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https://www.readbyqxmd.com/read/29030789/foreign-bodies-in-sigmoid-colon-diverticulosis
#1
REVIEW
Ellen Ross, Patricia McKenna, John H Anderson
This review addresses the management of sigmoid colon diverticular disease associated with foreign bodies. In addition, two novel cases are presented. One case describes the management of diverticular bleeding secondary to a chicken bone and the other case reports retrieval of a retained EndoRings™ Device. The review identified 40 relevant publications including 50 subjects. Foreign bodies within sigmoid diverticular disease may be associated with inflammation, perforation, abscess and fistula. In current practice, diagnosis is often achieved with CT scan...
October 13, 2017: Clinical Journal of Gastroenterology
https://www.readbyqxmd.com/read/29026597/endoscopic-approach-for-management-of-biliary-strictures-in-liver-transplant-recipients-a-systematic-review-and-meta-analysis
#2
Dayse Pereira da Silva Aparício, José Pinhata Otoch, Edna Frasson de Souza Montero, Muhammad Ali Khan, Everson Luiz de Almeida Artifon
The most common biliary complication after liver transplantation is anastomotic stricture (AS) and it can occur isolated or in combination with other complications. Liver graft from a cadaveric donor or a living donor has an influence on the incidence of biliary strictures as well as on the response to endoscopic treatment. Endoscopic treatment using balloon dilation and insertion of biliary stents by endoscopic retrograde cholangiopancreatography (ERCP) is the initial approach to these complications. AIM: The aim of this article is to compare different endoscopic techniques to treat post-liver transplantation biliary strictures...
October 2017: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/29024949/nutritional-optimization-during-neoadjuvant-therapy-prior-to-surgical-resection-of-esophageal-cancer-a-narrative-review
#3
Jeremy R Huddy, Fiona M S Huddy, Sheraz R Markar, Olga Tucker
This narrative review aims to evaluate the evidence for the different nutritional approaches employed during neoadjuvant therapy in patients with loco-regional esophageal cancer. Patients with esophageal cancer are often malnourished and difficult to optimise nutritionally. Whilst evidence suggests neoadjuvant therapy can offer a survival advantage, associated toxicity can exacerbate poor nutritional status. There is currently no accepted standard of care regarding optimal nutritional approach.A systematic literature search was undertaken...
August 30, 2017: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/29021311/acute-ischemic-stroke-with-tandem-lesions-technical-endovascular-management-and-clinical-outcomes-from-the-escape-trial
#4
Zarina Assis, Bijoy K Menon, Mayank Goyal, Andrew M Demchuk, Jai Shankar, Jeremy L Rempel, Daniel Roy, Alexander Y Poppe, Victor Yang, Cheemun Lum, Dar Dowlatshahi, John Thornton, Hana Choe, Paul A Burns, Donald F Frei, Blaise W Baxter, Michael D Hill
BACKGROUND: Tandem occlusions of the extracranial carotid and intracranial carotid or middle cerebral artery have a particularly poor prognosis without treatment. Several management strategies have been used with no clear consensus recommendations. We examined subjects with tandem occlusions enrolled in the ESCAPE trial and their outcomes. METHODS: Data are from the ESCAPE trial. Additional data were sought on interventions for each subject. RESULTS: There were 54 (17%) subjects with tandem extracranial and intracranial occlusions...
October 11, 2017: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/29018649/rapid-recanalization-using-trevoprovue-through-a-4-2-fr-catheter-without-a-guiding-catheter-via-transbrachial-approach-a-case-report
#5
Susumu Yamaguchi, Nobutaka Horie, Yoichi Morofuji, Kei Satoh, Kazuhiko Suyama
Mechanical thrombectomy with a stent retriever has been reported to achieve high rates of successful recanalization, and reduce disability and mortality in patients with acute ischemic stroke (AIS) due to proximal vessel occlusion. However, in a few cases, the treatment is difficult due to artery tortuosity or other factors. The authors present a case of a 94-year-old man presenting with acute right middle cerebral artery occlusion. We attempted to treat using a stent retriever via transfemoral approach, but failed to advance the guiding catheter into the right internal carotid artery due to femoral artery tortuosity and a type III arch...
October 2017: NMC Case Rep J
https://www.readbyqxmd.com/read/29017198/aggressive-treatment-of-cerebral-venous-sinus-thrombosis-cvt-with-stent-retrievers-and-local-thrombolysis-why-we-need-a-registry
#6
Christina Maria Kowoll, Hannah Lockau, Franziska Dorn, Christian Dohmen
Purpose Anticoagulation is the first-line therapy for cerebral venous sinus thrombosis (CVT). Endovascular treatment is increasingly applied in patients deteriorating despite anticoagulation with extensive thrombosis or contraindications for anticoagulation. Experience with stent retrievers in CVT is limited. Results We present three cases of severe CVT treated with stent-retrievers, thrombus aspiration and local thrombolysis. In two patients with extensive thrombosis, a partial recanalization was achieved, but only one of them showed significant improvement...
October 2017: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/28987852/factors-associated-with-90-day-outcomes-of-patients-with-acute-posterior-circulation-stroke-treated-by-mechnical-thrombectomy
#7
Gang Luo, Dapeng Mo, Xu Tong, David S Liebeskind, Ligang Song, Ning Ma, Feng Gao, Xuan Sun, Xuelei Zhang, Bo Wang, Baixue Jia, Alejandro Fernandez-Escobar, Zhongrong Miao
BACKGROUND AND PURPOSE: Early recanalization of acute posterior circulation stroke due to large intracranial vessel occlusion by mechanical thrombectomy with stent retrievers may improve the outcome of patients. However, evidence of patient selection is still lacking. The study investigated the prognostic factors of acute posterior circulation stroke due to large intracranial arterial occlusion when treated withstent retriever thrombectomy. METHODS: A total of 69 patients from March 2012 to November 2016 were included in the study...
October 5, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28982494/techniques-for-endovascular-treatment-of-acute-ischemic-stroke
#8
REVIEW
L Pierot, M Gawlitza, S Soize
Early recanalization of occluded vessels in patients with acute ischemic stroke (AIS) by either intravenous thrombolysis (IVT) or endovascular revascularization has been shown to be associated with improved clinical outcomes and reduced mortality. Since the initial report regarding endovascular treatment (EVT) of AIS in 1983, endovascular techniques have been tremendously improved, advancing from intra-arterial administration of thrombolytic drugs to stent retrievers. IVT has been evaluated in several large randomized trials and has been shown to improve clinical outcomes at 90 days if treatment was initiated within 3h of stroke onset, while its benefit at 3-4...
October 2, 2017: Revue Neurologique
https://www.readbyqxmd.com/read/28980205/double-step-invagination-technique-a-novel-approach-to-retrieve-embedded-esophageal-self-expanding-metal-stent
#9
T S Chandrasekar, Raja Yogesh Kalamegam, Gokul Bollu Janakan, Sathiamoorthy Suriyanarayanan, Prasad Sanjeevaraya Menta, Viveksandeep Thoguluva Chandrasekar
Self-expanding metal stenting is an established treatment modality in the management of esophageal growth and stricture. Reactive tissue ingrowth at the uncovered portion of the self-expanding metal stent (SEMS) anchors it in position, preventing its migration. When removal of such an embedded SEMS is clinically indicated, the procedure of endoscopic retrieval is fraught with serious complications. Temporary deployment of a larger fully covered "rescue" SEMS within the embedded SEMS has been reported to be useful in the extraction of the embedded SEMS...
October 5, 2017: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
https://www.readbyqxmd.com/read/28974665/embolization-of-a-large-intracoronary-thrombus-during-st-segment-elevation-myocardial-infarction
#10
Nathaniel R Smilowitz, Claudia Serrano-Gomez
Aspiration thrombectomy was performed to retrieve intact thrombus in a 69-year-old woman. Bradycardia and hypotension rapidly resolved. Balloon angioplasty was performed at the site of proximal RCA in-stent restenosis with improved angiographic appearance and TIMI 3 flow in the major branches.
October 2017: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/28973527/a-direct-aspiration-first-pass-technique-vs-standard-endovascular-therapy-for-acute-stroke-a-systematic-review-and-meta-analysis
#11
Kevin Phan, Adam A Dmytriw, Ian Teng, Justin M Moore, Christoph Griessenauer, Christopher Ogilvy, Ajith Thomas
BACKGROUND: The direct aspiration first pass technique (ADAPT) is a recent endovascular treatment for ischemic stroke due to large vessel occlusion that has been gaining popularity due to the rapidity of the technique and the potential for cost savings in comparison to standard thrombectomy methods such as stent retrievers. However, few studies have directly compared these 2. OBJECTIVE: To compare ADAPT with stent retrievers for thrombectomy via systematic review and meta-analysis...
July 21, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28971792/modification-of-tubeless-percutaneous-nephrolithotomy-with-a-ureteropelvic-junction-stent
#12
Tian C Zhou, Joshua M Stern
INTRODUCTION: To introduce the ureteropelvic junction stent as a safe and effective modification to tubeless percutaneous nephrolithotomy for select patients to maintain antegrade access to the collecting system. MATERIALS AND METHODS: From April 2014 to December 2015, 31 patients underwent modified tubeless percutaneous nephrolithotomy with ureteropelvic junction (UPJ) stent left in situ and an extraction string coming out the nephrostomy tract. Primary study endpoints included complications, emergency department visits, or re-admissions...
October 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/28965145/plastic-surgery-cholangioscopic-intra-stent-balloon-retrieval-of-a-proximally-migrated-biliary-stent
#13
Monique T Barakat, Mohit Girotra, Abhishek Choudhary, Subhas Banerjee
No abstract text is available yet for this article.
September 30, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/28963747/prognosis-is-similar-for-patients-who-undergo-primary-pci-during-regular-hours-and-off-hours-a-report-from-scaar
#14
Björn Redfors, Christian Dworeck, Oskar Angerås, Inger Haraldsson, Petur Petursson, Jacob Odenstedt, Dan Ioanes, Sebastian Völz, Magnus Hiller, Per Fransson, Jason Stewart, Henrik Fryklund, Per Albertsson, Truls Råmunddal, Elmir Omerovic
BACKGROUND: Timely percutaneous coronary intervention (PCI) improves prognosis in ST-elevation myocardial infarction (STEMI). However, recent reports indicate that patients with STEMI who present during non-regular working hours (off-hours) have a worse prognosis. The aim of this study was to compare outcome between patients with STEMI who underwent primary PCI during off-hours and regular hours. METHODS: We retrieved data from the Swedish Coronary Angiography and Angioplasty Registry (SCAAR) for all patients who underwent primary PCI in Region Västra Götaland due to STEMI between January 2004 and May 2013...
September 30, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28963367/trevo-stent-retriever-mechanical-thrombectomy-for-acute-ischemic-stroke-secondary-to-large-vessel-occlusion-registry
#15
Osama O Zaidat, Alicia C Castonguay, Raul G Nogueira, Diogo C Haussen, Joey D English, Sudhakar R Satti, Jennifer Chen, Hamed Farid, Candace Borders, Erol Veznedaroglu, Mandy J Binning, Ajit Puri, Nirav A Vora, Ron F Budzik, Guilherme Dabus, Italo Linfante, Vallabh Janardhan, Amer Alshekhlee, Michael G Abraham, Randall Edgell, Muhammad Asif Taqi, Ramy El Khoury, Maxim Mokin, Aniel Q Majjhoo, Mouhammed R Kabbani, Michael T Froehler, Ira Finch, Sameer A Ansari, Roberta Novakovic, Thanh N Nguyen
BACKGROUND: Recent randomized clinical trials (RCTs) demonstrated the efficacy of mechanical thrombectomy using stent-retrievers in patients with acute ischemic stroke (AIS) with large vessel occlusions; however, it remains unclear if these results translate to a real-world setting. The TREVO Stent-Retriever Acute Stroke (TRACK) multicenter Registry aimed to evaluate the use of the Trevo device in everyday clinical practice. METHODS: Twenty-three centers enrolled consecutive AIS patients treated from March 2013 through August 2015 with the Trevo device...
September 29, 2017: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/28963362/comparing-different-thrombectomy-techniques-in-five-large-volume-centers-a-real-world-observational-study
#16
Amélie Carolina Hesse, Daniel Behme, André Kemmling, Antonia Zapf, Nils Große Hokamp, Isabelle Frischmuth, Ilko Maier, Jan Liman, Ioannis Tsogkas, Jan-Hendrik Buhk, Julia Tran, Jens Fiehler, Anastasios Mpotsaris, Peter Schramm, Ansgar Berlis, Michael Knauth, Marios-Nikos Psychogios
BACKGROUND AND PURPOSE: Thrombectomy has become the standard of care for acute ischaemic stroke due to large vessel occlusion. Aim of this study was to compare the radiological outcomes and time metrics of the various thrombectomy techniques. METHODS: In this retrospective, multicent study we analysed the data of 450 patients with occlusion of the anterior circulation, treated in five high-volume cents from 2013 to 2016. The treatment techniques were divided in three categories: first-pass use of a large-bore aspiration-catheter; first-pass use of a stent-retriever; and primary combined approach (PCA) of an aspiration-catheter and stent-retriever...
September 28, 2017: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/28947217/management-and-evolution-of-a-wallstent-migration-in-a-paediatric-blunt-traumatic-abdominal-aortic-injury
#17
A Apodaka Diez, E Mikelarena Monteiro, Y Gallardo Hoyos, J L Fonseca Legrand
Blunt traumatic abdominal aortic injury (BTAAI) in children is a rare but severe condition. The clinical manifestation often involves other intra-abdominal visceral injuries and vertebral fractures. The best therapeutic management is still unclear with few reported endovascular cases treated. The following is the case of a 13-year-old male with an aortic abdominal dissection, spleen laceration, yeyunal contusion and haemoperitoneum after a motor vehicle collision. An endovascular approach was decided upon after progression of the intimal aortic tear...
September 22, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28946180/usefulness-of-contralateral-carotid-angiography-in-revascularization-therapy-of-acute-internal-carotid-artery-occlusion
#18
Kiyoshi Tsuji, Nobuhiro Nakagawa, Norihito Fukawa, Masaharu Miyauchi, Kentaro Furukawa, Kinya Nakanishi, Naoki Nakano, Kazuo Kataoka, Amami Kato
OBJECTIVE The vascular lumen of an acutely occluded internal carotid artery (ICA) generally contains numerous thrombi. Therefore, carotid angiography on the affected side during revascularization therapy of acute ICA occlusion has a potential risk of causing distal embolization. In this study the authors propose the use of contralateral carotid angiography. METHODS Six patients with acute ICA occlusion underwent revascularization therapy using a stent retriever or Penumbra system. Revascularization therapy was performed with placement of a 9-Fr balloon-guiding catheter (BGC) in the affected ICA and a 4-Fr diagnostic catheter in the contralateral ICA...
September 15, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28944707/combined-use-of-stent-retriever-and-aspiration-thrombectomy-for-cerebral-venous-sinus-thrombosis-involving-the-straight-sinus-a-case-report
#19
Syunsuke Taniguchi, Kei Harada, Masahito Kajihara, Kozo Fukuyama
Cerebral venous sinus thrombosis (CVST) is generally treated with anticoagulation therapy, however, endovascular therapy is considered for refractory cases. A 42-year-old woman presented with a progressive disturbance in consciousness, and diagnosed CVST in the straight sinus (SS). Recanalization of SS was achieved by emergent thrombectomy using aspiration catheter and stent-retriever system, and her level of consciousness improved immediately. The combined use of them aided the removal of the thrombus located in the SS...
January 1, 2017: Interventional Neuroradiology
https://www.readbyqxmd.com/read/28938644/intravascular-ultrasound-guidance-in-drug-eluting-stents-implantation-a-meta-analysis-and-trial-sequential-analysis-of-randomized-controlled-trials
#20
Cheng Qian, Hong Feng, Jianlei Cao, Guangyu Zhang, Yanggan Wang
OBJECTIVE: Previous evidence suggested that intravascular ultrasound (IVUS) guidance could improve outcomes after drug-eluting stents (DES) placement, largely driven by data from observational studies. We, therefore, performed a meta-analysis and trial sequential analysis of randomized controlled trials to overcome this limitation. RESULTS: The retrieval process yielded 7 RCTs with 3,192 patients. Compared to the angiography guidance, IVUS-guided DES implantation was associated with a significant reduction in the major adverse cardiac events (MACE) (OR 0...
August 29, 2017: Oncotarget
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