petronio, Federica Ettori
BACKGROUND: About one-third of candidates for transcatheter aortic valve implantation (TAVI) suffer from severe peripheral artery disease, making the routine femoral approach difficult or impossible. Aim was to compare the trans-axillary (TAx) and the trans-aortic (TAo) route for TAVI with Medtronic CoreValve Revalving System (CRS). METHODS: 242 (23%) out of 1049 consecutive TAVI with 18F CRS were treated in 4 high-volume Italian Centre through TAx (61%) and TAo (39%)...
October 4, 2016: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/27566806/novel-endovascular-procedures-and-new-developments-in-aortic-surgery
#9
S W K Cheng
Endovascular repair has evolved to become a viable mainstream treatment for aortic pathology in both acute and elective settings. As technology advanced, traditional anatomical barriers were progressively tackled using new devices and novel procedures, and there are now multiple options available to the vascular surgeon. In the abdominal aorta, advances in endovascular aneurysm repair have been in the treatment of hostile aortic necks using new sealing concepts and ancillary procedures, and in branch preservation using fenestrations and snorkels...
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27531689/temporal-variability-of-readmission-determinants-in-postoperative-vascular-surgery-patients
#10
M J Lin, B C Housley, N Kelly, E Pletcher, J D Balshi, S P Stawicki, D C Evans
INTRODUCTION: Clinical information continues to be limited regarding changes in the temporal risk profile for readmissions during the initial postoperative year in vascular surgery patients. We set out to describe the associations between demographics, clinical outcomes, comorbidity indices, and hospital readmissions in a sample of patients undergoing common extremity revascularization or dialysis access (ERDA) procedures. We hypothesized that factors independently associated with readmission will evolve from "short-term" to "long-term" determinants at 30-, 180-, and 360-day postoperative cutoff points...
August 17, 2016: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/27497385/quality-improvement-utilizing-in-situ-simulation-for-a-dual-hospital-pediatric-code-response-team
#11
Phoebe Yager, Corey Collins, Carlene Blais, Kathy O'Connor, Patricia Donovan, Maureen Martinez, Brian Cummings, Christopher Hartnick, Natan Noviski
OBJECTIVE: Given the rarity of in-hospital pediatric emergency events, identification of gaps and inefficiencies in the code response can be difficult. In-situ, simulation-based medical education programs can identify unrecognized systems-based challenges. We hypothesized that developing an in-situ, simulation-based pediatric emergency response program would identify latent inefficiencies in a complex, dual-hospital pediatric code response system and allow rapid intervention testing to improve performance before implementation at an institutional level...
September 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27485841/-diabetic-kidney-disease-3rd-stage-laboratory-markers-of-mineral-bone-disorder
#12
Adriana Klimentová, Ivana Ságová, Dana Prídavková, Daniela Kantárová, Pavol Makovický, Jurina Sadloňová, Marián Mokáň
BACKGROUND: Diabetes mellitus is the most common cause of end stage kidney disease in the developed countries. Chronic kidney disease-mineral and bone disorder (CKD-MBD) develops with deteriorating of the renal functions. Diabetic patients on hemodialysis are characterized by low bone turnover, higher prevalence of severe and progressive vascular calcification with increased cardiovascular morbidity and mortality. The main factor which causes vascular calcification in patients with diabetic kidney disease (DKD) is poor glycemic control...
2016: Vnitr̆ní Lékar̆ství
https://www.readbyqxmd.com/read/27465793/vascular-access-registry-of-serbia-a-4-year-experience
#13
Tamara Jemcov, Nada Dimkovic
PURPOSE: Adequate and functional long-term vascular access (VA) is pivotal for the efficient hemodialysis (HD). It has been shown that the most reliable VA is autogenous arteriovenous fistulas (AVFs) as compared with arteriovenous grafts (AVGs) and vascular catheters (VCs). The vascular access register (VAR) has been established since 2010, and the 4-year trend of VA in Serbia is presented in this paper. METHODS: All HD centers in Serbia provided their data by fulfilling the questionnaire that included prevalent and incident HD patients on December 31, 2010-1013...
July 27, 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27342810/trends-over-the-past-4-years-in-population-characteristics-30-day-outcomes-and-1-year-survival-in-patients-treated-with-transcatheter-aortic-valve-implantation
#14
Guillaume Avinée, Eric Durand, Safwane Elhatimi, Fabrice Bauer, Bastien Glinel, Jean-Nicolas Dacher, Guillaume Cellier, Guillaume Viart, Christophe Tron, Matthieu Godin, Pierre-Yves Litzler, Alain Cribier, Hélène Eltchaninoff
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is recommended in patients with severe aortic stenosis that is either inoperable or at high-risk for surgical valve replacement. AIMS: To evaluate trends in the feasibility and safety of transfemoral TAVI over the past 4 years. METHODS: Between 2010 and 2013, all consecutive patients undergoing TAVI in our institution were included in a prospective registry. Population characteristics and 30-day and 1-year outcomes were analysed...
August 2016: Archives of Cardiovascular Diseases
https://www.readbyqxmd.com/read/27195133/vascular-access-for-extracorporeal-life-support-tips-and-tricks
#15
REVIEW
Jeremie Reeb, Anne Olland, Stephane Renaud, Anne Lejay, Nicola Santelmo, Gilbert Massard, Pierre-Emmanuel Falcoz
In thoracic surgery, extracorporeal life support (ECLS) techniques are performed to (I) provide a short to mid term extracorporeal mechanical support; (II) realize the gas exchanges; and (III)-depending the configuration of the circuit-substitute the failed heart function. The objective of this review is to describe the rational of the different ECLS techniques used in thoracic surgery and lung transplantation (LTx) with a specific attention to the vascular access. Venovenous extracorporeal membrane oxygenation (VV ECMO) is the most common ECLS technique used in thoracic surgery and represents the best strategy to support the lung function...
April 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27185674/near-infrared-spectroscopy-provides-continuous-monitoring-of-compromised-lower-extremity-perfusion-during-cardiac-surgery
#16
Ivana Prkic, Eckehard A E Stuth
Near-infrared spectroscopy (NIRS) is more frequently used to monitor regional oxygenation/perfusion of the cerebral and somatorenal vascular bed during congenital heart surgery. However, NIRS probes can be placed elsewhere to assess regional perfusion. We report the intraoperative use of NIRS probes on both calves of an infant to continuously monitor changes in the regional oxygenation/perfusion of a lower extremity whose perfusion was compromised after femoral arterial line placement. The NIRS trend of the compromised limb was compared with the contralateral limb throughout congenital heart surgery including the period on cardiopulmonary bypass (CPB)...
June 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27175453/annual-outcomes-with-transcatheter-valve-therapy-from-the-sts-acc-tvt-registry
#17
David R Holmes, Rick A Nishimura, Frederick L Grover, Ralph G Brindis, John D Carroll, Fred H Edwards, Eric D Peterson, John S Rumsfeld, David M Shahian, Vinod H Thourani, E Murat Tuzcu, Sreekanth Vemulapalli, Kathleen Hewitt, Joan Michaels, Susan Fitzgerald, Michael J Mack
BACKGROUND: The Society of Thoracic Surgeons (STS)/American College of Cardiology (ACC) Transcatheter Valve Therapy (TVT) Registry has been a joint initiative of the STS and the ACC in concert with multiple stakeholders. The TVT Registry has important information regarding patient selection, delivery of care, science, education, and research in the field of structural valvular heart disease. OBJECTIVES: This report provides an overview on current U.S. TVT practice and trends...
February 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27162803/association-between-troponin-i-level-and-cardiovascular-risk-factors-in-asymptomatic-hemodialysis-patients
#18
Shahram Taheri, Ali Asghar Pilehvarian, Nafiseh Akbari, Samane Musavi, Afsoon Emami Naeini
OBJECTIVE: Patients on hemodialysis (HD) have a high risk for cardiovascular morbidity and mortality. Cardiac troponins are biomarkers for diagnosing acute myocardial injury or infarction. There is considerable controversy that exists in the frequency and significance of cardiac troponins in predicting cardiac injury and ischemia in HD patients. METHODS: In this cross-sectional study, all HD patients more than 18-year-old, who were at least 3 months under HD, and had no sign and symptom of active cardiovascular disease (CVD), in two HD centers were enrolled...
April 2016: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/27158285/swimming-microorganisms-acting-as-nanorobots-versus-artificial-nanorobotic-agents-a-perspective-view-from-an-historical-retrospective-on-the-future-of-medical-nanorobotics-in-the-largest-known-three-dimensional-biomicrofluidic-networks
#19
Sylvain Martel
The vascular system in each human can be described as a 3D biomicrofluidic network providing a pathway close to approximately 100 000 km in length. Such network can be exploited to target any parts inside the human body with further accessibility through physiological spaces such as the interstitial microenvironments. This fact has triggered research initiatives towards the development of new medical tools in the form of microscopic robotic agents designed for surgical, therapeutic, imaging, or diagnostic applications...
March 2016: Biomicrofluidics
https://www.readbyqxmd.com/read/27085389/the-risk-and-extent-of-neurologic-events-are-equivalent-for-high-risk-patients-treated-with-transcatheter-or-surgical-aortic-valve-replacement
#20
Thomas G Gleason, John T Schindler, David H Adams, Michael J Reardon, Neal S Kleiman, Louis R Caplan, John V Conte, G Michael Deeb, G Chad Hughes, Sharla Chenoweth, Jeffrey J Popma
OBJECTIVES: This study was designed to characterize the incidence of new clinically detectable neurologic events, or any comparative change in indices of higher cognitive function following transcatheter aortic valve replacement (TAVR) or surgical aortic valve replacement (SAVR) within the framework of a prospective, randomized clinical trial for high-risk patients. METHODS: High-risk patients (predicted SAVR mortality 15%) with severe aortic stenosis (n = 750) were randomized 1:1 to TAVR or SAVR and underwent evaluation using the National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale assessment at each follow-up and any suspected event...
July 2016: Journal of Thoracic and Cardiovascular Surgery
keyword
keyword
36651
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"