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https://www.readbyqxmd.com/read/28625296/no-193-laparoscopic-entry-a-review-of-techniques-technologies-and-complications
#1
George A Vilos, Artin Ternamian, Jeffrey Dempster, Philippe Y Laberge
OBJECTIVE: To provide clinical direction, based on the best evidence available, on laparoscopic entry techniques and technologies and their associated complications. OPTIONS: The laparoscopic entry techniques and technologies reviewed in formulating this guideline include the classic pneumoperitoneum (Veress/trocar), the open (Hasson), the direct trocar insertion, the use of disposable shielded trocars, radially expanding trocars, and visual entry systems. OUTCOMES: Implementation of this guideline should optimize the decision-making process in choosing a particular technique to enter the abdomen during laparoscopy...
July 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28624360/association-between-arterial-access-site-and-anticoagulation-strategy-on-major-bleeding-and-mortality-a-historical-cohort-analysis-in-the-veteran-population
#2
Jayant Bagai, Bert Little, Subhash Banerjee
BACKGROUND: Studies have shown reduction in major bleeding with trans-radial intervention (TRI) compared with trans-femoral intervention (TFI), and with use of bivalirudin compared with heparin+glycoprotein IIb/IIIa inhibitors (GPI). We compared major bleeding, mortality and the interaction between arterial access site and the anticoagulant used for PCI in Veterans. METHODS: A retrospective cohort of 1192 consecutive patients who underwent PCI at a VA hospital between 2006 and 2012 was divided into TFI-heparin (n=192), TFI-bivalirudin (n=272), TRI-heparin (n=274) and TRI-bivalirudin (n=454) groups...
June 8, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/28623670/feasibility-and-safety-of-right-and-left-heart-catheterization-via-an-antecubital-fossa-vein-and-the-radial-artery-in-patients-with-heart-failure
#3
Domenico D'Amario, Francesco Burzotta, Antonio M Leone, Italo Porto, Giampaolo Niccoli, Cristina Aurigemma, Aureliano Ruggio, Josip A Borovac, Massimo Massetti, Carlo Trani, Filippo Crea
OBJECTIVES: Heart failure is the leading cause of hospitalization among patients older than 65 years of age. A significant proportion of patients require heart catheterization for diagnostic, therapeutic, and prognostic purposes. To determine the feasibility and safety of full arm-arm catheterization access, we aimed to compare this approach with other established catheterization approaches. METHODS AND RESULTS: In this retrospective cohort study, a total of 493 consecutive patients with heart failure requiring right and left heart catheterization were studied and analyzed...
June 15, 2017: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/28622941/pre-hospital-ticagrelor-in-st-segment-elevation-myocardial-infarction-in-the-french-atlantic-population
#4
Guillaume Cayla, Frédéric Lapostolle, Patrick Ecollan, Olivier Stibbe, Jean Francois Benezet, Patrick Henry, Christopher J Hammett, Jens Flensted Lassen, Robert F Storey, Jur M Ten Berg, Christian W Hamm, Arnoud W Van't Hof, Gilles Montalescot
BACKGROUND: ATLANTIC was a randomized study comparing pre- and in-hospital treatment with a ticagrelor loading dose (LD) in ongoing ST-segment elevation myocardial infarction (STEMI). We sought to compare patient characteristics and clinical outcomes in France with other countries participating in ATLANTIC. METHODS: The population comprised 1862 patients, 660 (35.4%) from France and 1202 from 12 other countries. The main endpoints were reperfusion (≥70% ST-segment elevation resolution) and TIMI flow grade 3 before (co-primary endpoints) and after percutaneous coronary intervention (PCI)...
June 9, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28616563/low-rate-of-access-site-complications-after-transradial-coronary-catheterization-a-prospective-ultrasound-study
#5
Violeta Mattea, Carsten Salomon, Niels Menck, Philipp Lauten, Frank Michael Malur, Anja Schade, Frank Steinborn, Lisa Costello-Boerrigter, Axel Neumeister, Harald Lapp
BACKGROUND: Transradial artery (TRA) left heart catheterization is an increasingly used technique for both diagnostic and interventional coronary procedures. This study evaluates the incidence of access site complications in the current interventional era. METHODS AND RESULTS: A total of 507 procedures were performed under standardized conditions. Each procedure was performed using high levels of anticoagulation, hydrophilic sheaths, and short post-procedural compression times...
March 2017: IJC Heart & Vasculature
https://www.readbyqxmd.com/read/28612420/bivalirudin-or-heparin-for-radial-access
#6
EDITORIAL
John A Bittl
Bivalirudin is a reasonable choice during transradial PCI for acute MI when bleeding risk is high and clopidogrel or cangrelor is used Heparin is reasonable during transradial PCI when bleeding risk is low and high-intensity antiplatelet therapy is used Future studies are required to define the utility of post-PCI bivalirudin infusions.
June 1, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28606891/reduced-periprocedural-mortality-and-bleeding-rates-of-radial-approach-in-st-segment-elevation-myocardial-infarction-propensity-score-analysis-of-data-from-the-orpki-polish-national-registry
#7
Zbigniew Siudak, Tomasz Tokarek, Artur Dziewierz, Tomasz Wysocki, Agata Wiktorowicz, Jacek Legutko, Krzysztof Żmudka, Dariusz Dudek
AIMS: We sought to evaluate bleeding complications and periprocedural outcomes of radial approach (RA) as compared to femoral approach (FA) during percutaneous coronary intervention (PCI) in "real-world" patients with ST-segment elevation myocardial infarction (STEMI). METHODS AND RESULTS: The study group consisted of 22,812 consecutive patients with STEMI treated with PCI and stent implantation between January 2014 and June 2015 in 151 tertiary invasive cardiology centers in Poland (the ORPKI Polish National Registry)...
June 13, 2017: EuroIntervention
https://www.readbyqxmd.com/read/28600020/trans-ulnar-recanalization-of-a-chronic-radial-artery-occlusion
#8
Orazio Valsecchi, Matteo Nardin, Angelina Vassileva, Chiara Bernelli
Trans-ulnar access is a viable alternative approach by experienced operators when the radial and femoral arteries cannot be accessed or used to preserve the contralateral radial artery as possible vascular graft for coronary bypass surgery, hemodynamic monitoring, or shunt creation for hemodialysis. We report a challenging case of ipsilateral trans-ulnar recanalization of a chronic radial artery occlusion, which allowed us to perform a complex trans-ulnar PCI.
April 23, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/28577752/usefulness-of-a-gentle-and-short-hemostasis-using-the-transradial-band-device-after-transradial-access-for-percutaneous-coronary-angiography-and-interventions-to-reduce-the-radial-artery-occlusion-rate-from-the-prospective-and-randomized-crasoc-i-ii-and-iii
#9
Vincent Dangoisse, Antoine Guédès, Patrick Chenu, Claude Hanet, Clara Albert, Valérie Robin, Laurence Tavier, Christine Dury, Olivier Piraux, Juliette Domange, Karine Jourdan, Benoit Bihin, Erwin Schroeder
The study sought to evaluate the benefit of the reduction in intensity and duration of the hemostasis obtained with the transradial (TR) Band compression device on the radial artery occlusion (RAO) rate. RAO is the most frequent complication of TR access for cardiac catheterization and limits future use of this safe route. Its occurrence must be minimized. Between 2009 and 2016, 3,616 TR accesses were randomized to TR Band hemostasis during 3 consecutive protocols: CRASOC I (Compression of Radial ArterieS without Occlusion): 13 versus 10 cc of air into the TR Band and for 4 hours of continuous compression; CRASOC II: 10 cc of air for 3 hours versus 2 hours of compression; and CRASOC III: 10 cc of air for 2 hours versus 1...
May 10, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/28572003/radial-access-in-cardiac-catheterization-can-we-do-even-better
#10
Marco Costa
No abstract text is available yet for this article.
May 29, 2017: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/28571881/radial-artery-access-for-peripheral-endovascular-procedures
#11
Avnee J Kumar, Lauren E Jones, Kenneth R Kollmeyer, Robert W Feldtman, Craig A Ferrara, Michelle N Moe, Julia F Chen, Jasmine L Richmond, Sam S Ahn
OBJECTIVE: The radial artery is often used for coronary angiography, with a demonstrated decrease in local complications and an increase in postoperative mobility of the patient. Data on radial artery access for peripheral endovascular procedures, however, are limited. We describe our experience with radial artery access for diagnostic and endovascular interventions. METHODS: Between February 2012 and March 2015, there were 95 endovascular procedures performed using radial artery access in 80 unique patients...
May 29, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28571105/visualising-emergency-department-capacity-in-an-emergency-department-capacity-clock-a-novel-tool-to-assess-and-communicate-overcrowding-and-access-block
#12
Ohad Dar, Jacques Loubser
Hospital-wide engagement is required to alleviate the problem of ED crowding and its associated adverse effects. To this end, the article describes a novel visualisation termed 'the ED Capacity Clock', which can be formatted using business intelligence software. This radial diagram represents ED capacity and its consumption in a format that can be understood intuitively and at a glance. The ED Capacity Clock is designed to promote common understanding and discussion between relevant hospital services and also acts as an auditing tool to monitor processes implemented to alleviate ED crowding...
June 1, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28567356/radial-artery-occlusion-after-transradial-coronary-catheterization
#13
REVIEW
Grigorios Avdikos, Aris Karatasakis, Andreas Tsoumeleas, Efstathios Lazaris, Antonios Ziakas, Michael Koutouzis
The transradial approach (TRA) for coronary angiography and interventions is increasingly utilized around the world. Radial artery occlusion (RAO) is the most common significant complication after transradial catheterization, with incidence varying between 1% and 10%. Although RAO is rarely accompanied by hand ischemia, it is an important complication because it prohibits future transradial access and radial artery utilization as a conduit for coronary artery bypass grafting or arteriovenous fistula formation...
June 2017: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/28567083/the-current-status-of-percutaneous-coronary-intervention-in-korea-based-on-year-2014-cohort-of-korean-percutaneous-coronary-intervention-k-pci-registry
#14
Jae-Sik Jang, Kyoo-Rok Han, Keon-Woong Moon, Dong Woon Jeon, Dong-Ho Shin, Jung-Sun Kim, Duk-Woo Park, Hyun-Jae Kang, Juhan Kim, Jang-Whan Bae, Seung-Ho Hur, Byung Ok Kim, Donghoon Choi, Hyeon-Cheol Gwon, Hyo-Soo Kim
BACKGROUND AND OBJECTIVES: Although several multicenter registries have evaluated percutaneous coronary intervention (PCI) procedures in Korea, those databases have been limited by non-standardized data collection and lack of uniform reporting methods. We aimed to collect and report data from a standardized database to analyze PCI procedures throughout the country. MATERIALS AND METHODS: Both clinical and procedural data, as well as clinical outcomes data during hospital stay, were collected based on case report forms that used a standard set of 54 data elements...
May 2017: Korean Circulation Journal
https://www.readbyqxmd.com/read/28565966/a-vascular-complications-risk-vascor-score-for-patients-undergoing-invasive-cardiac-procedures-in-the-catheterization-laboratory-setting-a-prospective-cohort-study
#15
A C Paganin, M G Beghetto, V N Hirakata, T S Hilário, R Matte, J M Sauer, E R Rabelo-Silva
BACKGROUND: Vascular complications are still common in the catheterization laboratory setting. However, no risk scores for their prediction have been described. With a view to bridging this gap, the present study sought to develop and validate a score for prediction of vascular complications associated with arterial access in patients undergoing interventional cardiology procedures. METHODS: This prospective multicenter cohort study included adult patients who underwent cardiac catheterization via the femoral or radial route...
June 2017: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28565803/endovascular-treatment-and-morphology-typing-of-chronic-ostial-occlusion-of-the-subclavian-artery
#16
Jing-Liang Zhang, Wei Tong, Jian-Feng Lv, Lu-Xiang Chi
Chronic obstructive lesions of the subclavian artery (SCA) often result in subclavian steal syndrome, which leads to arm claudication, transient cerebral ischemia, and other serious complications. The lesions are classified as stenosis and occlusion, according to the degree of obstruction. Unlike totally occlusive lesions, including ostial occlusions, stenotic lesions have an excellent technical success rate. In the present study, ostial occlusions were classified into 4 types according to their angiographic appearance...
May 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28557800/lateral-variations-of-radiobiological-properties-of-therapeutic-fields-of-sup-1-sup-h-sup-4-sup-he-sup-12-sup-c-and-sup-16-sup-o-ions-studied-with-geant4-and-microdosimetric-kinetic-model
#17
Sophie Dewey, Lucas Burigo, Igor A Pshenichnov, Igor Mishustin, Marcus Bleicher
As known, in cancer therapy with ion beams the relative biological effectiveness (RBE) of ions changes in the course of their propagation in tissues. Such changes are caused not only by increasing the linear energy transfer (LET) of beam particles with the penetration depth towards the Bragg peak, but also by nuclear reactions induced by beam nuclei leading to the production of various secondary particles. Although the changes of RBE along the beam axis have been studied quite well, much less attention has been paid to the evolution of RBE in the transverse direction, perpendicular to the beam axis...
May 30, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/28552240/manual-heating-of-the-radial-artery-balbay-maneuver-to-facilitate-radial-puncture-prior-to-transradial-coronary-catheterization
#18
Sefa Ünal, Burak Açar, Çağrı Yayla, Mustafa Mücahit Balci, Ahmet Göktuğ Ertem, Meryem Kara, Orhan Maden, Ahmet Temizhan, Muharrem Tola, Yücel Balbay
OBJECTIVE: Transradial access is widely used for both diagnostic and interventional cardiac procedures. The use of transradial access offers several advantages, including decreased bleeding, fewer vascular complications, and reduced length of hospital stay and cost. However, the small size of the radial artery limits the size of the equipment that can be used via this approach. In this study we sought to investigate whether preprocedural manual heating of the radial artery facilitates radial artery puncture...
May 25, 2017: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/28549885/the-radial-approach-to-the-wrist-with-styloidectomy-a-cadaver-study
#19
F-A Lecoq, A Sébilo, P Bellemère
The radial approach to the wrist is already used in several surgical techniques such as radial styloidectomy and Zaidemberg's vascularized radial graft. The aim of our work was to describe the surgical anatomy of that approach and to determine the acceptable limits of radial oblique styloidectomy that does not damage the anterior and posterior radiocarpal ligaments. This radial approach was performed on 11 cadaver specimens. The superficial branches of the radial nerve and the antebrachial cephalic vein were carefully located in the superficial plane...
May 23, 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28549023/technical-feasibility-of-a-combined-noncontrast-magnetic-resonance-protocol-for-preoperative-transcatheter-aortic-valve-replacement-evaluation
#20
Paola M Cannaò, Giuseppe Muscogiuri, U Joseph Schoepf, Carlo N De Cecco, Pal Suranyi, Virginia W Lesslie, Davide Piccini, Shivraman Giri, Akos Varga-Szemes
PURPOSE: The aim of this study was to prospectively evaluate the technical feasibility of a noncontrast magnetic resonance angiography (MRA) protocol using investigational prototype self-navigated 3D (SN3D) radial whole-heart and quiescent-interval single-shot (QISS) pulse sequences regarding their potential in planning transcatheter aortic valve replacement (TAVR). MATERIALS AND METHODS: Five patients (76±7 y) with severe aortic valve stenosis and prior computed tomographic angiography (CTA) for TAVR planning and 10 healthy volunteers (28±6 y) underwent noncontrast MRA on a 1...
May 25, 2017: Journal of Thoracic Imaging
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