keyword
https://read.qxmd.com/read/38364591/an-mhealth-application-for-chronic-vascular-access-consumer-led-co-creation
#21
JOURNAL ARTICLE
Amanda J Ullman, Victoria Gibson, Tricia M Kleidon, Sebastian Binnewies, Ryoma Ohira, Nicole Marsh, Craig McBride, Karen Winterbourn, Francesca Boyte, Jacqueline Cunninghame, Natasha Roberts, Grace Hui Xu, Mari Takashima, Marie Cooke, Claire M Rickard, Joshua Byrnes, Emily Larsen
PURPOSE: Children with chronic and complex health conditions frequently need intravenous devices. The current approach to intravenous device selection, insertion, and monitoring is inconsistent, and healthcare consumers are often negatively affected by siloed health information, and poor future planning. Despite child- and family-centred care being recognised as a pillar of paediatric nursing care, limited implementation for vascular access device planning and management is evident. DESIGN AND METHODS: To address this, we conducted a multi-phased approach to co-create, then evaluate, a mobile health (mHealth) application: IV Passport...
February 15, 2024: Journal of Pediatric Nursing
https://read.qxmd.com/read/38358419/incidence-and-clinical-impact-of-renal-failure-and-bleeding-following-transcatheter-tricuspid-valve-annuloplasty
#22
JOURNAL ARTICLE
Thorsten Gietzen, Jan Althoff, Laurin Ochs, Muhammed Gerçek, Jennifer von Stein, Caroline Hasse, Christos Iliadis, Kai Friedrichs, Volker Rudolph, Stephan Baldus, Roman Pfister, Maria Isabel Körber
BACKGROUND: Bleeding is the most common complication after percutaneous leaflet-based tricuspid valve repair and associated with acute kidney injury (AKI) and adverse outcome. TTVA with the Cardioband system is a technically more complex procedure; however, frequency and prognostic impact of postinterventional bleeding and renal complications have not been thoroughly examined. AIMS: This study was performed to determine the incidence and clinical impact of bleeding complications (MVARC criteria) and acute kidney injury (KDIGO criteria) following transcatheter tricuspid valve annuloplasty (TTVA)...
February 15, 2024: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://read.qxmd.com/read/38347890/complications-associated-with-the-use-of-resuscitative-endovascular-balloon-occlusion-of-the-aorta-reboa-an-updated-review
#23
REVIEW
Marcelo Augusto Fontenelle Ribeiro Junior, Salman M Salman, Sally M Al-Qaraghuli, Farah Makki, Riham A Abu Affan, Shahin Reza Mohseni, Megan Brenner
Resuscitative endovascular balloon occlusion of the aorta (REBOA) has become part of the arsenal to temporize patients in shock from severe hemorrhage. REBOA is used in trauma to prevent cardiovascular collapse by preserving heart and brain perfusion and minimizing distal hemorrhage until definitive hemorrhage control can be achieved. Significant side effects, including death, ischemia and reperfusion injuries, severe renal and lung damage, limb ischemia and amputations have all been reported. The aim of this article is to provide an update on complications related to REBOA...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38337144/the-difficult-picc-insertion-is-associated-with-the-significant-increase-of-complications-in-1%C3%A2-month-follow-up
#24
JOURNAL ARTICLE
Katerina Lisova, Katerina Pavelkova, Tereza Matejckova, Petra Simkova, Ondrej Hloch, Jiri Charvat
BACKGROUND: PICC is routinely inserted with assistance of ultrasonography and/or ECG navigation (RI- routine insertion). Only in a minority of patients the insertion of a PICC is difficult and fluoroscopic visualization with introduction of special guidewire is necessary for the success of the procedure (DI-difficult insertion). The aim of the study was to evaluate whether DI can be predicted and associated with a risk of complications during follow-up. METHODS: The study included patients who had a PICC insertion in 2022...
February 9, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38335506/safety-and-feasibility-of-a-novel-total-percutaneous-post-closure-technique-after-bedside-impella-decannulation-in-patients-with-cardiogenic-shock
#25
JOURNAL ARTICLE
Yuichi Suzuki, Satoshi Mogi, Yusuke Mizuno, Ryota Sato, Terumori Satoh, Hayato Ohtani, Masao Saotome, Yuichiro Maekawa
OBJECTIVES: The Impella (Abiomed) is a widely used percutaneous mechanical circulatory support device for high-risk percutaneous coronary intervention in patients with cardiogenic shock. This study aimed to determine the safety and feasibility of a non-angio-guided post-closure approach using the Perclose ProGlide (Abbott) to decannulate the Impella in the intensive care unit. METHODS: This retrospective study included consecutive patients who were successfully weaned from mechanical circulatory support using the Impella device between April 2019 and April 2022 at Hamamatsu University School of Medicine...
February 2024: Journal of Invasive Cardiology
https://read.qxmd.com/read/38332920/single-access-non-contrast-transcatheter-aortic-valve-implantation-the-ultimate-minimalist-approach-a-case-report
#26
Mario E Diaz Nuila, Ashish Gupta, Mohammed Alkhalil
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is an established treatment for patients with symptomatic severe aortic stenosis. Patients with previous renal transplant are considered as a high-risk cohort who may develop procedural complications related to vascular access and renal impairment post-TAVI. CASE SUMMARY: Herein, we report a case of an 88-year-old male who presented with progressive dyspnoea. His transthoracic echocardiogram revealed severe aortic stenosis with a peak gradient of 75 mmHg and impaired left ventricle systolic function (an estimated ejection fraction of 40%)...
February 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38316617/risk-factors-for-infection-of-totally-implantable-central-venous-access-ports-among-patients-requiring-port-removal
#27
JOURNAL ARTICLE
Yuki Hara, Yorihisa Sumida, Shoto Yamazaki, Daiki Takei, Manpei Yamashita, Akiko Fukuda, Makoto Hisanaga, Takayuki Tanaka, Koki Wakata, Takuro Miyazaki, Masato Araki, Hiroshi Yano, Akihiro Nakamura
BACKGROUND: Totally implantable central venous access ports, are required for various purposes, ranging from chemotherapy to nutrition. Port infection is a common complication. In many patients with port infection, the ports are removed because antibiotics are ineffective. We evaluated the risk factors associated with port removal due to port infection. METHODS: By retrospective chart review, we collected data of 223 patients who underwent port removal for any reason...
February 5, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38308328/single-arterial-access-technique-for-simultaneous-dual-mechanical-circulatory-support-in-cardiogenic-shock
#28
JOURNAL ARTICLE
Alexander Fardman, Nikolay Dranishnikov, Gaik Nersesian, Volkmar Falk, Evgenij Potapov
Temporary mechanical circulatory support is a treatment of choice for patients in severe cardiogenic shock. Combining veno-arterial extracorporeal life support (ECLS) with devices that enable left ventricular unloading emerges as a promising strategy to diminish detrimental effect of elevated left ventricular afterload and to improve survival. However, the need to establish multiple arterial access sites remains a major drawback of this approach due to a significant rate of vascular complications. We describe herein a case of a single arterial access for ECLS and intra-aortic balloon pump using axillary artery that may provide a simple, modular and flexible approach for escalation or de-escalation of mechanical circulatory support...
February 3, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38271042/a-safe-and-effective-winged-peripheral-intravenous-cannula-for-use-in-clinical-practice
#29
JOURNAL ARTICLE
Gema Munoz-Mozas, Janice Gabriel
Vascular access continues to be a key factor for the reliable and safe delivery of intravenous (IV) therapy to patients in any healthcare setting. Clinical guidelines advocate for the right vascular access device selection, in order to reduce avoidable complications, eg multiple stabs, phlebitis, thrombophlebitis, insertion site infection, and blood stream infection, while improving efficiency and reducing costs. Peripheral intravenous catheters or cannulas (PIVCs) remain widely used for gaining vascular access in all clinical settings, with both adults and children, because they provide a relatively cheap and simple way to provide blood sampling and the prompt administration of IV medications...
January 25, 2024: British Journal of Nursing: BJN
https://read.qxmd.com/read/38267286/transradial-carotid-artery-stenting-using-double-layer-micromesh-stent-and-novel-post-dilation-balloon-with-integrated-embolic-protection
#30
JOURNAL ARTICLE
Danica Petkoska, Biljana Zafirovska, Ivan Vasilev, Elizabeth Saylors, Ravish Sachar, Sasko Kedev
OBJECTIVES: The highest rate of embolization during carotid artery stenting occurs during post-dilation. We evaluated the ability of the Paladin system (Contego Medical, Raleigh, NC), a novel PTA balloon with an integrated 40-ɥm pore filter, to collect microemboli that may pass into the cerebral circulation when used during post-dilation. METHODS: 25 symptomatic patients underwent transradial CAS using the Paladin system in conjunction with the Roadsaver (Terumo Corporation, Tokyo, Japan) micromesh stent...
January 12, 2024: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/38262253/-communication-interventriculaire-compliquant-un-infarctus-de-myocarde-ant%C3%A3-rieur%C3%A2-%C3%A2-un-cas-de-fermeture-percutan%C3%A3-e
#31
JOURNAL ARTICLE
Hakim Lamine, Abdeljelil Farhati, Hela Bouzidi, Syrine Saidane, Ihsen Zairi, Khadija Mzoughi, Sondos Kraeim
INTRODUCTION: Post-infarction ventricular septal defect (PIVSD) is one of the most serious mechanical complications of acute myocardial infarction (AMI). Over the last decade, percutaneous closure is increasingly undertaken, with results similar to cardiac surgery. We present a case of ST-elevated anterior AMI, complicated by apical PIVSD successfully treated with transcatheter closure. CASE REPORT: An 83-year-old man was hospitalized for chest pain occurred 18 hours before, during the night time...
January 22, 2024: Annales de Cardiologie et D'angéiologie
https://read.qxmd.com/read/38241058/platelet-reactivity-and-activated-clotting-time-predict-hemorrhagic-site-complications-in-patients-with-chronic-coronary-syndromes-undergoing-percutaneous-coronary-interventions
#32
JOURNAL ARTICLE
Bogumił Ramotowski, Paweł Lewandowski, Tomasz Słomski, Paweł Maciejewski, Andrzej Budaj
BACKGROUND: Radial access is preferred in patients with chronic coronary syndromes (CCSs) treated with ad hoc percutaneous coronary intervention (PCI). Antithrombotic and antiplatelet treatment before PCI may affect outcomes at vascular access sites. QuikClot Radial is a kaolin-based band that may shorten hemostasis time. Using point-of-care testing, we investigated the effect of antithrombotic and antiplatelet treatment on access-site complications. METHODS: This prospective observational study included consecutive patients with CCS on chronic aspirin therapy referred for ad hoc PCI...
January 22, 2024: Coronary Artery Disease
https://read.qxmd.com/read/38217318/reinsertion-of-tunneled-cuffed-catheter-in-hemodialysis-patients-with-catheter-loss-and-limited-access-options
#33
JOURNAL ARTICLE
Lizhu Jin, Qiuyan Zhao, Jibo Sun, Tianlei Cui
PURPOSE: Maintenance hemodialysis patients who rely on tunneled-cuffed catheters (TCCs) often face difficulty in reinserting a new catheter when the original catheter has been extruded or removed. Potential pathological changes of vessel caused by long-term indwelling of a catheter may contribute to this predicament. The aim of this study was to report and evaluate a re-catheterization technique through the same exit site and tunnel for hemodialysis patients with TCC loss. METHODS: A retrospective review of 19 patients with TCC loss was conducted from January 2020 to August 2022...
January 12, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38200324/pediatric-invasive-device-utility-and-harm-a-multi-site-point-prevalence-survey
#34
JOURNAL ARTICLE
Mari Takashima, Victoria Gibson, Eloise Borello, Lily Galluzzo, Fenella J Gill, Sharon Kinney, Fiona Newall, Amanda J Ullman
BACKGROUND AND AIMS: Invasive devices are widely used in healthcare settings; however, pediatric patients are especially vulnerable to invasive device-associated harm. This study aimed to explore invasive device utility, prevalence, harm, and clinical practice across three Australian pediatric tertiary hospitals. METHODS: In 2022-2023, a multi-center, observational, rolling-point-prevalence survey was conducted. Fifty-per-cent of inpatients were systemically sampled by random allocation...
January 11, 2024: Pediatric Research
https://read.qxmd.com/read/38197201/a-4-year-tunneled-hemodialysis-catheter-malpositioned-into-the-azygos-vein-and-how-to-remedy-the-hemodialysis-circuit
#35
JOURNAL ARTICLE
Yuqin Xiong, Qiuyan Zhao, Yang Yu, Tianlei Cui
Mispositioning in the azygos vein is a rare but hazardous complication of central venous catheterization. A patient was admitted for a dysfunctional hemodialysis tunneled cuffed catheter (TCC) placed in the azygos vein for 4 years. Computed tomography angiography revealed multiple sites of occlusion, including the superior vena cava (SVC), right and left innominate veins (IVs), and right femoral vein. Percutaneous transluminal angioplasty and a TCC replacement based on a segment-by-segment recanalizing strategy were performed...
January 10, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38189215/systematic-review-and-meta-analysis-comparing-manta-device-and-perclose-device-for-closure-of-large-bore-arterial-access
#36
REVIEW
Tayyab Cheema, Carmelo Venero, Shivam Champaneria, Sundas Younas, Muhammad Adil Hadeed Khan, Ibrar Anjum, Unaiza Ijaz, Sajjad Haider, Muhammad Shoaib Akbar, Mohammad Abdul-Waheed, Sameer Saleem
Data comparing MANTA device with Perclose device for large bore arterial access closure is limited. We performed meta-analysis to compare safety and efficacy of the two devices in large (⩾14 Fr sheath) arteriotomy closure post-TAVR. Relevant studies were identified via PubMed, Cochrane, and EMBASE databases until June, 2022. Data was analyzed using random effect model to calculate relative odds of VARC-2 defined access-site complications and short-term (in-hospital or 30-day) mortality. A total of 12 studies (2 RCT and 10 observational studies) comprising 2339 patients were included...
January 8, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38173287/combined-ultrasound-and-angiographic-guidance-to-facilitate-transradial-access-procedures
#37
JOURNAL ARTICLE
Francesco Bianchini, Marco Lombardi, Alfredo Ricchiuto, Lazzaro Paraggio, Cristina Aurigemma, Enrico Romagnoli, Carlo Trani, Francesco Burzotta
The introduction of transradial access for percutaneous coronary diagnostic and interventional procedures has led to a decrease in access site complications. The aim of this paper is to propose a combined stepwise technical approach where real time ultrasound ("echo-first" approach) can be used to select the best vascular access and, together with angiography, to manage the potential obstacles that may occur during transradial procedures. In each section, we summarize some tips and tricks based on both our experience and current literature that can be easily implemented in daily practice to increase the success of transradial procedures...
January 3, 2024: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/38166575/guidewire-replacement-of-valved-tunneled-cuffed-silicone-catheters-with-power-injectable-polyurethane-tunneled-cuffed-catheters-or-with-ports
#38
JOURNAL ARTICLE
Stefano Benvenuti, Federico Finetti, Elena Porteri, Rosanna Ceresoli, Cristian Pintossi, Francesca Zanatta, Gabriele Bartolini, Federica Facchini, Caterina Annovazzi, Daniele Alberti
BACKGROUND: Silicone Cuffed Centrally Inserted Central venous catheters (CICCs) were a type of catheters that have been used for a long time especially in cancer patients. Recently, thanks to biomedic research progresses, polyurethane catheters have resulted in higher surgical performances compared to classical silicone ones. Indeed, the inferior calibers of these new catheters lead to an extremely faster infusion rate. The presence of a valve at the tip of the catheter could suggest an impossible replacement procedure over a Seldinger guidewire...
January 2, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38166433/cannula-associated-deep-vein-thromboses-in-covid-19-patients-supported-with-vv-ecmo
#39
JOURNAL ARTICLE
Erin Niles, Mary Maldarelli, Joseph Hamera, Allison Lankford, Samuel M Galvagno, Ashley Menne, Kimberly Boswell, Raymond Rector, Daniel J Haase, Ali Tabatabai, Elizabeth K Powell
BACKGROUND: VV ECMO is increasingly used as a rescue strategy for hypercarbic and hypoxic respiratory failure refractory to conventional management, and more than 14,000 patients with COVID-19 related respiratory failure have been supported with VV ECMO to date. One of the known complications of VV ECMO support is the development of cannula-associated deep vein thromboses (CaDVT). The purpose of this study was to identify the incidence of CaDVT in COVID-19 patients supported with VV ECMO as compared to non-COVID-19 patients...
January 3, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38153636/could-transplantation-into-the-thyroid-gland-benefit-pancreatic-islet-grafting-in-unstable-type-1-diabetes-t1dm-complicated-type-2-diabetes-t2dm-and-patients-with-total-pancreatectomy
#40
JOURNAL ARTICLE
Lodovico Rosato, Eugenia Lavorini, Maurilio Deandrea
BACKGROUND: Insular allograft for unstable type 1 diabetes and autograft in pancreatectomy patients are nowadays considered established procedures with precise indications and predictable outcomes. The clinical outcome of islet transplantation is similar to that of pancreas transplantation, avoiding the complications associated with organ transplantation. OBJECTIVE: We hypothesised that transplantation of islets of Langerhans within an endocrine organ could better promote their engraftment and function...
December 28, 2023: Stem cell reviews and reports
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