keyword
MENU ▼
Read by QxMD icon Read
search

Transfemoral

keyword
https://www.readbyqxmd.com/read/29778734/association-between-maximal-activated-clotting-time-and-major-bleeding-complications-during-transradial-and-transfemoral-percutaneous-coronary-intervention
#1
David W Louis, Kevin Kennedy, Fabio V Lima, Samir Pancholy, J Dawn Abbott, Paul Gordon, Herbert D Aronow
OBJECTIVES: This study sought to determine whether higher maximal activated clotting time (ACT) during transradial (TR) percutaneous coronary intervention (PCI) is associated with greater bleeding risk. BACKGROUND: Higher maximal ACT during transfemoral (TF) PCI has been associated with a greater bleeding risk. It is unclear whether this relationship exists in the setting of TR PCI. METHODS: Among 14,637 patients undergoing TR or TF PCI with unfractionated heparin monotherapy, the study related maximal ACT to the risk of major bleeding...
May 11, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29778614/thoracic-stent-grafting-through-transapical-approach-for-type-iii-endoleak-due-to-prosthetic-disconnection
#2
Isaac Martínez López, Manuela M Hernández Mateo, Luis C Maroto Castellanos, Javier Cobiella Carnicer, Isidre Vilacosta, Francisco J Serrano Hernando
TEVAR is a well-stablished treatment of descending thoracic aneurysms and increasingly complex endovascular procedures are being performed including aortic arch and ascending aorta. However, follow-up complications may be expected, which will enhance the need of alternative approaches such as transapical, in case of complex anatomies and reinterventions. We report the case of a man with prior history of ischemic cardiopathy and multiple endovascular aortic interventions with proximal landing in zone 1 and distal landing proximal to celiac trunk...
May 17, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29773445/transcatheter-aortic-valve-insertion-in-patients-with-hostile-ascending-aorta-calcification
#3
Akio Nakasu, Kevin L Greason, Vuyisile T Nkomo, Mackram F Eleid, Alberto Pochettino, Katherine S King, Gurpreet S Sandhu, Eric E Williamson, David R Holmes
OBJECTIVE: Calcification of the ascending aorta complicates aortic valve replacement. Transcatheter aortic valve replacement is an alternative procedure in this situation, but it requires manipulation through the hostile area in the ascending aorta. We reviewed our transcatheter aortic valve insertion experience to better understand the surgical mortality risk of valve insertion in patients with extensive calcification of the ascending aorta. METHODS: We retrospectively reviewed the records of 665 consecutive patients who received transcatheter aortic valve insertion from November 2008 through December 2015...
April 7, 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29761748/transfemoral-amputation-adductor-myodesis-using-fibertape-and-knotless-anchors
#4
Andrew R Hsu
Transfemoral amputation is considered the last treatment option for severe infection, vascular disease, trauma, and malignant tumors of the lower extremity that have failed limb salvage. Unopposed pull of the hip abductors causes a flexion-abduction thigh deformity that results in abnormal biomechanics and increased oxygen consumption during ambulation. Myodesis of the adductor tendons is a critical component of transfemoral amputation that creates dynamic muscle balance, enhances prosthetic fitting and function, and improves clinical outcomes...
May 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29760324/endoconduit-for-transcatheter-aortic-valve-implantation
#5
Takashi Murakami, Yosuke Takahashi, Shinsuke Nishimura, Shinichi Iwata, Tokuhiro Yamada, Minoru Yoshiyama, Toshihiko Shibata
Access challenges are sometimes encountered in patients who require transcatheter aortic valve implantation (TAVI). Transapical (TA) access is a well-established alternative, but it is more invasive than the standard transfemoral (TF) access techniques. We adopted the iliac endoconduit technique to perform TF TAVI in a patient with small-caliber, heavily calcified iliac arteries. This technique could provide an adequate access route for TAVI that is minimally invasive, even for patients with prohibitory iliac anatomy...
May 15, 2018: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29760286/comparison-of-the-femoseal-vascular-closure-device-with-manual-compression-after-femoral-artery-puncture-post-hoc-analysis-of-a-large-scale-randomized-clinical-trial
#6
Nader Mankerious, Katharina Mayer, Senta M Gewalt, Sandra M Helde, Tareq Ibrahim, Lorenz Bott-Flügel, Karl-Ludwig Laugwitz, Heribert Schunkert, Adnan Kastrati, Stefanie Schüpke
OBJECTIVES: To assess the safety and efficacy of arteriotomy closure with the intravascular FemoSeal vascular closure device (VCD; St. Jude Medical) compared to manual compression in patients undergoing diagnostic cardiac catheterization via the common femoral artery. BACKGROUND: There is limited evidence on the performance of individual contemporary VCDs compared to manual compression. METHODS: This is a subanalysis of 3018 patients who underwent transfemoral diagnostic coronary angiography and were randomly assigned to arteriotomy closure with either the intravascular FemoSeal VCD or manual compression within the investigator-initiated, large-scale, randomized, multicenter, open-label ISAR-CLOSURE trial...
May 15, 2018: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29758214/transcatheter-aortic-valve-replacement-comparing-transfemoral-transcarotid-and-transcaval-access
#7
Gaetano Paone, Marvin Eng, Loay S Kabbani, Jamil Borgi, Ed Peterson, Brianna Novitsky, Benjamin Burroughs, Dee Dee Wang, William W O'Neill, Adam S Greenbaum
BACKGROUND: Despite newer generation valves using smaller sized sheaths, 10-20 percent of patients undergoing transcatheter aortic valve replacement (TAVR) require non-femoral artery access for valve delivery. To avoid a trans-thoracic procedure, we have utilized transcarotid (TC) and transcaval (TCav) approaches in these patients. This study compared the results of a contemporary experience with TF, TC and TCav approaches. METHODS: Between January 2015 and March 2017, 491 patients underwent TAVR at our institution of which 463 were included in this analysis...
May 11, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29755583/relationship-between-asymmetry-of-gait-and-muscle-torque-in-patients-after-unilateral-transfemoral-amputation
#8
Alicja Rutkowska-Kucharska, Mateusz Kowal, Sławomir Winiarski
Many studies have shown that unilateral transfemoral amputation involves asymmetric gait. Transfemoral amputation leads to muscle atrophy in a tight stump resulting in asymmetry in muscle torque between the amputated and intact limb. This research is aimed at verifying if a relationship between torque values of hip joint flexors and extensors and gait asymmetry in patients with TFA exists. Fourteen adult subjects with unilateral TFA took part in the experiment. Gait symmetry was evaluated based on the ground reaction force (GRF)...
2018: Applied Bionics and Biomechanics
https://www.readbyqxmd.com/read/29754916/accuracy-of-device-landing-zone-calcium-volume-measurement-with-contrast-enhanced-multidetector-computed-tomography
#9
Won-Keun Kim, Matthias Renker, Andreas Rolf, Christoph Liebetrau, Arnaud Van Linden, Mani Arsalan, Mirko Doss, Julian Rieck, Maksymilian P Opolski, Helge Möllmann, Thomas Walther, Christian W Hamm
BACKGROUND: The extent of aortic valve calcification is an important determinant of procedural success in transcatheter aortic valve implantation (TAVI). We sought to validate device landing zone calcium volume (DLZ-CV) measurements on contrast-enhanced multidetector computed tomography (MDCT) with non-contrast-enhanced scans as reference. METHODS: We determined DLZ-CV in 141 patients undergoing transfemoral TAVI. Non-contrast-enhanced images were analyzed using a threshold of 130 HU as reference (DLZ-CV130 )...
July 15, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29753888/mobility-and-satisfaction-with-a-microprocessor-controlled-knee-in-moderately-active-amputees-a-multi-centric-randomized-crossover-trial
#10
Céline Lansade, Eric Vicaut, Jean Paysant, Doménico Ménager, Marie-Christine Cristina, Frank Braatz, Stephan Domayer, Dominic Pérennou, Gérard Chiesa
OBJECTIVE: Microprocessor-controlled knees are generally prescribed and reimbursed for active amputees. Recent studies suggested that this technology could be useful for amputees with moderate activity level. We compared the efficiency of a microprocessor-controlled knee (MPK, Kenevo, Otto Bock) and non-MPKs (NMPKs) in these indications. METHODS: A multi-centric randomized crossover trial was conducted in 16 hospitals from 3 European countries. Participants were randomized to an MPK-NMPK sequence, testing the MPK for 3 months and the NMPK for 1 month, or to an NMPK-MPK sequence, testing the NMPK for 1 month and the MPK for 3 months...
May 10, 2018: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29753675/patient-radiation-exposure-in-transradial-versus-transfemoral-yttrium-90-radioembolization-a-retrospective-propensity-score-matched-analysis
#11
Joshua Loewenstern, Colton Welch, Safet Lekperic, Vivian Bishay, Mona Ranade, Rahul S Patel, Edward Kim, F Scott Nowakowski, Robert A Lookstein, Aaron M Fischman
PURPOSE: To compare differences in patient radiation exposure (PRE) during transarterial yttrium-90 (90 Y) radioembolization (TARE) between transradial access (TRA) and transfemoral access (TFA). MATERIALS AND METHODS: A total of 810 consecutive first-time TARE procedures in patients from 2013 to 2017 were retrospectively reviewed. A propensity score-matching (PSM) analysis matched TRA and TFA groups on the basis of patient age, sex, weight, height, cancer type, 90 Y microsphere type, and number of previous procedures from the same and opposite approaches...
May 9, 2018: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/29743410/safety-of-reversing-anticoagulation-by-protamine-following-elective-transfemoral-percutaneous-coronary-intervention-in-the-drug-eluting-stent-era
#12
Shingo Yamamoto, Kenichi Sakakura, Yousuke Taniguchi, Kei Yamamoto, Hiroshi Wada, Shin-Ichi Momomura, Hideo Fujita
Bleeding complications following percutaneous coronary interventions (PCI) have been closely associated with morbidity and mortality. Although radial arteries have been widely used in current PCI, including primary PCI, transfemoral PCI remains necessary for complex PCI. The purpose of this study was to compare the incidence of complications following elective transfemoral PCI between manual compression with and without protamine. We identified 249 consecutive patients who underwent elective transfemoral PCI from hospital records, and divided them into two groups: patients who used protamine for manual compression (the protamine group; n = 205) and patients who did not (the non-protamine group, n = 44)...
May 9, 2018: International Heart Journal
https://www.readbyqxmd.com/read/29743163/health-economic-analysis-of-access-site-practice-in-england-during-changes-in-practice-insights-from-the-british-cardiovascular-interventional-society
#13
Mamas A Mamas, Jon Tosh, Will Hulme, Nicki Hoskins, George Bungey, Peter Ludman, Mark de Belder, Chun Shing Kwok, Nathalie Verin, Tim Kinnaird, Ewan Bennett, Nick Curzen, James Nolan, Evangelos Kontopantelis
BACKGROUND: Transradial access (TRA) for percutaneous coronary intervention (PCI) is associated with a reduced risk of mortality compared with transfemoral access, access site-related bleeding complications, and shorter length of stay. The budget impact from a healthcare system that has largely transitioned to TRA for PCI has not been previously published. METHODS AND RESULTS: Data from 323 656 patients undergoing PCI between 2010 and 2014 were obtained from the British Cardiovascular Intervention Society database...
May 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29736853/is-mri-equivalent-to-ct-in-the-guidance-of-tavr-a-pilot-study
#14
Agnes Mayr, Gert Klug, Sebastian J Reinstadler, Hans-Josef Feistritzer, Martin Reindl, Christian Kremser, Christof Kranewitter, Nikolaos Bonaros, Guy Friedrich, Gudrun Feuchtner, Bernhard Metzler
OBJECTIVES: To compare a comprehensive cardiovascular magnetic resonance imaging (MRI) protocol with contrast-enhanced computed tomography angiography (CTA) for guidance in transcatheter aortic valve replacement (TAVR) evaluation. METHODS AND RESULTS: Non-contrast three-dimensional (3D) 'whole heart' MRI imaging for aortic annulus sizing and measurements of coronary ostia heights, contrast-enhanced MRI angiography (MRA) for evaluation of transfemoral routes as well as aortoiliofemoral-CTA were performed in 16 patients referred for evaluation of TAVR...
May 7, 2018: European Radiology
https://www.readbyqxmd.com/read/29735255/computed-tomography-predictors-of-mortality-stroke-and-conduction-disturbances-in-women-undergoing-tavr-a-sub-analysis-of-the-win-tavi-registry
#15
Marco Spaziano, Alaide Chieffo, Yusuke Watanabe, Jaya Chandrasekhar, Samantha Sartori, Thierry Lefèvre, Anna Sonia Petronio, Patrizia Presbitero, Didier Tchetche, Alessandro Iadanza, Nicholas M Van Mieghem, Julinda Mehilli, Roxana Mehran, Marie-Claude Morice
BACKGROUND: Aortic valve calcification patterns were associated with short- and long-term outcomes in previous small observational datasets of patients undergoing transcatheter aortic valve implantation (TAVI). The specific impact of multi detector-row computed tomography (MDCT) findings on outcomes in women has not been reported. We sought to describe the associations between MDCT characteristics and clinical outcomes in a registry of 547 women undergoing TAVI. METHODS: WIN-TAVI is the first all-female registry to study the safety and effectiveness of TAVI in women (n = 1019)...
April 27, 2018: Journal of Cardiovascular Computed Tomography
https://www.readbyqxmd.com/read/29732358/anatomical-popliteal-artery-entrapment-syndrome
#16
Yong Jae Kwon, Tae-Won Kwon, Jun Gyo Gwon, Yong-Pil Cho, Seung-Jun Hwang, Ki-Young Go
Purpose: The aim of this study was to analyze anatomical popliteal artery entrapment syndrome (PAES) and to individualize the treatment of this condition according to the anatomical status of the artery and the adjacent structure. Methods: A total of 35 anatomical PAES legs in 23 consecutive patients treated within the Asan Medical Center, Seoul, Korea between 1995 and 2011 were analyzed retrospectively. Anatomical PAES was diagnosed by MRI and/or CT scans of the knee joint, and CT or conventional transfemoral arteriography of the lower extremities...
May 2018: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29727776/knee-adduction-moment-peak-and-impulse-do-not-change-during-the-first-six-months-of-walking-with-a-prosthesis
#17
Rebecca L Krupenevich, Ross H Miller, Brad D Hendershot, Barri L Schnall, Alison L Pruziner
BACKGROUND: Individuals with unilateral lower limb loss are at increased risk for developing knee osteoarthritis in their contralateral limb. The mechanisms underlying this phenomenon are unknown, but large or unusual loads on the limb are thought to contribute to osteoarthritis development. Yet, to our knowledge, there have been no longitudinal assessments of knee joint kinetics to assist with identifying the origin or progression of such loads. RESEARCH QUESTION: This study aimed to examine knee joint kinetics of individuals with lower limb loss as a function of time from independent ambulation...
April 26, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29725546/emergency-valve-in-valve-transcatheter-aortic-valve-implantation-for-the-treatment-of-acute-stentless-bioprosthetic-aortic-insufficiency-and-cardiogenic-shock
#18
Ivan D Hanson, Pratik K Dalal, Brian M Renard, George S Hanzel, Alessandro Vivacqua
Bioprosthetic aortic valve degeneration may present as acute, severe aortic regurgitation and cardiogenic shock. Such patients may be unsuitable for emergency valve replacement surgery due to excessive risk of operative mortality but could be treatable with transfemoral valve-in-valve transcatheter aortic valve implantation (TAVI). There is a paucity of data regarding the feasibility of valve-in-valve TAVI in patients presenting with cardiogenic shock due to acute aortic insufficiency from stentless bioprosthetic valve degeneration...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29724974/comparison-of-the-transradial-and-transfemoral-approach-in-treatment-of-chronic-total-occlusions-with-similar-lesion-characteristics
#19
Mustafa Ahmet Huyut, Aylin Hatice Yamaç
OBJECTIVE: There is limited data on the efficacy and the safety of the transradial approach (TRA) for percutaneous coronary intervention (PCI) of chronic total occlusion (CTO), particularly in comparison with the transfemoral approach (TFA) in lesions with similar complexity. METHODS: We included 358 patients, who underwent elective CTO PCI between January 2012 and August 2017 and compared the radial (179 patients) and femoral (179 patients) approaches. The J-CTO score was similar in both groups (TRA, 2...
May 2018: Anatolian Journal of Cardiology
https://www.readbyqxmd.com/read/29724519/embolization-of-the-superior-rectal-arteries-for-hemorrhoidal-disease-prospective-results-in-25-patients
#20
Farouk Tradi, Guillaume Louis, Roch Giorgi, Diane Mege, Jean-Michel Bartoli, Igor Sielezneff, Vincent Vidal
PURPOSE: To evaluate efficacy and safety of superior rectal artery embolization of hemorrhoidal disease as a first-line invasive treatment. MATERIALS AND METHODS: This prospective study was conducted between 2014 and 2015 on 25 consecutive patients (16 men and 9 women with a mean age of 53 y [range, 30-76 y]) with grade II-III hemorrhoids refractory to medical treatment. A transfemoral superselective superior rectal artery branch embolization was performed using 2- and 3-mm diameter microcoils...
April 30, 2018: Journal of Vascular and Interventional Radiology: JVIR
keyword
keyword
93236
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"