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https://www.readbyqxmd.com/read/27910092/management-of-atrial-fibrillation-in-elderly-adults
#1
Yaanik Desai, Mikhael F El-Chami, Angel R Leon, Faisal M Merchant
Driven in large part by the aging of the population and the increasing prevalence of cardiovascular comorbidities associated with atrial fibrillation (AF), there is a burgeoning epidemic of AF in elderly adults. Although there is a large body of literature to guide management of people with AF, elderly adults with AF are frequently underrepresented in clinical trials. This review provides a contemporary update on management of elderly adults with AF with a particular focus on the two main clinical challenges that AF poses: stroke risk reduction and control of symptoms...
December 2, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27850025/385-development-of-an-innovative-non-animal-training-model-for-pigtail-catheter-placement-in-infants
#2
Adrian Zurca, Angel Diaz-Sanchez, Lisa Mackley, David Rodgers
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27759948/selective-angiography-using-the-radiofrequency-catheter-an-alternative-technique-for-mapping-and-ablation-in-the-aortic-cusps
#3
Ivo Roca, Nuria Rivas, Jaume Francisco, Jordi Perez, Gabriel Acosta, Gerard Oristrell, Maria Terricabres, David Garcia-Dorado, Angel Moya
BACKGROUND: Ablation in aortic cusps could be necessary in up to 15% of the patients, especially in para-Hisian atrial tachycardia and ventricular arrhythmias arising from outflow tracts. Risk of coronary damage has led to recommendation of systematic coronary angiography (CA) during the procedure. Other image tests as intravascular (ICE) or transesophageal echocardiography (TEE) have been proposed. Both methods have limitations: additional vascular access for ICE and needing for additional CA in some patients in case of TEE...
October 19, 2016: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/27591466/intraoperative-goal-directed-hemodynamic-therapy-in-noncardiac-surgery-a-systematic-review-and-meta-analysis
#4
Javier Ripollés, Angel Espinosa, Eugenio Martínez-Hurtado, Alfredo Abad-Gurumeta, Rubén Casans-Francés, Cristina Fernández-Pérez, Francisco López-Timoneda, José María Calvo-Vecino
BACKGROUND: The goal directed hemodynamic therapy is an approach focused on the use of cardiac output and related parameters as end-points for fluids and drugs to optimize tissue perfusion and oxygen delivery. Primary aim: To determine the effects of intraoperative goal directed hemodynamic therapy on postoperative complications rates. METHODS: A meta-analysis was carried out of the effects of goal directed hemodynamic therapy in adult noncardiac surgery on postoperative complications and mortality using Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology...
September 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27455059/influence-of-the-hole-geometry-on-the-flow-distribution-in-ventricular-catheters-for-hydrocephalus
#5
Ángel Giménez, Marcelo Galarza, Olga Pellicer, José Valero, José M Amigó
BACKGROUND: Hydrocephalus is a medical condition consisting of an abnormal accumulation of cerebrospinal fluid within the brain. A catheter is inserted in one of the brain ventricles and then connected to an external valve to drain the excess of cerebrospinal fluid. The main drawback of this technique is that, over time, the ventricular catheter ends up getting blocked by the cells and macromolecules present in the cerebrospinal fluid. A crucial factor influencing this obstruction is a non-uniform flow pattern through the catheter, since it facilitates adhesion of suspended particles to the walls...
2016: Biomedical Engineering Online
https://www.readbyqxmd.com/read/27445258/-intraoperative-goal-directed-hemodynamic-therapy-in-noncardiac-surgery-a-systematic-review-and-meta-analysis
#6
Javier Ripollés, Angel Espinosa, Eugenio Martínez-Hurtado, Alfredo Abad-Gurumeta, Rubén Casans-Francés, Cristina Fernández-Pérez, Francisco López-Timoneda, José María Calvo-Vecino
BACKGROUND: The goal directed hemodynamic therapy is an approach focused on the use of cardiac output and related parameters as end-points for fluids and drugs to optimize tissue perfusion and oxygen delivery. Primary aim: To determine the effects of intraoperative goal directed hemodynamic therapy on postoperative complications rates. METHODS: A meta-analysis was carried out of the effects of goal directed hemodynamic therapy in adult noncardiac surgery on postoperative complications and mortality using Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology...
September 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/27394032/related-factors-to-semi-recumbent-position-compliance-and-pressure-ulcers-in-patients-with-invasive-mechanical-ventilation-an-observational-study-capcri-study
#7
Mireia Llaurado-Serra, Marta Ulldemolins, Joan Fernandez-Ballart, Rosa Guell-Baro, Teresa Valentí-Trulls, Neus Calpe-Damians, Angels Piñol-Tena, Mercedes Pi-Guerrero, Cristina Paños-Espinosa, Alberto Sandiumenge, María F Jimenez-Herrera
BACKGROUND: Semi-recumbent position is recommended to prevent ventilator-associated pneumonia. Its implementation, however, is below optimal. OBJECTIVES: We aimed to assess real semi-recumbent position compliance and the degree of head-of-bed elevation in Spanish intensive care units, along with factors determining compliance and head-of-bed elevation and their relationship with the development of pressure ulcers. Finally, we investigated the impact that might have the diagnosis of pressure ulcers in the attitude toward head-of-bed elevation...
September 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27262896/pancreas-adenocarcinoma-ascites-clinical-manifestations-and-management-implications
#8
Angel Mier Hicks, Joanne Chou, Marinela Capanu, Maeve A Lowery, Kenneth H Yu, Eileen M O'Reilly
BACKGROUND: Ascites develops in a subset of patients with pancreatic adenocarcinoma (PAC) at presentation or as the disease advances. Limited data exist on the prognostic importance of malignant ascites in PAC. Our hypothesis is that this information will provide an understanding of the natural history and facilitate management decisions. METHODS: We conducted a retrospective analysis of 180 patients treated at Memorial Sloan Kettering Cancer Center diagnosed between January 1, 2009 and December 31, 2014, with PAC and with ascites either at presentation or that developed during the disease course...
December 2016: Clinical Colorectal Cancer
https://www.readbyqxmd.com/read/27256248/bacteremia-due-to-cellulosimicrobium-cellulans-associated-with-central-catheter-for-hemodialysis
#9
Eleda Coletta-Griborio, Guadalupe Rodriguez Portela, Jesús M Núñez García, Miguel Ángel Bratos-Pérez
No abstract text is available yet for this article.
May 30, 2016: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/27192097/high-mics-for-vancomycin-and-daptomycin-and-complicated-catheter-related-bloodstream-infections-with-methicillin-sensitive-staphylococcus-aureus
#10
Rafael San-Juan, Esther Viedma, Fernando Chaves, Antonio Lalueza, Jesús Fortún, Elena Loza, Miquel Pujol, Carmen Ardanuy, Isabel Morales, Marina de Cueto, Elena Resino-Foz, Alejandra Morales-Cartagena, Alicia Rico, María P Romero, María Ángeles Orellana, Francisco López-Medrano, Mario Fernández-Ruiz, José María Aguado
We investigated the prognostic role of high MICs for antistaphylococcal agents in patients with methicillin-sensitive Staphylococcus aureus catheter-related bloodstream infection (MSSA CRBSI). We prospectively reviewed 83 episodes from 5 centers in Spain during April 2011-June 2014 that had optimized clinical management and analyzed the relationship between E-test MICs for vancomycin, daptomycin, oxacillin, and linezolid and development of complicated bacteremia by using multivariate analysis. Complicated MSSA CRBSI occurred in 26 (31...
June 2016: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/27174549/uniportal-video-assisted-thoracoscopic-lobectomy-versus-other-video-assisted-thoracoscopic-lobectomy-techniques-a-randomized-study
#11
Valerio Perna, Angel Francisco Carvajal, Juan Antonio Torrecilla, Orlando Gigirey
OBJECTIVES: A prospective, randomized study was carried out on patients undergoing lung cancer surgery, with the aim of determining if uniportal video-assisted lobectomy has more favourable postoperative outcomes than other video-assisted thoracoscopic lobectomy techniques (Duke approach and Copenhagen approach). METHODS: Patients were randomly assigned to two groups; uniportal video-assisted lobectomy (Group A; n = 51) and other video-assisted thoracoscopic lobectomy techniques (Group B; n = 55)...
September 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/27161687/oc-14-baseline-d-dimer-levels-are-predictive-of-recurrent-venous-thromboembolism-vte-at-6-months-in-cancer-patients-with-vte-treated-with-tinzaparin
#12
C I Piatek, S T Tagawa, D Wei-Tsai, D Hanna, I C Weitz, C O'Connell, L Rochanda, S Groshen, H A Liebman
INTRODUCTION: VTE is a major complication in cancer patients. Despite treatment with low molecular weight heparin (LMWH), 9% will have recurrent VTE within 6 months. Measurement of plasma biomarkers in cancer patients receiving LMWH may be predictive of recurrent VTE or overall survival (OS). AIM: We conducted a single arm phase 2 study to evaluate the efficacy and safety of once daily tinzaparin for the initial treatment and extended prophylaxis of VTE in cancer patients...
April 2016: Thrombosis Research
https://www.readbyqxmd.com/read/27133738/nonoperative-management-of-a-large-extrapleural-hematoma-after-blunt-chest-trauma
#13
Luis Gorospe, María Ángeles Fernández-Méndez, Ana Ayala-Carbonero, Alberto Cabañero-Sánchez, Gemma María Muñoz-Molina
BACKGROUND: An extrapleural hematoma (EH) is an uncommon and potentially life-threatening condition defined as the accumulation of blood in the extrapleural space between the parietal pleura and the endothoracic fascia. EH usually occurs after blunt thoracic trauma causing fractures of the sternum and ribs, which can tear the intercostal or internal mammary vessels. Typical radiological findings of EH are a biconvex opacity on the involved hemithorax and the so-called displaced "extrapleural fat sign...
August 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26943135/benign-biliary-strictures-refractory-to-standard-bilioplasty-treated-using-polydoxanone-biodegradable-biliary-stents-retrospective-multicentric-data-analysis-on-107-patients
#14
Giovanni Mauri, Caterina Michelozzi, Fabio Melchiorre, Dario Poretti, Vittorio Pedicini, Monica Salvetti, Eva Criado, Joan Falcò Fages, Miguel Ángel De Gregorio, Alicia Laborda, Luca Maria Sonfienza, Gianpaolo Cornalba, Lorenzo Monfardini, Jiri Panek, Tomas Andrasina, Mariano Gimenez
OBJECTIVES: To assess mid-term outcome of biodegradable biliary stents (BBSs) to treat benign biliary strictures refractory to standard bilioplasty. METHODS: Institutional review board approval was obtained and patient consent was waived. 107 patients (61 males, 46 females, mean age 59 ± 16 years), were treated. Technical success and complications were recorded. Ninety-seven patients (55 males, 42 females, aged 57 ± 17 years) were considered for follow-up analysis (mean follow-up 23 ± 12 months)...
March 4, 2016: European Radiology
https://www.readbyqxmd.com/read/26856381/real-time-mri-guided-cardiac-cryo-ablation-a-feasibility-study
#15
Eugene G Kholmovski, Nicolas Coulombe, Joshua Silvernagel, Nathan Angel, Dennis Parker, Rob Macleod, Nassir Marrouche, Ravi Ranjan
INTRODUCTION: MRI-based ablation provides an attractive capability of seeing ablation-related tissue changes in real time. Here we describe a real-time MRI-based cardiac cryo-ablation system. METHODS: Studies were performed in canine model (n = 4) using MR-compatible cryo-ablation devices built for animal use: focal cryo-catheter with 8 mm tip and 28 mm diameter cryo-balloon. The main steps of MRI-guided cardiac cryo-ablation procedure (real-time navigation, confirmation of tip-tissue contact, confirmation of vessel occlusion, real-time monitoring of a freeze zone formation, and intra-procedural assessment of lesions) were validated in a 3 Tesla clinical MRI scanner...
May 2016: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/26810707/pulmonary-vein-anatomy-assessed-by-cardiac-magnetic-resonance-imaging-in-patients-undergoing-initial-atrial-fibrillation-ablation-implications-for-novel-ablation-technologies
#16
Faisal M Merchant, Mathew R Levy, Shahriar Iravanian, Edward C Clermont, Heval M Kelli, Robert L Eisner, Mikhael F El-Chami, Angel R Leon, David B Delurgio
BACKGROUND: Novel atrial fibrillation (AF) ablation tools have been designed to facilitate "single-shot" pulmonary vein (PV) isolation using multi-electrode or balloon-based catheters. However, in contrast to point-by-point radiofrequency ablation, these tools may be more dependent on suitable PV anatomy to achieve circumferential PV isolation. METHODS: Three hundred and twenty-two patients underwent gadolinium-enhanced cardiac magnetic resonance angiography to delineate PV anatomy prior to initial AF ablation...
August 2016: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://www.readbyqxmd.com/read/26665006/anatomical-basis-for-the-cardiac-interventional-electrophysiologist
#17
REVIEW
Damián Sánchez-Quintana, Manuel Doblado-Calatrava, José Angel Cabrera, Yolanda Macías, Farhood Saremi
The establishment of radiofrequency catheter ablation techniques as the mainstay in the treatment of tachycardia has renewed new interest in cardiac anatomy. The interventional arrhythmologist has drawn attention not only to the gross anatomic details of the heart but also to architectural and histological characteristics of various cardiac regions that are relevant to the development or recurrence of tachyarrhythmias and procedural related complications of catheter ablation. In this review, therefore, we discuss some anatomic landmarks commonly used in catheter ablations including the terminal crest, sinus node region, Koch's triangle, cavotricuspid isthmus, Eustachian ridge and valve, pulmonary venous orifices, venoatrial junctions, and ventricular outflow tracts...
2015: BioMed Research International
https://www.readbyqxmd.com/read/26664404/dysuria-urinary-retention-and-inguinal-pain-as-manifestation-of-sacral-bannwarth-syndrome
#18
Josef Finsterer, Johannes Dauth, Kurt Angel, Mateusz Markowicz
Only few cases with sacral radiculitis due to infection with Borrelia burgdorferi leading to neurogenic urinary dysfunction have been reported. A 57-year-old male developed urethral pain and urinary retention, requiring permanent catheterization. Extensive urological investigations did not reveal a specific cause, which was why neurogenic bladder dysfunction was suspected. Neurologic exam revealed only mildly reduced tendon reflexes. Cerebral and spinal MRI were noninformative. CSF investigations, however, revealed pleocytosis, elevated protein, and antibodies against Borrelia burgdorferi...
2015: Case Reports in Medicine
https://www.readbyqxmd.com/read/26622228/comparison-of-permanent-125-i-seeds-implants-with-two-different-techniques-in-500-cases-of-prostate-cancer
#19
Jose Luis Guinot, Jose Vicente Ricós, Maria Isabel Tortajada, Miguel Angel Santos, Juan Casanova, Jose Clemente, Josefa Samper, Paula Santamaría, Leoncio Arribas
PURPOSE: To perform a comparative study of 500 consecutive (125)I seeds implants for intracapsular prostate carcinoma with two techniques differing in terms of both strand implantation and planning. MATERIAL AND METHODS: From 2002 to 2007 we performed 250 implants with fixed stranded seeds (RapidStrand™) and a preplanning system and from 2007 to 2010, 250 with real-time and ProLink™ system. Mean age was 68 and 66, respectively, median PSA (prostate-specific antigen) 7...
August 2015: Journal of Contemporary Brachytherapy
https://www.readbyqxmd.com/read/26585366/community-acquired-bacteremic-streptomyces-atratus-pneumonia-in-animmunocompetent-adult-a-case-report
#20
Miguel Angel Ariza-Prota, Ana Pando-Sandoval, David Fole-Vázquez, Marta García-Clemente, Teresa Budiño, Pere Casan
INTRODUCTION: Streptomyces spp. are aerobic, Gram-positive bacteria of the order Actinomycetales, known for their ability to produce antimicrobial molecules such as streptomycin. Pneumonia due to Streptomyces is considered to be rare and limited to immunocompromised patients. Streptomyces spp. are only rarely associated with invasive systemic infections. To our knowledge, we report the first documented case of community-acquired Streptomyces atratus bacteremic pneumonia in an immunocompetent patient...
2015: Journal of Medical Case Reports
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