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https://www.readbyqxmd.com/read/27932306/analysis-of-the-outcomes-in-central-venous-access-port-implantation-performed-by-residents-via-the-internal-jugular-vein-and-subclavian-vein
#1
Hajime Matsushima, Tomohiko Adachi, Toru Iwata, Takashi Hamada, Hiroki Moriuchi, Manpei Yamashita, Tomoo Kitajima, Hitoshi Okubo, Susumu Eguchi
OBJECTIVE: The central venous access port (CVAP) has played an important role in the safe administration of chemotherapy and parenteral nutrition. The aim of the present study was to clarify the optimal access vein for CVAP implantation when performed by residents rather than attending surgeons. METHODS: A consecutive cases of CVAP implantation via the subclavian vein (SV) using a landmark-guided technique or via the internal jugular vein (JV) using an ultrasound-guided technique were divided into 2 groups according to whether the intervention was performed by a resident or an attending surgeon...
December 5, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27911462/the-l-shaped-tunneling-technique-for-implantable-port-positioning-avoids-kinking
#2
Chandan Kumar Jha, Raouef Ahmed Bichoo, Sanjay Kumar Yadav
No abstract text is available yet for this article.
December 2, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27908433/central-venous-catheter-infections-in-home-parenteral-nutrition-patients-outcomes-from-sustain-american-society-for-parenteral-and-enteral-nutrition-s-national-patient-registry-for-nutrition-care
#3
Vicki M Ross, Peggi Guenter, Mandy L Corrigan, Debra Kovacevich, Marion F Winkler, Helaine E Resnick, Tina L Norris, Lawrence Robinson, Ezra Steiger
BACKGROUND: Home parenteral nutrition (HPN) is a high-cost, complex nutrition support therapy that requires the use of central venous catheters. Central line-associated bloodstream infections (CLABSIs) are among the most serious risks of this therapy. Sustain: American Society for Parenteral and Enteral Nutrition's National Patient Registry for Nutrition Care (Sustain registry) provides the most current and comprehensive data for studying CLABSI among a national cohort of HPN patients in the United States...
December 1, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27889197/complication-related-removal-of-totally-implantable-venous-access-port-systems-does-the-interval-between-placement-and-first-use-and-the-neutropenia-inducing-potential-of-chemotherapy-regimens-influence-their-incidence-a-four-year-prospective-study-of-4045
#4
A Kakkos, L Bresson, D Hudry, S Cousin, C Lervat, E Bogart, J P Meurant, S El Bedoui, G Decanter, K Hannebicque, C Regis, A Hamdani, N Penel, E Tresch-Bruneel, F Narducci
BACKGROUND: Totally implantable venous access port systems are widely used in oncology, with frequent complications that sometimes necessitate device removal. The aim of this study is to investigate the impact of the time interval between port placement and initiation of chemotherapy and the neutropenia-inducing potential of the chemotherapy administered upon complication-related port removal. PATIENTS AND METHODS: Between January 2010 and December 2013, 4045 consecutive patients were included in this observational, single-center prospective study...
November 5, 2016: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27888350/totally-implantable-vascular-access-device-tivad-placement-a-modified-technique-that-takes-post-procedure-aesthetic-aspects-into-account
#5
Gabriel Liberale
Major progress has been made in breast cancer reconstruction surgery. The standard technique for totally implanted vascular access device (TIVAD) implantation generally requires an incision for port insertion on the anterior part of the thorax that leaves a scar in the middle of the neckline in patients who have undergone mastectomy with complex breast reconstruction. The aim of this technical note is to report our revised surgical technique for TIVAD placement. In patients with breast cancer, we take a lateralized approach, performing an oblique incision on the lowest part of the deltopectoral groove...
November 25, 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27879583/breast-tissue-expanders-with-magnetic-ports-clinical-experience-at-1-5-t
#6
Nanda Deepa Thimmappa, Martin R Prince, Kari L Colen, Christina Y Ahn, Silvina P Dutruel, Srikanth R Boddu, David T Greenspun, Julie V Vasile, Constance M Chen, Hakan Usal, Christine H Rohde, Jeremiah S Redstone, Maria M LoTempio, Oren Z Lerman, Anik K Nath, Robert J Allen, Joshua L Levine
BACKGROUND: The purpose of this study was to evaluate breast tissue expanders with magnetic ports for safety in patients undergoing abdominal/pelvic magnetic resonance angiography before autologous breast reconstruction. METHODS: Magnetic resonance angiography of the abdomen and pelvis at 1.5 T was performed in 71 patients in prone position with tissue expanders with magnetic ports labeled "MR Unsafe" from July of 2012 to May of 2014. Patients were monitored during magnetic resonance angiography for tissue expander-related symptoms, and the chest wall tissue adjacent to the tissue expander was examined for injury at the time of tissue expander removal for breast reconstruction...
December 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27868328/long-term-outcome-of-the-adjustable-transobturator-male-system-atoms-results-of-a-european-multicentre-study
#7
Alexander Friedl, Sandra Mühlstädt, Roman Zachoval, Alessandro Giammò, Danijel Kivaranovic, Maximilian Rom, Paolo Fornara, Clemens Brössner
OBJECTIVE: To evaluate the long-term effectiveness and safety of the adjustable transobturator male system (ATOMS(®) , Agency for Medical Innovations A.M.I., Feldkirch, Austria) in a European-wide multicentre setting. PATIENTS AND METHODS: In all, 287 men with stress urinary incontinence (SUI) were treated with the ATOMS device between June 2009 and March 2016. Continence parameters (daily pad test/pad use), urodynamics (maximum urinary flow rate, voiding volume, residual urine), and pain/quality of life (QoL) ratings (visual analogue scale/Leeds Assessment of Neuropathic Symptoms and Signs, International Consultation on Incontinence Questionnaire-Short Form [ICIQ-SF]/Patient Global Impression of Improvement [PGI-I]) were compared preoperatively and after intermediate (12 months) as well as after individual maximum follow-up...
November 21, 2016: BJU International
https://www.readbyqxmd.com/read/27864610/the-monorail-technique-to-overcome-difficult-anatomical-course-during-implantation-of-central-venous-port-via-the-left-internal-jugular-vein
#8
Eu Hyun Kim, Jung Suk Oh, Ho Jong Chun, Hae Giu Lee, Byung Gil Choi
PURPOSE: The study aimed to introduce a monorail technique to overcome difficult anatomical course via left internal jugular vein in implantable port insertion. METHODS: From 2007 to 2016, a total of 9346 patients were referred for implantable port insertion in our interventional unit, among which 79 cases were requested to insert on the left side. Our monorail technique was applied only when the technical challenge of the catheter tip entering the azygos vein instead of the superior vena cava occurred (n = 7)...
November 18, 2016: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27861385/novel-technique-for-laparoscopic-harvesting-of-latissimus-dorsi-flap-with-prosthesis-implantation-for-breast-reconstruction-a-preliminary-study-with-2-case-reports
#9
Shuman Xu, Peng Tang, Xianchun Chen, Xi Yang, Qinwen Pan, Yu Gui, Li Chen
BACKGROUD: An important drawback of the traditional technique for harvesting latissimus dorsi (LD) myocutaneous flap is a long, posterior donor-site incision. Current techniques involve endoscopic or robotic harvesting via a combined approach of open and closed surgery, which necessitates an open axillary incision and the use of special retractors. In this paper, we introduce a fully enclosed laparoscopic technique for harvesting LD flap (LDF) using only 3 small trocar ports. This technique eliminates the need for axillary and donor-site incisions and specialized retractors and considerably reduces the incision size...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27855144/notes-from-the-field-fungal-bloodstream-infections-associated-with-a-compounded-intravenous-medication-at-an-outpatient-oncology-clinic-new-york-city-2016
#10
Amber M Vasquez, Jason Lake, Stephanie Ngai, Megan Halbrook, Snigdha Vallabhaneni, M Shannon Keckler, Heather Moulton-Meissner, Shawn R Lockhart, Christopher T Lee, Kiran Perkins, Joseph F Perz, Mike Antwi, Miranda S Moore, Jane Greenko, Eleanor Adams, Janet Haas, Sandra Elkind, Marjorie Berman, Dani Zavasky, Tom Chiller, Joel Ackelsberg
On May 24, 2016, the New York City Department of Health and Mental Hygiene notified CDC of two cases of Exophiala dermatitidis bloodstream infections among patients with malignancies who had received care from a single physician at an outpatient oncology facility (clinic A). Review of January 1-May 31, 2016 microbiology records identified E. dermatitidis bloodstream infections in two additional patients who also had received care at clinic A. All four patients had implanted vascular access ports and had received intravenous (IV) medications, including a compounded IV flush solution containing saline, heparin, vancomycin, and ceftazidime, compounded and administered at clinic A...
November 18, 2016: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/27843355/retropupilar-positioning-of-foldable-iris-claw-intraocular-lens-for-correction-of-aphakia-with-no-capsular-support
#11
Mun Yueh Faria, Nuno Pinto Ferreira, Ivo Gama, Joana Medeiros Pinto, Mario Canastro, Manuel Monteiro Grillo
SUMMARY: Iris-claw intraocular lens (ICIOL) for aphakia needs a large 5.4 mm corneal incision for its implantation. The technique needs corneal suture, associated with some postoperative astigmatism. Foldable ICIOL is used in phakic patients undergoing refractive surgery and has the advantage of a sutureless small corneal incision. We report a case of a high myopic patient with dislocated intraocular lens (IOL) and no capsular support. Dislocated IOL with its capsular bag was released with three-port, 23-gauge vitrectomy; placed in the anterior chamber; sliced; and extruded through a 3...
2016: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/27836404/randomized-controlled-trial-of-octyl-cyanoacrylate-skin-adhesive-versus-subcuticular-suture-for-skin-closure-after-implantable-venous-port-placement
#12
Jonathan G Martin, Scott T Hollenbeck, Gemini Janas, Ryan A Makar, Waleska M Pabon-Ramos, Paul V Suhocki, Michael J Miller, David R Sopko, Tony P Smith, Charles Y Kim
PURPOSE: To compare early outcomes of skin closure with octyl cyanoacrylate skin adhesive versus subcuticular suture closure. MATERIALS AND METHODS: Over a 7-month period, 109 subjects (28 men and 81 women; mean age, 58.6 y) scheduled to undergo single-lumen implantable venous port insertion for chemotherapy were randomly assigned to skin closure with either octyl cyanoacrylate skin adhesive or absorbable subcuticular suture after suturing the deep dermal layer...
November 8, 2016: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/27824502/material-failure-of-silicone-catheter-lines-a-retrospective-review-of-partial-and-complete-ruptures-in-553-patients
#13
Jasmin D Busch, Maren Vens, Jochen Herrmann, Gerhard Adam, Harald Ittrich
OBJECTIVE: This present study reports the frequency and outcome of material failure of the silicone catheter lines of a port device implanted in the upper arm during a 5-year period. MATERIALS AND METHODS: From 2006 to 2011, a total of 553 patients had a port device implanted percutaneously in the upper arm. In the spring of 2013, several instances of material failure led to device withdrawal. At that time, 39 patients (7.1%) with the specific device in situ were still alive, and 36 of these patients agreed to removal...
November 8, 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27820684/phase-ii-study-of-hepatic-arterial-infusion-chemotherapy-with-oxaliplatin-and-5-fluorouracil-for-advanced-perihilar-cholangiocarcinoma
#14
Xiaodong Wang, Jungang Hu, Guang Cao, Xu Zhu, Yong Cui, Xinqiang Ji, Xuan Li, Renjie Yang, Hui Chen, Haifeng Xu, Peng Liu, Jian Li, Jie Li, Chunyi Hao, Baocai Xing, Lin Shen
Purpose To evaluate the efficacy and safety of hepatic arterial infusion (HAI) of oxaliplatin and 5-fluorouracil for advanced perihilar cholangiocarcinoma (PCC) in this prospective phase II study. Materials and Methods The protocol was approved by the local ethics committee, and all patients gave informed consent. Patients with nonresectable PCC were included in a prospective, open phase II study investigating HAI through interventionally implanted port catheters. HAI consisted of infusions of oxaliplatin 40 mg/m(2) for 2 hours, followed by 5-fluorouracil 800 mg/m(2) for 22 hours on days 1-3 every 3-4 weeks...
November 7, 2016: Radiology
https://www.readbyqxmd.com/read/27807505/implantable-port-thrombosis-in-cancer-patients-a-monocentric-experience
#15
Manel Dridi, Nesrine Mejri, Soumaya Labidi, Mehdi Afrit, Houda El Benna, Khaoula Ben Miled, Hamouda Boussen
OBJECTIVE: Implantable port thrombosis (IPT) in cancer patients is a relatively rare but severe complication. Several factors are reportedly associated with the occurrence of thrombosis. We aimed to describe the prevalence and the anatomoclinical features of IPT observed in cancer patients who were treated in a medical oncology department in Tunisia. METHODS: A total of 600 cancer patients who had port implantation from January 2013 to December 2015 were retrospectively identified...
September 2016: Cancer Biology & Medicine
https://www.readbyqxmd.com/read/27806354/the-development-of-remote-speech-recognition-tests-for-adult-cochlear-implant-users-the-effect-of-presentation-mode-of-the-noise-and-a-reliable-method-to-deliver-sound-in-home-environments
#16
Feike de Graaff, Elke Huysmans, Obaid Ur Rehman Qazi, Filiep J Vanpoucke, Paul Merkus, S Theo Goverts, Cas Smits
The number of cochlear implant (CI) users is increasing annually, resulting in an increase in the workload of implant centers in ongoing patient management and evaluation. Remote testing of speech recognition could be time-saving for both the implant centers as well as the patient. This study addresses two methodological challenges we encountered in the development of a remote speech recognition tool for adult CI users. First, we examined whether speech recognition in noise performance differed when the steady-state masking noise was presented throughout the test (i...
November 3, 2016: Audiology & Neuro-otology
https://www.readbyqxmd.com/read/27789717/performing-repeated-quantitative-small-animal-pet-studies-with-arterial-input-functions-is-routinely-feasible-in-rats
#17
Chi-Cheng Huang, Chun-Hu Wu, Ya-Yao Huang, Kai-Yuan Tzen, Szu-Fu Chen, Miao-Ling Tsai, Hsiao-MIng Wu
: Performing quantitative small animal positron emission tomography (qµPET) with arterial input function was considered technically challenging. Here, we introduce a catheterization procedure which keeps a rat physiologically stable for 1.5 months. We demonstrated the feasibility of qµPET by performing repeated (18)F-FDG qµPET to monitor the time-course of cerebral metabolic rates of glucose (cMRglc) variations in rats. METHODS: Aseptic surgeries were performed on two rats...
October 27, 2016: Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine
https://www.readbyqxmd.com/read/27771312/long-term-outcomes-of-gastric-band-removal-without-additional-bariatric-surgery
#18
Andreas Rohner, Jeannette D Widmer, Jennifer Klasen, Anita Scheiwiller, Dominik Muller, Markus K Muller
OBJECTIVE: The outcomes of patients undergoing band removal alone without an additional bariatric procedure after laparoscopic gastric banding are not well reported. We seek to close this gap in the literature. SETTING: Cantonal Hospital & University Teaching Hospital, Switzerland METHODS: In this retrospective study, we investigated 21 patients who underwent band removal with a mean follow-up of 63 months. Weight regain, co-morbidities, and quality of life were assessed...
September 14, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27768211/quality-of-life-assessment-arm-tivad-versus-chest-tivad
#19
Brent Burbridge, Kunal Goyal
INTRODUCTION: Venous access devices are essential for the provision of care for patients requiring chemotherapy. Totally implanted venous access devices (TIVADs), also known as ports, are an option for infusion care. Medical devices have an impact upon patient quality of life. We assessed the impact on quality of life and satisfaction with their venous device, for patients with a chest TIVAD versus an upper arm TIVAD. MATERIALS AND METHODS: Sequential subjects were administered a questionnaire, "Quality of Life Assessment, Venous Device - Port (QLAVD-P)" at the time of their TIVAD removal...
October 15, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27768210/fracture-of-totally-implanted-central-venous-access-devices-a-propensity-score-matched-comparison-of-risks-for-groshong-silicone-versus-polyurethane-catheters
#20
Soichi Kojima, Takao Hiraki, Hideo Gobara, Toshihiro Iguchi, Hiroyasu Fujiwara, Yusuke Matsui, Toshiharu Mitsuhashi, Susumu Kanazawa
PURPOSE: To evaluate retrospectively the fracture risk of totally implanted venous access devices connected to Groshong silicone (SC) versus polyurethane (PU) catheters, inserted via the internal jugular vein. MATERIALS AND METHODS: The study population comprised 384 SC and 221 PU central venous catheters implanted via the internal jugular vein. The presence of catheter fracture was evaluated. Variables possibly related to catheter fracture were evaluated. First, in order to determine the factors associated with fracture, fracture rates were compared with the log-rank test between the two groups divided by each of the variables...
November 2, 2016: Journal of Vascular Access
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