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https://www.readbyqxmd.com/read/27890843/total-endovascular-aortic-repair-in-a-patient-with-marfan-syndrome
#1
Mau Amako, Rafaëlle Spear, Rachel E Clough, Adrien Hertault, Richard Azzaoui, Teresa Martin Gonzalez, Jonathan Sobocinski, Stéphan Haulon
OBJECTIVE: To describe a total endovascular aortic repair with branched and fenestrated endografts in a young patient with Marfan syndrome and a chronic aortic dissection. Open surgery is the gold standard to treat aortic dissections in patients with aortic disease and Marfan syndrome. METHODS: In 2000, a 38-year-old man with Marfan syndrome underwent open ascending aorta repair for an acute type A aortic dissection. One year later, a redo sternotomy was performed for aortic valve replacement...
November 24, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27587067/pre-dialysis-renal-clinic-visits-and-patients-outcomes-on-peritoneal-dialysis
#2
Wen Tang, Xiu-Hong Hu, Lei Zhu, Zhe-Li Niu, Chu-Yan Su, Qing-Feng Han, Tao Wang
PURPOSE: To investigate the effect of pre-dialysis renal care on peritoneal dialysis (PD) patients' outcomes in China. METHODS: In this retrospective cohort study, patients who started PD during January 1, 2006, to December 31, 2014, were included. Patients' medical charts were reviewed to extract the information. To explore the effect of pre-dialysis renal care on patients' outcomes, patient were divided into two groups according to whether or not they had frequent renal clinic visits: Group A (with frequent visits) and Group B (without frequent visits)...
November 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27240960/simplified-frailty-index-as-a-predictor-of-adverse-outcomes-in-total-hip-and-knee-arthroplasty
#3
John I Shin, Aakash Keswani, Andrew J Lovy, Calin S Moucha
BACKGROUND: The modified frailty index (mFI) has been shown to predict adverse outcomes in multiple nonorthopedic surgical specialties. This study aimed to assess whether mFI is a predictor of adverse events in patients undergoing primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). METHODS: Patients who underwent THA and TKA from 2005-2012 were identified in the National Surgical Quality Improvement Program database. mFI was calculated for each patient using 15 variables found in National Surgical Quality Improvement Program...
April 27, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27151579/stent-graft-repair-of-iatrogenic-femoral-arteriovenous-fistula-with-acute-bleeding-after-hemodialysis-catheter-insertion
#4
Chih-Hsien Lee
An arteriovenous fistula (AVF) is an abnormal connection between an artery and a vein. Double-lumen catheters are widely used for gaining temporary access in patients requiring acute hemodialysis (HD). Several complications are associated with the insertion of these catheters, including bleeding, infection, arterial injuries, and deep venous thrombosis. An iatrogenic AVF is a rare and severe complication following catheterization for temporary HD. Here, we report the case of a patient who developed an iatrogenic AVF following catheterization for acute HD resulting in acute bleeding...
May 5, 2016: Hemodialysis International
https://www.readbyqxmd.com/read/27108694/defibrotide-for-treatment-of-severe-veno-occlusive-disease-in-pediatrics-and-adults-an-exploratory-analysis-using-data-from-the-center-for-international-blood-and-marrow-transplant-research
#5
Christopher Strouse, Paul Richardson, Grant Prentice, Sandra Korman, Robin Hume, Bijan Nejadnik, Mary M Horowitz, Wael Saber
Veno-occlusive disease (VOD) is an early and serious complication of hematopoietic cell transplantation (HCT) that is associated with inferior survival, particularly when it is complicated by multiorgan failure (severe VOD). We evaluated the efficacy of defibrotide in the treatment of severe VOD using observational data from the Center for International Blood and Marrow Transplant Research (CIBMTR). Eight thousand three hundred forty-one patients treated by HCT between 2008 and 2011 were identified from the CIBMTR clinical database; 3...
July 2016: Biology of Blood and Marrow Transplantation
https://www.readbyqxmd.com/read/27006497/improving-outcomes-in-patients-receiving-dialysis-the-peer-kidney-care-initiative
#6
James B Wetmore, David T Gilbertson, Jiannong Liu, Allan J Collins
The past decade has witnessed a marked reduction in mortality rates among patients receiving maintenance dialysis. However, the reasons for this welcome development are uncertain, and greater understanding is needed to translate advances in care into additional survival gains. To fill important knowledge gaps and to enable dialysis provider organizations to learn from one another, with the aim of advancing patient care, the Peer Kidney Care Initiative (Peer) was created in 2014 by the chief medical officers of 14 United States dialysis provider organizations and the Chronic Disease Research Group...
July 7, 2016: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/26948291/double-filtration-plasmapheresis-in-the-treatment-of-antineutrophil-cytoplasmic-autoantibody-associated-vasculitis-with-severe-renal-failure-a-preliminary-study-of-15-patients
#7
Yinghua Chen, Liu Yang, Kang Li, Zhengzhao Liu, Dehua Gong, Haitao Zhang, Zhihong Liu, Weixin Hu
Our aim was to investigate the clinical efficacy of double filtration plasmapheresis (DFPP) in the treatment of antineutrophil cytoplasmic autoantibody-(ANCA) associated vasculitis (AAV) with severe renal involvement. Fifteen AAV patients who had severe renal failure (median SCr 5.6(IQR 5.2-9.0) mg/dL) and needed initial renal replacement therapy (RRT) were treated with DFPP and immunosuppressive therapy. Two plasma volumes were processed during each DFPP session. The changes of serum ANCA and renal function were investigated...
April 2016: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/26900309/recipient-criteria-predictive-of-graft-failure-in-kidney-transplantation
#8
Ernesto P Molmenti, Asha Alex, Lisa Rosen, Mohini Alexander, Jeffrey Nicastro, Jingyan Yang, Eric Siskind, Leesha Alex, Emil Sameyah, Madhu Bhaskaran, Nicole Ali, Amit Basu, Mala Sachdeva, Stergiani Agorastos, Prejith Rajendran, Prathik Krishnan, Poornima Ramadas, Leo Amodu, Joaquin Cagliani, Sameer Rehman, Adam Kressel, Christine B Sethna, Georgios C Sotiropoulos, Arnold Radtke, George Sgourakis, Richard Schwarz, Steven Fishbane, Alessandro Bellucci, Gene Coppa, Horacio Rilo, Christine L Molmenti
Several classifications systems have been developed to predict outcomes of kidney transplantation based on donor variables. This study aims to identify kidney transplant recipient variables that would predict graft outcome irrespective of donor characteristics. All U.S. kidney transplant recipients between October 25,1999 and January 1, 2007 were reviewed. Cox proportional hazards regression was used to model time until graft failure. Death-censored and nondeath-censored graft survival models were generated for recipients of live and deceased donor organs...
March 2016: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/26872307/predictors-of-thirty-day-hospital-readmission-following-posterior-cervical-fusion-in-3401-patients
#9
Winward Choy, Sandi K Lam, Zachary A Smith, Nader S Dahdaleh
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To determine readmission rates and predictors of readmission following posterior cervical fusion (PCF). SUMMARY OF BACKGROUND DATA: PCFs are common spinal operations for a variety of spinal disorders including cervical myelopathy, unstable fractures, cervical deformity and tumors. Data elaborating on risk factors for 30 day readmission are limited. METHODS: Data were collected from the 2006 to 2013 American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database...
January 14, 2016: Spine
https://www.readbyqxmd.com/read/26844465/impact-of-chronic-kidney-disease-on-short-term-cardiac-implantable-electronic-device-related-infection-a-nationwide-population-based-cohort-study
#10
Yu-Sheng Lin, Tien-Hsing Chen, Ming-Shyan Lin, Dong Yi Chen, Chun-Tai Mao, Jen-Te Hsu, Huang-Chung Chen, Mien-Cheng Chen
Chronic kidney disease (CKD) increased the incident cardiac implantable electronic device (CIED) infection, but risk factors of CIED infection in CKD patients remain unclear.Patients who received new CIED implantation between January 1, 1997 and December 31, 2011 were selected from the Taiwan National Health Insurance Database and were divided into 3 groups: patients with normal renal function, CKD patients without dialysis, and CKD patient with dialysis. Two outcomes, CIED infection during index hospitalization and within 1 year after discharge, were evaluated...
February 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26836919/the-critically-ill-kidney-transplant-recipient-a-narrative-review
#11
REVIEW
Emmanuel Canet, Lara Zafrani, Élie Azoulay
Kidney transplantation is the most common solid organ transplantation performed worldwide. Up to 6% of kidney transplant recipients experience a life-threatening complication that requires ICU admission, chiefly in the late posttransplantation period (≥ 6 months). Acute respiratory failure and septic shock are the main reasons for ICU admission. Cardiac pulmonary edema, bacterial pneumonia, acute graft pyelonephritis, and bloodstream infections account for the vast majority of diagnoses in the ICU. Pneumocystis jirovecii pneumonia is the most common opportunistic infection, and one-half of the patients so infected require mechanical ventilation...
June 2016: Chest
https://www.readbyqxmd.com/read/26785992/fulminant-hepatic-and-multiple-organ-failure-following-acute-viral-tonsillitis-a-case-report
#12
Ursina Bechtel-Grosch, Charles Beguelin, Sabina Berezowska, Jean-Francois Dufour, Jukka Takala, Joerg C Schefold
BACKGROUND: Pyogenic tonsillitis may often be observed in the general Western population. In severe cases, it may require antibiotic treatment or even hospitalization and often a prompt clinical response will be noted. Here we present an unusual case of progressive multiple organ failure including fulminant liver failure following acute tonsillitis initially mistaken for "classic" pyogenic (that is bacterial) tonsillitis. CASE PRESENTATION: A 68-year-old previously healthy white man was referred with suspicion of pyogenic angina...
2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/26605134/a-rare-case-of-aortic-sinuses-of-valsalva-fistula-to-multiple-cardiac-chambers-secondary-to-periannular-aortic-abscess-formation-from-underlying-brucella-endocarditis
#13
Feridoun Sabzi, Aghighe Heidari, Reza Faraji
The concomitant presence of abnormal connection from three aortic valsalva sinuses to cardiac chambers is a rare complication of native aortic Brucella endocarditis. This case report presents a 37-year-old Iranian female patient who had native aortic valve Brucella endocarditis complicated by periannular abscess formation and subsequent perforation to multi-cardiac chambers associated with congestive heart failure and left bundle branch block. Multiple aorto-cavitary fistulas to right atrium, main pulmonary artery, and formation of a pocket over left atrial roof were detected by transthoracic echocardiogram (TTE)...
2015: GMS Hygiene and Infection Control
https://www.readbyqxmd.com/read/26524951/systemic-effects-of-hemodialysis-access
#14
REVIEW
Anil K Agarwal
Patients with advanced chronic kidney disease are at a high risk of cardiovascular events. Patients with end-stage renal disease have a particularly high morbidity and mortality, in part attributed to the complications and dysfunction related to vascular access in this population. Creation of an arteriovenous access for HD is considered standard of care for most patients and has distinct advantages including less likelihood of infections, less need for intervention, and positive impact on survival as compared with usage of a catheter...
November 2015: Advances in Chronic Kidney Disease
https://www.readbyqxmd.com/read/26405286/management-of-latent-mycobacterium-tuberculosis-infection-who-guidelines-for-low-tuberculosis-burden-countries
#15
REVIEW
Haileyesus Getahun, Alberto Matteelli, Ibrahim Abubakar, Mohamed Abdel Aziz, Annabel Baddeley, Draurio Barreira, Saskia Den Boon, Susana Marta Borroto Gutierrez, Judith Bruchfeld, Erlina Burhan, Solange Cavalcante, Rolando Cedillos, Richard Chaisson, Cynthia Bin-Eng Chee, Lucy Chesire, Elizabeth Corbett, Masoud Dara, Justin Denholm, Gerard de Vries, Dennis Falzon, Nathan Ford, Margaret Gale-Rowe, Chris Gilpin, Enrico Girardi, Un-Yeong Go, Darshini Govindasamy, Alison D Grant, Malgorzata Grzemska, Ross Harris, C Robert Horsburgh, Asker Ismayilov, Ernesto Jaramillo, Sandra Kik, Katharina Kranzer, Christian Lienhardt, Philip LoBue, Knut Lönnroth, Guy Marks, Dick Menzies, Giovanni Battista Migliori, Davide Mosca, Ya Diul Mukadi, Alwyn Mwinga, Lisa Nelson, Nobuyuki Nishikiori, Anouk Oordt-Speets, Molebogeng Xheedha Rangaka, Andreas Reis, Lisa Rotz, Andreas Sandgren, Monica Sañé Schepisi, Holger J Schünemann, Surender Kumar Sharma, Giovanni Sotgiu, Helen R Stagg, Timothy R Sterling, Tamara Tayeb, Mukund Uplekar, Marieke J van der Werf, Wim Vandevelde, Femke van Kessel, Anna van't Hoog, Jay K Varma, Natalia Vezhnina, Constantia Voniatis, Marije Vonk Noordegraaf-Schouten, Diana Weil, Karin Weyer, Robert John Wilkinson, Takashi Yoshiyama, Jean Pierre Zellweger, Mario Raviglione
Latent tuberculosis infection (LTBI) is characterised by the presence of immune responses to previously acquired Mycobacterium tuberculosis infection without clinical evidence of active tuberculosis (TB). Here we report evidence-based guidelines from the World Health Organization for a public health approach to the management of LTBI in high risk individuals in countries with high or middle upper income and TB incidence of <100 per 100 000 per year. The guidelines strongly recommend systematic testing and treatment of LTBI in people living with HIV, adult and child contacts of pulmonary TB cases, patients initiating anti-tumour necrosis factor treatment, patients receiving dialysis, patients preparing for organ or haematological transplantation, and patients with silicosis...
December 2015: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/26370715/characteristics-of-aa-amyloidosis-patients-in-san-francisco
#16
Hiba Lejmi, Kuang-Yu Jen, Jean L Olson, Sam H James, Ramin Sam
BACKGROUND: AA amyloidosis due to subcutaneous injection of drugs of abuse has been described in the USA, but all the existing literature is from more than 20 years ago. There is more recent literature from Europe. We have observed a high incidence of AA amyloidosis in the county hospital in San Francisco. DESIGN: Here, we describe 24 patients who had kidney biopsy-proven AA amyloidosis from our hospital from 1998 to 2013. All the patients were thought to have AA amyloidosis from skin popping of illicit drugs after having exhausted the intravenous route...
April 2016: Nephrology
https://www.readbyqxmd.com/read/26277557/outcomes-of-open-repair-of-mycotic-descending-thoracic-and-thoracoabdominal-aortic-aneurysms
#17
Christopher Lau, Mario Gaudino, Andreas R de Biasi, Monica Munjal, Leonard N Girardi
BACKGROUND: The purpose of this study was to evaluate the short- and intermediate-term outcomes of open repair of mycotic thoracic and thoracoabdominal aneurysms. Contemporary surgical and perioperative techniques were utilized. METHODS: From November 1997 to May 2014, 14 consecutive patients underwent open repair of descending thoracic (n = 9, 64.3%) and thoracoabdominal (n = 5, 35.7%) mycotic aortic aneurysms. All procedures were performed through the left side of the chest...
November 2015: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/26243472/association-of-dialysis-with-adverse-postoperative-outcomes-in-colorectal-cancer-an-analysis-of-acs-nsqip
#18
MULTICENTER STUDY
Wan-Hsiang Hu, Luis Carlos Cajas-Monson, Samuel Eisenstein, Lisa Parry, Sonia Ramamoorthy
PURPOSE: Dialysis is an important factor in predicting the risk associated with cardiovascular and general abdominal surgery. The association between cancer patients and dialysis was also studied, and in particular, the effects of dialysis on the postoperative outcomes of colorectal cancer which has not been widely reported in the literature. METHODS: This is a retrospective, multi-institutional study of the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) database, investigating preoperative dialysis status and its association with postoperative mortality and morbidity...
November 2015: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/26184753/a-multicenter-experience-with-the-surgical-treatment-of-infected-abdominal-aortic-endografts
#19
MULTICENTER STUDY
Victor J Davila, William Stone, Audra A Duncan, Emily Wood, William D Jordan, Nicholas Zea, W Charles Sternbergh, Samuel R Money
OBJECTIVE: Single-center experiences with the treatment of infected endografts after endovascular aortic repair (I-EVAR) have been reported. We performed a multicenter review of the surgical care of these patients to elucidate short-term and long-term outcomes. METHODS: A retrospective analysis of all EVAR explants from 1997 to 2014 at four institutions was performed. Patients with I-EVAR undergoing surgical treatment were reviewed. Data were obtained detailing preoperative demographics, and postoperative morbidity and mortality...
October 2015: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26169405/mucin-binding-reduces-colistin-antimicrobial-activity
#20
Johnny X Huang, Mark A T Blaskovich, Ruby Pelingon, Soumya Ramu, Angela Kavanagh, Alysha G Elliott, Mark S Butler, A Bruce Montgomery, Matthew A Cooper
Colistin has found increasing use in treating drug-resistant bacterial lung infections, but potential interactions with pulmonary biomolecules have not been investigated. We postulated that colistin, like aminoglycoside antibiotics, may bind to secretory mucin in sputum or epithelial mucin that lines airways, reducing free drug levels. To test this hypothesis, we measured binding of colistin and other antibiotics to porcine mucin, a family of densely glycosylated proteins used as a surrogate for human sputum and airway mucin...
October 2015: Antimicrobial Agents and Chemotherapy
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