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Navin K Kapur, Carlos D Davila, Marwan F Jumean
Cardiogenic shock remains one of the most common causes of in-hospital death. Recent data have identified an overall increase in patient complexity, with cardiogenic shock in the setting of acute myocardial infarction. The use of percutaneous acute mechanical circulatory support (AMCS) has steadily grown in the past decade. Guidelines and consensus statements addressing proper patient selection, timing of AMCS implantation, device choice, and postimplantation protocol are appearing. The emerging role of interventional heart failure specialists within the heart team includes integration and understanding of advanced hemodynamic and cathether-based therapies, with the goal of improving outcomes...
July 2017: Interventional cardiology clinics
Paola Scavone, Victoria Iribarnegaray, Ana Laura Caetano, Geraldine Schlapp, Steffen Härtel, Pablo Zunino
Proteus mirabilis is one of the most common etiological agents of complicated urinary tract infections, especially those associated with catheterization. This is related to the ability of P. mirabilis to form biofilms on different surfaces. This pathogen encodes 17 putative fimbrial operons, the highest number found in any sequenced bacterial species so far. The present study analyzed the role of four P. mirabilis fimbriae (MR/P, UCA, ATF and PMF) in biofilm formation using isogenic mutants. Experimental approaches included migration over catheter, swimming and swarming motility, the semiquantitative assay based on adhesion and crystal violet staining, and biofilm development by immunofluorescence and confocal microscopy...
July 2016: Pathogens and Disease
Nicolae Bacalbasa, Dana Tomescu, Irina Balescu
For most patients with bulky pelvic tumors, pelvic exenteration remains the only curative option. Although initially reported as a palliative procedure, nowadays it is rather performed with curative intent. Once the resectional phase is ended, a large defect will remain at the level of the pelvic diaphragm, predisposing to severe complications which are generically included under the name of empty pelvis syndrome. It has been widely demonstrated that this type of complication is associated with severe mortality, even if the patient is free of any pelvic recurrence...
October 2015: Anticancer Research
Wilson W Li, David R Koolbergen, Berto J Bouma, Mark G Hazekamp, Bas A de Mol, Robbert J de Winter
BACKGROUND: Cor triatriatum is a rare congenital cardiac abnormality, consisting of an obstructing membrane between the pulmonary veins and the mitral valve in varying patterns. The entitiy can mimick the pathophysiology of mitral stenosis, necessitating surgical resection. Occasionally, percutaneous balloon dilatation of the membrane has been successfully performed. CASE PRESENTATION: We report two cases with cor triatriatum where intraoperative balloon dilatation of the membrane was attempted followed by surgical resection, to explore the feasibility of cathether-based interventional strategies for cor triatriatum...
July 14, 2015: BMC Cardiovascular Disorders
Kasia Isabel Zalewska, James Barry
Ablation in octogenerians is effective and allows rationalisation of pharmacotherapy. Advancing age should not be a barrier to its use.
May 2015: JRSM Open
F C von Rundstedt, S Roth, S Degener, D Lazica, A Schroeder, M J Mathers
BACKGROUND: Despite the costs that the national health care system faces with regard to treatment of urinary incontinence and related use of urinary catheters, only limited research has been focused on the subject. In collaboration with the German Association of Urologists, we conducted an online-based survey to learn more about the use of urinary catheters and the care of patients in the outpatient setting. METHODS: A comprehensive online survey consisting of 26 questions was sent to all members of the "German Federation of Urologists" (Berufsverband der Deutschen Urologen) in an e-mail...
April 2015: Der Urologe. Ausg. A
Erjola Bolleke, Saimir Seferi, Merita Rroji, Alma Idrizi, Myftar Barbullushi, Nestor Thereska
INTRODUCTION: Vascular access is often considered the Achilles heel the of hemodialysis because of its impact on morbidity, all cause mortality and finally costs of these patients. The most common complication of permanent hemodialysis (HD) vascular access is thrombosis, with some cases being related to hypercoagulability states. Antiphospholipid antibody syndrome (APAS) is a cause of increased thrombotic tendency, and this may complicate the management of such patients on HD. CASE REPORT: We describe a 41-year-old woman with end stage renal disease (ESRD) from Adult Polycystic Kidney Disease who was referred to our tertiary care center for treatment and selection of renal replacement therapy form...
October 2014: Medical Archives
Miodrag Damjanović, Sonja Šalinger-Martinović, Danijela Djordjević-Radojković, Goran Koraćević, Vladimir Miloradović
INTRODUCTION: Entrapment and fracture of diagnostic or therapeutic devices within the coronary circulatory system are a rare, but increasing problem. CASE REPORT: A 70-year-old man was admitted in our clinic for coronary angiography before the planned aortic valve replacement. An arterial sheath was inserted in the right common femoral artery. After introducing a J-tip diagnostic coronary guidewire into the aorta and advancing a left Judkins diagnostic catheter over it, suddenly occured peeling off of the wire's hydrophilic coating at the aortic arch level...
October 2014: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Janet A Popp, A Joseph Layon, Robert Nappo, Winston T Richards, David W Mozingo
BACKGROUND: Thermally injured patients are at high risk for infections, including hospital acquired infections (HAIs). We modeled a twice-daily chlorhexidine gluconate (CHG) bath protocol aimed at decreasing HAIs. METHODS: Bathing with a 0.9% CHG solution in sterile water was provided twice daily as part of routine care. Institutional HAI prevention bundles were in place and did not change during the study. Baseline HAI rates were collected for 12 months before the quality study implementation...
February 2014: American Journal of Infection Control
Hun Gu Lee, Juah Jang, Jeong Eun Choi, Doo Cheol Chung, Jung Wan Han, Heungjeong Woo, Wook Jeon, Byung Chul Chun
BACKGROUND: The study on bacteremia helps empirically select the proper antibiotics before the results of culture test about causative pathogen. The purpose of this study is to investigate causative pathogen in bloodstream infection, changing aspects based on elapsed time after burn, relationship with other sites and resistance of important causative pathogen against antibiotics through analysis on bacteria isolated from blood culture of patients hospitalized in burn intensive care unit (BICU)...
June 2013: Infection & Chemotherapy
Jarosław Leś, Zofia Wańkowicz
The basic form of renal replacement therapy is haemodialysis. The duration and efficacy of this treatment depends on well-functioning vascular access. Short-term or long-term catheters are used if the arterial-venous fistula placement is not possible or not indicated. According to the recommendations of the NKF DOQI (National Kidney Foundation Disease Outcomes Quality Initiative), the first choice of access is the right internal jugular vein, and the next are the left internal jugular, femoral and subclavian vein...
July 2013: Anaesthesiology Intensive Therapy
J I Monzó Gardiner, M F García, J M Albornoz, F P Secin
OBJECTIVE: To describe a case of urachal adenocarcinoma treated with robotic assisted laparoscopic partial cystectomy and en-bloc exeresis of urachus and umbilicus and bibliographic review. METHODS: A 63 year-old man with hematuria and hypogastric pain. He was diagnosed of urachal adenocarcinoma by transurethral resection and axial tomography. We performed a robotic assisted laparoscopic partial cystectomy using a da Vinci® S HD (Intuitive Surgical System) device...
July 2013: Archivos Españoles de Urología
Jun Zhu, Jian-hua Ding, Ke Zhao, Bin Zhang, Yong Zhao, Hai-yan Tang, Yu-juan Zhao
OBJECTIVE: To investigate the perioperative and postoperative long-term complications of procedure for prolapse and hemorrhoids(PPH) for the treatment of circular internal hemorrhoids and circular mixed hemorrhoids. METHODS: A retrospective study was performed in 2152 patients with circular internal hemorrhoids and circular mixed hemorrhoids eligible for PPH from January 2002 to December 2011. The perioperative and postoperative long-term complications were recorded and assessed...
December 2012: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
I Hernández-García, M C Sáenz-González, D Meléndez
OBJECTIVE: To evaluate the effectiveness of an educational program for the prevention of healthcare-associated infections (HCAIs), based on Care Bundles. MATERIAL AND METHODS: A quasi-experimental study conducted in a university hospital from May 2011 to February 2012. An educational intervention (21 training sessions) was carried out in all Departments with the support of the contents in a leaflet, which included evidence-based Care Bundles for prevention of different HCAIs...
March 2013: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
Neal P Gallagher, Elise C Fear, Edward J Vigmond, Israel A Byrd
One factor which may be important for determining proper lesion creation in an atrial ablation procedure is catheter-endocardial contact. Little information is available that relates geometric contact, depth and angle, to ablation lesion formation. We present an electrothermal computer model of ablation that calculates lesion volume and temperature development over time. The Pennes bioheat equation was coupled to a quasistatic electrical problem. This method simulates importantly, not just catheter penetration depth, but also several different incident catheter angles as may occur in practise...
2011: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
V Lonsky, V Svitek, V Brzek, J Kubicek, M Volt, M Horak, J Mandak
BACKGROUND: Regional hypoperfusion has been associated with the development of postoperative organ dysfunction in cardiac surgery involving cardiopulmonary bypass (CPB). Direct tissue oxymetry is a potentially new method for monitoring the quality of the peripheral tissue perfusion during CPB. The aim of this study was to assess the effects of CPB in skeletal muscle oxygenation when measured in the deltoid muscle by direct oxymetry during perioperative period. METHOD: Seven patients underwent on-pump coronary artery bypass grafting...
November 2011: Perfusion
Nuno Cardim, Júlia Toste, Vanessa Carvalho, Igor Nunes, Daniel Ferreira, Vanda Carmelo, Ana S N Oliveira, José Ferro, Sylvie Mariana, Adelaide Almeida, Francisco P Machado, José Roquette
Thromboembolism is a major cause of death in cancer patients. The association between paraneoplastic hypercoagulability of oncological patients and long-term central venous catheters (CVC) may result in CVC associated thrombosis. Patent Foramen Ovale (PFO), especially when associated with atrial septal aneurysm (ASA) is a risk factor for paradoxical embolism. We report a case of paradoxical embolism with stroke in an oncological patient with a huge CVC thrombus playing "ping-pong" with an hypermobile ASA with a PFO...
March 16, 2010: Cardiovascular Ultrasound
Humera Ahmed, Petr Neuzil, Jan Skoda, Andre D'Avila, David M Donaldson, Margaret C Laragy, Vivek Y Reddy
BACKGROUND: Because of its technical feasibility and presumed safety benefits, balloon cryoablation is being increasingly employed for pulmonary vein (PV) isolation. While acute isolation has been demonstrated in most patients, little data are available on the chronic durability of cryoballoon lesions. METHODS AND RESULTS: Twelve atrial fibrillation patients underwent PV isolation using either a 23-mm or 28-mm cryoballoon. For each vein, after electrical isolation was verified with the use of a circular mapping cathether, 2 bonus balloon ablation lesions were placed...
July 2010: Journal of Cardiovascular Electrophysiology
Amaylia Oehadian, Mohammad Iqbal, Rachmat Sumantri
Thrombotic complications in acute leukemia are often underestimated because bleeding complications generally dominate the clinical picture. While there are many thrombogenic factors shared by both solid tumors and leukemia, many additional prothrombotic features are present in leukemia. The prothrombotic factors include hyperleukocytosis, increased expression of tissue factor and its activation in leukemic cells, and the prothrombotic adverse effects of therapeutic agents and vascular access cathethers. A 18-year old woman came with swelling on her right leg 10 days before hospital admission...
October 2009: Acta Medica Indonesiana
Y S Weems, T M Nett, L A Rispoli, T L Davis, D L Johnson, T Uchima, A Raney, E Lennon, J Pang, T Harbert, G Bowers, K Goto, A Ong, N Tsutahara, R D Randel, C W Weems
Loss of luteal progesterone secretion at the end of the ovine estrous cycle is via uterine PGF(2)alpha secretion. However, uterine PGF(2)alpha secretion is not decreased during early pregnancy in ewes. Instead, the embryo imparts a resistance to PGF(2)alpha. Prostaglandins E (PGE; PGE(1)+PGE(2)) are increased in endometrium and uterine venous blood during early pregnancy in ewes to prevent luteolysis. Chronic intrauterine infusion of PGE(1) or PGE(2) prevents spontaneous or IUD, estradiol-17beta, or PGF(2)alpha-induced premature luteolysis in nonbred ewes...
February 2010: Prostaglandins & Other Lipid Mediators
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