keyword
https://read.qxmd.com/read/38151564/testing-the-effects-of-photobiomodulation-on-angiogenesis-in-a-newly-established-cam-burn-wound-model
#21
JOURNAL ARTICLE
Bardia Firouz, Lorenz Faihs, Paul Slezak, Nassim Ghaffari Tabrizi-Wizsy, Kurt Schicho, Raimund Winter, Lars Peter Kamolz, Peter Dungel
Burn wounds are a common challenge for medical professionals. Current burn wound models hold several limitations, including a lack of comparability due to the heterogeneity of wounds and differences in individual wound healing. Hence, there is a need for reproducible in vivo models. In this study, we established a new burn wound model using the chorioallantoic membrane assay (CAM) as a surrogate model for animal experiments. The new experimental setup was tested by investigating the effects of the auspicious biophysical therapy, photobiomodulation (PBM), on the wound healing of an induced CAM burn wound with a metal stamp...
December 27, 2023: Scientific Reports
https://read.qxmd.com/read/38113522/filter-lifespan-treatment-effect-and-influencing-factors-of-continuous-renal-replacement-therapy-for-severe-burn-patients
#22
JOURNAL ARTICLE
Qian Yue, Hong Wu, Maomao Xi, Feng Li, Tiantian Li, Yinyin Li
Continuous renal replacement therapy (CRRT) is often disrupted due to various factors, such as patient-related issues, vascular access complications, treatment plans, and medical staff factors. This unexpected interruption is referred to as non-selective filter stoppage and can result in additional treatment expenses. This study retrospectively analyzed 501 CRRT filters used in 62 patients with severe burns, lifespan and therapeutic effect of all filters were mainly analyzed, used logistic regression analysis was performed to identify risk factors associated with non-selective cessation filter...
December 19, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38110083/the-utilization-of-protamine-during-peripheral-vascular-interventions-in-the-vqi
#23
JOURNAL ARTICLE
Sahar Ali, Fatma M Shebl, Edouard Aboian, David Strosberg, Uwe Fischer, Jonathan Cardella, Raul J Guzman, Cassius Iyad Ochoa Chaar
BACKGROUND: Protamine administration was shown to reduce bleeding after carotid surgery but the role of protamine during peripheral vascular interventions (PVIs) remains unknown. This study evaluates the trend and outcomes of protamine use in the Vascular Quality Initiative (VQI). Our hypothesis is that the use of protamine is associated with decreased bleeding after PVI. METHODS: Patients undergoing elective PVI in the VQI (2016-2020) for peripheral arterial disease were reviewed and the utilization trend for protamine was described...
December 16, 2023: Annals of Vascular Surgery
https://read.qxmd.com/read/38104675/frailty-screening-for-determination-of-hemodialysis-access-placement
#24
JOURNAL ARTICLE
Shannon M McDonnell, Shaya Nikfar, Matthew Blecha, Pegge M Halandras
OBJECTIVES: Choosing the right hemodialysis vascular access for frail patients remains difficult as the patient's preferences and the likelihood of access function and survival must be considered. We hypothesize that patients identified prior to arteriovenous (AV) access as frail by the PRISMA-7 score may have worse outcomes, indicating that fistula creation may not be the most clinically beneficial option and it would be in the best interest of the patient to receive either AV graft placement or dialysis through a percutaneous catheter...
December 15, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/38053229/angioplasty-for-dysfunctional-arteriovenous-fistulas-a-meta-analysis-of-recent-randomized-controlled-trials-compared-paclitaxel-coated-balloon-versus-conventional-balloon-angioplasty
#25
JOURNAL ARTICLE
Qin Yang, Congying Xia
BACKGROUND: Stenosis in arteriovenous fistulas (AVF) due to neointimal hyperplasia is one of the most common causes of hemodialysis vascular access dysfunction. Treating patients with dysfunctional AVF with drug-coated balloon (DCB) angioplasty may potentially improve outcomes. OBJECTIVES: This systematic review aimed to compare the effectiveness and safety of DCB angioplasty versus conventional balloon angioplasty by pooling evidence from the most recent randomized controlled trials...
December 5, 2023: Journal of Vascular Access
https://read.qxmd.com/read/38052418/trends-in-hospital-billing-for-mastectomy-and-breast-reconstruction-procedures-from-2013-to-2020
#26
JOURNAL ARTICLE
Jung Ho Gong, Daniel Jehyun Koh, Nikhil Sobti, Raman Mehrzad, Dardan Beqiri, Amy M Maselli, Daniel Kwan
BACKGROUND: With greater acceptance of post-mastectomy breast reconstruction (PMBR) as a safe and reliable treatment option, the role of plastic surgeons in breast cancer management continues to rise. As Medicare reimbursements for surgical procedures decline, hospitals may increase charges. Excessive markups can negatively affect uninsured and underinsured patients. We aimed to analyze mastectomy and breast reconstruction procedures to gain insights into recent trends in utilization and billing...
December 5, 2023: Journal of Reconstructive Microsurgery
https://read.qxmd.com/read/38018129/summary-of-the-2022-report-on-cardiovascular-health-and-diseases-in-china
#27
JOURNAL ARTICLE
Zengwu Wang, Liyuan Ma, Mingbo Liu, Jing Fan, Shengshou Hu
Recent decades have seen the remarkable development of China in medical accessibility and quality index, and the application of a number of new advanced cardiovascular technologies benefits more patients. However, according to the Annual Report on Cardiovascular Health and Diseases in China published in this article, which was organized and summarized by National Center for Cardiovascular Diseases, there is still a huge population living with risk factors of cardiovascular diseases (CVD), and the morbidity and mortality of CVD are increasing...
November 28, 2023: Chinese Medical Journal
https://read.qxmd.com/read/37992270/trends-of-utilization-of-systemic-therapies-for-metastatic-renal-cell-carcinoma-in-the-canadian-health-care-system
#28
JOURNAL ARTICLE
Luisa M Cardenas, Sunita Ghosh, Antonio Finelli, Lori Wood, Christian Kollmannsberger, Naveen Basappa, Jeffrey Graham, Daniel Heng, Georg Bjarnason, Denis Soulières, Dominick Bossé, Vincent Castonguay, Ramy Saleh, Simon Tanguay, Bimal Bhindi, Rodney H Breau, Frederic Pouliot, Aly-Khan A Lalani
PURPOSE: Standard-of-care therapies for metastatic renal cell carcinoma (mRCC) have greatly evolved. However, the availability of emerging options in global health care systems can vary. We sought to describe the integration and usage of systemic therapies for mRCC in Canada since 2011. METHODS: We included patients with mRCC enrolled in the Canadian Kidney Cancer Information System, a prospective cohort of patients from 14 Canadian academic centers, who received systemic therapy from January 1, 2011, to December 31, 2021...
September 2023: JCO global oncology
https://read.qxmd.com/read/37986369/published-trends-and-research-hotspots-of-central-venous-catheter-associated-thrombosis-from-1973-to-2022-a-scientometric-analysis
#29
JOURNAL ARTICLE
Zuoyan Liu, Xinxin Chen, Shiqi Tao, Jiuhong You, Hui Ma, Cheng Huang
This study aims to explore the intellectual landscape and research hotspots in the central venous catheter-related thrombosis (CVC-RT) research field. Studies discussing CVC-RT published from 1973 to 2022 in the Web of Science Core Collection database were retrieved on February 24th, 2022. Citespace was used to perform a scientometric analysis to identify the intellectual landscape and research hotspots in the research fields of CVC-RT. A total of 4358 studies were retrieved, with an ascending trend in publication numbers...
November 17, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37918823/impact-of-integrated-vascular-surgery-residency-on-general-surgery-resident-and-vascular-fellow-operative-volume-a-national-analysis
#30
JOURNAL ARTICLE
Young Kim, Christina L Cui, Zachary F Williams, Chandler A Long
BACKGROUND: The impact of integrated vascular surgery (VS) residency (0 + 5) programs on general surgery (GS) resident and VS fellow (5 + 2) operative volume has not been investigated on a national scale. METHODS: Accreditation Council for Graduate Medical Education (ACGME) case logs were reviewed for GS resident, VS resident, and VS fellow operative volume from 2001-2021. Integrated VS resident data was available from 2012-2021, corresponding with the introduction of the 0 + 5 paradigm...
November 2, 2023: Vascular and Endovascular Surgery
https://read.qxmd.com/read/37918698/safety-and-learning-curve-of-percutaneous-axillary-artery-access-for-complex-endovascular-aortic-procedures
#31
JOURNAL ARTICLE
Ziad Al Adas, Domingo Uceda, Alexa Mazur, Kiera Zehner, Christopher J Agrusa, Grace Wang, Darren B Schneider
BACKGROUND: Percutaneous axillary artery access is increasingly utilized for large-bore access during interventional vascular and cardiac procedures. The aim of this study is to evaluate the safety and learning curve of percutaneous axillary artery access in patients undergoing complex endovascular aortic repair (FBEVAR) requiring large-bore upper extremity access and to discuss best practices for technique and complication management. METHODS: One-hundred and forty-six patients undergoing large-bore percutaneous axillary artery access during FBEVAR in a prospective, nonrandomized, Investigational Device Exemption (IDE) study between September 2017 and January 2023 were analyzed...
October 31, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/37915968/prone-transpsoas-lateral-interbody-fusion-ptp-lif-with-anterior-docking-preliminary-functional-and-radiographic-outcomes
#32
Zachary NaPier
BACKGROUND: Disadvantages of lateral interbody fusion (LIF) through a direct, transpsoas approach include difficulties associated with lateral decubitus positioning and limited sagittal correction without anterior longitudinal ligament release or posterior osteotomy. Prior technical descriptions advocate anchoring or docking the retractor into the posterior to middle aspect of the disc space. METHODS: 72 patients who underwent 116 total levels of Prone Transpsoas (PTP) LIF with anterior docking with a single surgeon between December 2021 and May 2023 were included...
December 2023: N Am Spine Soc J
https://read.qxmd.com/read/37900528/evaluating-the-quality-readability-and-activity-of-online-information-on-brain-arteriovenous-malformations
#33
JOURNAL ARTICLE
Mehul Mehra, Pierce A Brody, Sai Suraj Kollapaneni, Om Sakhalkar, Scott Rahimi
Introduction Brain arteriovenous malformations (AVMs) are vascular deformities created by improper connections between arteries and veins, most commonly in the brain and spinal cord. The management is complex and patient-dependent; further understanding of patient education activities is imperative. Internet access has become more ubiquitous, allowing patients to utilize a large database of medical information online. Using Google Trends (GT) (Google LLC, Mountain View, CA, USA), one can see the public interest in a particular topic over time...
September 2023: Curēus
https://read.qxmd.com/read/37884057/billing-and-utilization-trends-in-reconstructive-microsurgery-indicate-worsening-access-to-care
#34
JOURNAL ARTICLE
Daniel Jehyun Koh, Jung Ho Gong, Nikhil Sobti, Raman Mehrzad, Dardan Beqiri, Sophia Ahn, Amy M Maselli, Daniel Kwan
BACKGROUND: Within the last 20-years, Medicare reimbursements for microsurgery have been declining, while physician expenses continue to increase. As a result, hospitals may increase charges to offset revenue losses, which may impose a financial barrier to care. This study aimed to characterize the billing trends in microsurgery and their implications on patient care. METHODS: The 2013-2020 Provider Utilization and Payment Data Physician and Other Practitioners Dataset was queried for 16 CPT codes...
October 26, 2023: Journal of Reconstructive Microsurgery
https://read.qxmd.com/read/37852753/intraoperative-angiography-in-neurosurgery-temporal-trend-access-site-and-operative-indication-considerations-from-a-6-year-institutional-experience
#35
JOURNAL ARTICLE
Thilan Tudor, Jonathan Sussman, Georgios S Sioutas, Mohamed M Salem, Najib Muhammad, Dominic Romeo, Antonio Corral Tarbay, Yohan Kim, Jinggang Ng, Isaiah J Rhodes, Avi Gajjar, Robert W Hurst, Bryan Pukenas, Linda Bagley, Omar A Choudhri, Eric L Zager, Visish M Srinivasan, Brian T Jankowitz, Jan-Karl Burkhardt
BACKGROUND: Historically, the transfemoral approach (TFA) has been the most common access site for cerebral intraoperative angiography (IOA). However, in line with trends in cardiac interventional vascular access preferences, the transradial approach (TRA) and transulnar approach (TUA) have been gaining popularity owing to favorable safety and patient satisfaction outcomes. OBJECTIVE: To compare the efficacy and safety of TRA/TUA and TFA for cerebral and spinal IOA at an institutional level over a 6-year period...
October 18, 2023: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/37750228/complex-high-risk-percutaneous-coronary-intervention-types-trends-and-outcomes-according-to-vascular-access-site
#36
JOURNAL ARTICLE
Warkaa Shamkhani, Saadiq Moledina, Muhammad Rashid, Mamas A Mamas
BACKGROUND: Radial access is associated with improved outcomes following percutaneous coronary intervention (PCI); however, its role in complex, high-risk percutaneous coronary intervention (CHiP) remains poorly studied. METHODS: We studied retrospectively all registered patients's records from the British Cardiovascular Intervention Society dataset and compared the baseline characteristics, trends and outcomes of CHiP procedures performed electively between January 2006 and December 2017 according to the access site...
September 26, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37746066/effect-of-far-infrared-radiation-therapy-on-von-willebrand-factor-in-patients-with-chronic-kidney-disease
#37
JOURNAL ARTICLE
Cheng-Chieh Yen, Po-Chao Hsu, Chih-Ching Lin, Szu-Chia Chen, Chih-Yen Hsiao, Shang-Jyh Hwang
BACKGROUND: Hemostatic abnormality has contributed to vascular access thrombosis in patients with chronic kidney disease (CKD). Previous studies have demonstrated that far-infrared radiation (FIR) therapy can maintain the patency and maturity of arteriovenous fistulas of patients undergoing hemodialysis (HD). However, prolonged access bleeding is observed once FIR is conducted at the end of dialysis. FIR can block the binding of platelet and von Willebrand factor (vWF), a predictor of hemostatic abnormality and vascular access thrombosis...
2023: Frontiers in Medicine
https://read.qxmd.com/read/37736459/trends-in-medicare-reimbursement-for-interventional-radiology-procedures-2007-2020
#38
JOURNAL ARTICLE
Soryan Kumar, Aditya Khurana, Jack Haglin, Rohit Khurana, Douglas Hidlay, Adam E M Eltorai
PURPOSE: Declining physician reimbursement has been occurring across multiple specialties due to changes in Medicare legislation, including the Deficit Reduction Omnibus Reconciliation Act (DRA), the Balanced Budget Act, and the Sustainable Growth Rate. The purpose of this study was to evaluate trends in Medicare reimbursement rates for various procedural classes in interventional radiology from 2007 to 2020. METHODS: Common interventional radiology procedures were selected across multiple procedural classes: gastrointestinal, biliary, urinary, fallopian dilatation, other injection/change/removal, iliac vascular, femoral/popliteal vascular, tibial/peroneal vascular, hepatobiliary, and vascular emergency...
August 2023: Curēus
https://read.qxmd.com/read/37683581/ultrasound-guidance-for-vascular-access-for-coronary-angiogram-a-meta-analysis-of-randomized-controlled-trials
#39
JOURNAL ARTICLE
Tzvi Fishkin, Ameesh Isath, Hafeez Ul Hassan Virk, Dhrubajyoti Bandyopadhyay, Zhen Wang, Srihari S Naidu, Hani Jneid, Chayakrit Krittanawong
Obtaining vascular access during percutaneous coronary intervention is necessary to facilitate the procedure but carries procedural risks that impact patient outcomes. Historically, vascular access has been accomplished using anatomic landmarks, pulsation, and/or fluoroscopic guidance. Ultrasound (US) guidance has emerged as a modality for achieving vascular access in a multitude of interventional procedures including those in the cardiac catheterization laboratory. US use has been demonstrated in randomized controlled trials and meta-analyses to be associated with an increased success rate for vascular access with fewer complications, although the data are mixed...
September 6, 2023: American Journal of Cardiology
https://read.qxmd.com/read/37648146/trends-in-use-of-intraosseous-and-intravenous-access-in-out-of-hospital-cardiac-arrest-across-english-ambulance-services-a-registry-based-cohort-study
#40
JOURNAL ARTICLE
Sharvari Vadeyar, Alexandra Buckle, Amy Hooper, Scott Booth, Charles D Deakin, Rachael Fothergill, Chen Ji, Jerry P Nolan, Martina Brown, Alan Cowley, Emma Harris, Maureen Ince, Robert Marriott, John Pike, Robert Spaight, Gavin D Perkins, Keith Couper
INTRODUCTION: The optimum route for drug administration in cardiac arrest is unclear. Recent data suggest that use of the intraosseous route may be increasing. This study aimed to explore changes over time in use of the intraosseous and intravenous drug routes in out-of-hospital cardiac arrest in England. METHODS: We extracted data from the UK Out-of-Hospital Cardiac Arrest Outcomes registry. We included adult out-of-hospital cardiac arrest patients between 2015-2020 who were treated by an English Emergency Medical Service that submitted vascular access route data to the registry...
August 28, 2023: Resuscitation
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