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https://www.readbyqxmd.com/read/29675773/ct-guided-translumbar-placement-of-permanent-catheters-in-the-inferior-vena-cava-description-of-the-technique-with-technical-success-and-complications-data
#1
Gerd Grözinger, Ulrich Grosse, Roland Syha, Rüdiger Hoffmann, Sasan Partovi, Konstantin Nikolaou, Stéphane Stahl, Alfred Königsrainer, Karolin Thiel, Christian Thiel
PURPOSE: To evaluate indications, technical success rate and complications of CT-guided translumbar catheter placement in the inferior vena cava for long-term central venous access (Port and Hickman catheters) as a bail-out approach in patients with no alternative options for permanent central venous access. MATERIALS AND METHODS: This retrospective study included 12 patients with a total of 17 interventions. All patients suffered from bilaterally chronically occluded venous vessels of their upper extremities, without patent internal jugular and/or subclavian veins...
April 19, 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/29673816/technical-nuances-of-exposing-rat-common-carotid-arteries-for-practicing-microsurgical-anastomosis
#2
Ali Tayebi Meybodi, Joseph Aklinski, Sirin Gandhi, Mark C Preul, Michael T Lawton
BACKGROUND: Animal models are commonly used in training protocols for microsurgical vascular anastomosis. Rat common carotid arteries (CCA) are frequently used for this purpose. Much attention has been paid to the technical details of various anastomosis configurations using these arteries. However, technical nuances of exposing rat CCA have been understudied. The purpose of this study is to describe nuances of technique for safely and efficiently exposing rat CCA in preparation for a vascular anastomosis METHODS: Bilateral CCAs were exposed and prepared for anastomosis in 10 anesthetized Sprague-Dawley rats through a midline cervical incision...
April 16, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29669237/current-practice-of-diagnosis-and-management-of-acute-kidney-injury-in-intensive-care-unit-in-resource-limited-settings
#3
Nattachai Srisawat, Nattaya Sintawichai, Win Kulvichit, Nuttha Lumlertgul, Patita Sitticharoenchai, Nicha Thamrongsat, Sadudee Peerapornratana
PURPOSE: In a resource limited settings, there is sparse information about the management of acute kidney injury (AKI) based on systemic data collection. This survey aimed to described the current management of AKI in intensive care units (ICUs) across Thailand. MATERIALS AND METHODS: Questionnaires were distributed to 160 physicians involved in the intensive care between January and December 2014 across Thailand. Distribution was done through an online survey platform or telephone interview...
April 11, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29662897/novel-compliant-scaffold-with-specific-design-for-venous-system-results-of-a-porcine-model-study
#4
Pierfrancesco Veroux, Alessia Giaquinta, Carla Virgilio, Davide Danilo Zani, Giuliano Ravasio, Vincenzo Ardita, Paola Secchiero, Eugenio Scanziani, Paolo Zamboni, Massimiliano Veroux
Background: Stenting has become the first-line treatment of obstructive venous disease because of poor results of balloon angioplasty. This preclinical study aimed to investigate the safety and efficacy profile of a novel compliant venous scaffold (CVS) denominated Petalo CVS, specifically designed for venous diseases. Materials and Methods: Twelve healthy pigs weighing 90 kg were used to test Petalo CVS. The devices were implanted into the internal jugular veins (IJVs) using a femoral vein percutaneous approach...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29657730/lemierre-s-syndrome-presented-with-acute-pancreatitis
#5
Laura Garcia, Kaori Ito
Case: Lemierre's syndrome is a rare clinical condition that is characterized by infected internal jugular vein thrombosis with metastatic septicemia. The most common causative agent is Fusobacterium necrophorum . A previously healthy 37-year-old woman presented to our emergency department with nausea, vomiting, and diarrhea. She was admitted to the general practice unit with a diagnosis of acute pancreatitis then was subsequently transferred to the intensive care unit due to shock. Physical examination revealed tenderness on right side of the neck...
April 2018: Acute Medicine & Surgery
https://www.readbyqxmd.com/read/29651905/the-intracavitary-electrocardiography-method-for-tip-location-of-jugular-internal-vein-access-device-in-infants-of-less-than-5-kg-a-pilot-study
#6
Rossella Mastroianni, Antonella Capasso, Gaetano Ausanio
PURPOSE: This is a prospective observational study conducted by neonatologists in neonatal intensive care unit from Sant'Anna and San Sebastiano Hospital, Caserta, Italy. The objective of the study is to verify the feasibility of intracavitary electrocardiography method for tip location of central venous access device in infants of less than 5 kg and evaluate the accuracy of the method in comparison with post-procedural echocardiographical verification of the tip position. PATIENTS AND METHODS: We enrolled 27 patients weighted between 0...
April 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29643643/ultrasound-guided-internal-jugular-vein-cannulation-can-an-artery-be-missed
#7
Gyaninder Pal Singh, Vikas Chauhan, Indu Kapoor, Abhyuday Kumar
No abstract text is available yet for this article.
January 2018: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/29643555/ultrasound-guided-internal-jugular-vein-cannulation-in-infants-comparative-evaluation-of-novel-modified-short-axis-out-of-plane-approach-with-conventional-short-axis-out-of-plane-approach
#8
Amit Rastogi, Aarti Agarwal, Puneet Goyal, Vansh Priya, Sanjay Dhiraaj, Rudrashish Haldar
Background and Aims: Central venous cannulation (CVC) through right internal jugular vein (IJV) route is routinely performed in paediatric patients undergoing major surgery and in those admitted to intensive care units. A novel technique (modified short-axis out-of-plane [MSA-OOP]) to improve first pass success rate of ultrasound-guided IJV CVC in neonates and infants is being compared with conventional SA-OOP method. Methods: A total of 120 patients were enroled in the study over a period of 6 months...
March 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/29626474/canstatin-modulates-l-type-calcium-channel-activity-in-rat-ventricular-cardiomyocytes
#9
Keisuke Imoto, Masaki Hirakawa, Muneyoshi Okada, Hideyuki Yamawaki
Excessive increase of cytosolic Ca2+ through the activation of L-type Ca2+ channels (LTCCs) via β adrenergic receptor induces apoptosis of cardiomyocytes. Canstatin, a cleaved fragment of collagen type IV α2 chain, is abundantly expressed in normal heart tissue. We previously reported that canstatin inhibits β adrenergic receptor-stimulated apoptosis in cardiomyoblasts. Here, we tested the hyposeis that canstatin regulates LTCCs activity in ventricular cardiomyocytes. Collagen type IV α2 chain (COL4A2) small interfering (si) RNA (for canstatin suppression) or control siRNA was injected via jugular vein in Wistar rats...
April 4, 2018: Biochemical and Biophysical Research Communications
https://www.readbyqxmd.com/read/29625555/subarachnoid-hemorrhage-after-transient-global-amnesia-caused-by-cerebral-venous-congestion-case-report
#10
Yuta Maetani, Masahiro Nakamori, Tomoaki Watanabe, Hayato Matsushima, Eiji Imamura, Shinichi Wakabayashi
BACKGROUND: Transient global amnesia is reported to be caused by cerebral venous congestion. Internal jugular venous flow reversal in particular with the Valsalva maneuver leads to cerebral venous congestion. In addition, Valsalva maneuver can also induce subarachnoid hemorrhage. Transient global amnesia and subarachnoid hemorrhage might have common a pathophysiology in cerebral venous congestion. CASE PRESENTATION: We report here the case of a 57-year-old woman who twice experienced convexal subarachnoid hemorrhage just after straining at stool following an episode of transient global amnesia...
April 6, 2018: BMC Neurology
https://www.readbyqxmd.com/read/29619861/safety-and-efficacy-of-the-oblique-axis-plane-in-ultrasound-guided-internal-jugular-vein-puncture-a-meta-analysis
#11
Shuai Miao, Xiuli Wang, Lan Zou, Ye Zhao, Guanglei Wang, Yuepeng Liu, Su Liu
Objective This meta-analysis was performed to evaluate the safety and efficacy of the oblique-axis plane in ultrasound-guided internal jugular vein puncture. Methods We searched Embase, PubMed, the Cochrane Library, Web of Science, and China National Knowledge Infrastructure for relevant randomized clinical trials comparing the oblique axis with the short axis in ultrasound-guided internal jugular vein puncture. Results Five randomized clinical trials were included in this meta-analysis. The pooled meta-analysis showed that the incidence of arterial puncture in the oblique-axis group was significantly lower than that in the short-axis group...
January 1, 2018: Journal of International Medical Research
https://www.readbyqxmd.com/read/29618485/ultrasound-guidance-for-internal-jugular-vein-cannulation-in-picu-a-randomised-controlled-trial
#12
Tiago Henrique de Souza, Marcelo Barciela Brandão, Thiago Martins Santos, Ricardo Mendes Pereira, Roberto José Negrão Nogueira
OBJECTIVE: We investigated whether ultrasound guidance was advantageous over the anatomical landmark technique when performed by inexperienced paediatricians. DESIGN: Randomised controlled trial. SETTING: A paediatric intensive care unit of a teaching hospital. PATIENTS: 80 children (aged 28 days to <14 years). INTERVENTIONS: Internal jugular vein cannulation with ultrasound guidance in real time or the anatomical landmark technique...
April 4, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29617792/evaluating-intimal-hyperplasia-under-clinical-conditions
#13
Ioanna Mylonaki, Elisabeth Allain, Francesco Strano, Eric Allémann, Jean-Marc Corpataux, Paolo Meda, Olivier Jordan, Florence Delie, Anne-Laure Rougemont, Jacques-Antoine Haefliger, François Saucy
OBJECTIVES: Open arterial revascularization using venous segments is frequently associated with the development of intimal hyperplasia (IH), leading to severe restenosis and graft failure. The lack of treatment to prevent this pathology is a major problem. Therefore, we generated a new porcine model, which closely mimics the clinical development of human IH, to test the therapeutic potential of candidate drugs. METHODS: A patch of jugular vein was sutured to the right common carotid artery of pigs, to expose the vein to haemodynamic conditions of the arterial bed...
March 30, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29614572/-four-cases-of-acute-respiratory-distress-syndrome-patients-transported-with-veno-venous-extracorporeal-membrane-oxygenation
#14
Z Zhao, X Y Hong, Y Y Liu, X J Zhang, L S Bao, H T Gao, X H Liu, Z C Feng
Objective: To retrospectively review 4 cases diagnosed with pediatric acute respiratory distress syndrome (ARDS) who were transported with veno-venous (V-V) extracorporeal membrane oxygenation (ECMO) from April 2016 to March 2017. Methods: Four patients were transported to Bayi Children's Hospital Afflicted to the PLA Army General Hospital, with V-V ECMO. Their vital signs, blood-gas analysis and chest X-ray before and after transportation were compared. The length of ECMO, pediatric intensive care unit (PICU) stay and hospitalization, and the prognosis were analyzed...
April 2, 2018: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/29611652/the-stress-response-of-ragusano-donkey-equus-asinus-to-different-semen-collection-techniques
#15
E Fazio, A Ferlazzo, S Cristarella, P Medica, G Marino, M Quartuccio
The aim of the present study was to characterize the stress response of donkeys to different semen collection techniques, comparing the physiological patterns of hormonal (adrenocorticotropic hormone: ACTH, cortisol) and biochemical variables (creatinine, total protein, urea, aspartate aminotransferase: AST, alanine aminotransferase: ALT), and routine seminal parameters and sexual behaviour. Twenty two healthy Ragusano donkeys were used and were randomly assigned to one of 2 groups based on different semen collection techniques...
December 2017: Polish Journal of Veterinary Sciences
https://www.readbyqxmd.com/read/29610163/recanalization-of-occluded-central-veins-in-a-parenteral-nutrition-dependent-child-with-no-access
#16
Patrick M Sullivan, Russell Merritt, Juan Carlos Pelayo, Frank F Ing
Central venous thromboses are common and pose challenges in the care of chronically ill pediatric patients. Among patients with intestinal failure (most commonly because of short bowel syndrome) who depend on parenteral nutrition, progressive loss of central venous access sites is a potentially fatal complication. We present the case of a 5-year-old girl with parenteral nutrition-dependent short bowel syndrome and no remaining standard central venous access sites despite medical anticoagulation, in whom angioplasty and stent implantations were used to reconstruct chronically occluded central veins...
April 2018: Pediatrics
https://www.readbyqxmd.com/read/29607867/effects-of-varying-entry-points-and-trendelenburg-positioning-degrees-in-internal-jugular-vein-area-measurements-of-newborns
#17
P Karaaslan, K Darcın, T Ormecı, M A Karakaya, A Ince, N A Aslan, A Tastekın
Background: Recent guidelines from the National Institute for Clinical Excellence recommend the use of ultrasonography in the central venous catheterization of children. In this study, we aimed to compare area measurements using ultrasonography and efficiency of varying Trendelenburg degrees on the area measurements, for two different entry points used as internal jugular vein (IJV) cannulation points in newborns. Methods: Fifty-eight healthy newborns, weighing between 3000 and 3500 g, were recruited for this prospective study...
April 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29607221/a-rare-central-venous-catheter-malposition-in-a-10-year-old-girl
#18
Ali Movafegh, Alireza Saliminia, Reza Atef-Yekta, Omid Azimaraghi
Central venous catheters (CVCs) are placed in operating rooms worldwide via different approaches. Like any other medical procedure, CVC placement can cause a variety of complications. We report the case of an unexpected malposition of a catheter in the right internal jugular vein, where it looped back on itself during placement and went upward into the right internal jugular vein. CVC line placement should always be viewed as a procedure that could become complicated, even in the hands of the most experienced operators...
2018: Case Reports in Anesthesiology
https://www.readbyqxmd.com/read/29607205/a-novel-strategy-for-cardiopulmonary-support-during-lung-transplantation
#19
Ramiro Fernandez, Malcolm M DeCamp, Ankit Bharat
Contemporary modalities for cardiopulmonary support during lung transplantation include traditional cardiopulmonary bypass (CPB) and venoarterial extracorporeal membrane oxygenation (VA-ECMO). While highly effective, both are associated with morbidities such as arteriopathy and bleeding diathesis. In this report, we describe a novel approach for cardiopulmonary support during double lung transplantation in a patient with end-stage lung disease, pulmonary hypertension and moderate right ventricle (RV) dysfunction, using a percutaneous dual lumen cannula placed via the jugular vein which allowed us to achieve both RV bypass and membrane oxygenation...
February 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29605267/effects-of-an-artificial-placenta-on-brain-development-and-injury-in-premature-lambs
#20
Joseph T Church, Nicole L Werner, Meghan A Coughlin, Julia Menzel-Smith, Mary Najjar, Benjamin D Carr, Hemant Parmar, Jeff Neil, Dimitrios Alexopoulos, Carlos Perez-Torres, Xia Ge, Scott C Beeman, Joel R Garbow, George B Mychaliska
PURPOSE: We evaluated whether brain development continues and brain injury is prevented during Artificial Placenta (AP) support utilizing extracorporeal life support (ECLS). METHODS: Lambs at EGA 118days (term=145; n=4) were placed on AP support (venovenous ECLS with jugular drainage and umbilical vein reinfusion) for 7days and sacrificed. Early (EGA 118; n=4) and late (EGA 127; n=4) mechanical ventilation (MV) lambs underwent conventional MV for up to 48h and were sacrificed, and early (n=5) and late (n=5) tissue control (TC) lambs were sacrificed at delivery...
March 8, 2018: Journal of Pediatric Surgery
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