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https://www.readbyqxmd.com/read/27884358/application-of-3-dimensional-computed-tomographic-image-guidance-to-watchman-implantation-and-impact-on%C3%A2-early-operator-learning-curve-single-center-experience
#1
Dee Dee Wang, Marvin Eng, Daniel Kupsky, Eric Myers, Michael Forbes, Mehnaz Rahman, Mohammad Zaidan, Sachin Parikh, Janet Wyman, Milan Pantelic, Thomas Song, Jeff Nadig, Patrick Karabon, Adam Greenbaum, William O'Neill
OBJECTIVES: The aim of this study was to examine the impact of 3-dimensional (3D) computed tomographic (CT) guided procedural planning for left atrial appendage (LAA) occlusion on the early operator WATCHMAN learning curve. BACKGROUND: Traditional WATCHMAN implantation is dependent on 2-dimensional transesophageal echocardiographic (TEE) sizing and intraprocedural guidance. METHODS: LAA occlusion with the WATCHMAN device was performed in 53 patients...
November 28, 2016: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/27868213/characteristics-and-outcomes-of-concurrently-diagnosed-new-rapid-atrial-fibrillation-or-flutter-and-new-reduced-ejection-fraction
#2
Yasser Rodriguez, Andrew D Althouse, Evan C Adelstein, Sandeep K Jain, G Stuart Mendenhall, Samir Saba, Alaa A Shalaby, Andrew H Voigt, Norman C Wang
BACKGROUND: Characteristics and outcomes of concurrently diagnosed new rapid atrial fibrillation (AF) or flutter (AFL) and new heart failure with reduced left ventricular ejection fraction (LVEF) are not well described. METHODS: A retrospective cohort study of subjects referred for expedited transesophageal echocardiography (TEE)-guided rhythm-control strategies for concurrent new AF/AFL and new LVEF ≤40% diagnosed during the same admission was analyzed. RESULTS: Twenty-five subjects (median age 57 years; 96% male; 100% Caucasian; median CHA2 DS2 -VASc = 2) presented with new AF (n = 18) or AFL (n = 7) with rapid ventricular rate (median 135 beats per minute) and new reduced LVEF (median 27%; range, 10%-37...
November 21, 2016: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/27863908/role-of-echocardiography-for-catheter-based-management-of-valvular-heart-disease
#3
REVIEW
Takahiro Shiota
Catheter-based treatment of valvular heart disease, such as transvalvular aortic valve replacement (TAVR) or mitral clip procedure, has been increasingly accepted as a treatment choice for the past several years. Such new treatment options have been changing the management of patients with valvular heart disease drastically while socio-economic factors regarding their application need to be taken into consideration. The use of echocardiography, including transesophageal echocardiography (TEE), for such catheter-based treatments is essential for the success of the procedures...
November 15, 2016: Journal of Cardiology
https://www.readbyqxmd.com/read/27853971/evaluation-of-left-atrial-appendage-function-and-thrombi-in-patients-with-atrial-fibrillation-from-transthoracic-to-real-time-3d-transesophageal-echocardiography
#4
Ilaria Dentamaro, Domenico Vestito, Ennio Michelotto, Delia De Santis, Vittoria Ostuni, Christian Cadeddu, Paolo Colonna
The detection of embolic sources in patients with atrial fibrillation (AF) is important to guide anticoagulant therapy. Two-dimensional transesophageal echocardiography (TEE) is the gold standard to study left atrial appendage (LAA) anatomy and morphology, despite some false-positive diagnosis. We hypothesized that real time 3D TEE (RT3DTEE) is superior to 2DTEE in detecting and/or excluding LAA thrombi. We studied 93 patients with non-valvular AF (60 males, age = 67.1 ± 14.2 years) referred for electric cardioversion with transthoracic, 2DTEE and RT3DTEE...
November 17, 2016: International Journal of Cardiovascular Imaging
https://www.readbyqxmd.com/read/27762250/guidelines-of-the-indian-association-of-cardiovascular-and-thoracic-anaesthesiologists-and-indian-college-of-cardiac-anaesthesia-for-perioperative-transesophageal-echocardiography-fellowship-examination
#5
Kanchi Muralidhar, Deepak Tempe, Yatin Mehta, Poonam Malhotra Kapoor, Chirojit Mukherjee, Thomas Koshy, Prabhat Tewari, Naman Shastri, Satyajeet Misra, Kumar Belani
During current medical care, perioperative transesophageal echocardiography (TEE) has become a vital component of patient management, especially in cardiac operating rooms and in critical care medicine. Information derived from echocardiography has an important bearing on the patient's outcome. The Indian Association of Cardiovascular and Thoracic Anaesthesiologists (IACTA) has promoted the use of TEE during routine clinical care of patients undergoing cardiac surgery. An important mission of IACTA is to oversee training and certify anesthesiologists in the perioperative and intensive care use of TEE...
October 2016: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/27716710/transesophageal-echocardiography-guided-thrombectomy-of-intracardiac-renal-cell-carcinoma-without-cardiopulmonary-bypass
#6
Fouad Ghazi Souki, Michael Demos, Lilibeth Fermin, Gaetano Ciancio
Advanced renal cell carcinoma (RCC) resection has important anesthetic management implications, particularly when tumor extends, suprahepatic, into the right atrium. Use of transesophageal echocardiogram (TEE) is essential in identifying tumor extension and guiding resection. Latest surgical approach avoids venovenous and cardiopulmonary bypass yet requires special precautions and interventions on the anesthesiologist's part. We present a case of Level IV RCC resected without cardiopulmonary bypass and salvaged by TEE guidance and detection of residual intracardiac tumor...
October 2016: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/27716687/different-transseptal-puncture-for-different-procedures-optimization-of-left-atrial-catheterization-guided-by-transesophageal-echocardiography
#7
Andrea Radinovic, Patrizio Mazzone, Giovanni Landoni, Eustachio Agricola, Damiano Regazzoli, Paolo Della Bella
BACKGROUND: Left atrial catheterization through transseptal puncture is frequently performed in cardiac catheterization procedures. Appropriate transseptal puncture is critical to achieve procedural success. AIMS: The aim of the study is to evaluate the feasibility of selective transseptal punctures, using a modified radiofrequency (RF) transseptal needle and transesophageal echocardiography (TEE), in different types of procedures that require specific sites of left atrial catheterization...
October 2016: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/27590218/edoxaban-versus-enoxaparin-warfarin-in-patients-undergoing-cardioversion-of-atrial-fibrillation-ensure-af-a-randomised-open-label-phase-3b-trial
#8
Andreas Goette, Jose L Merino, Michael D Ezekowitz, Dmitry Zamoryakhin, Michael Melino, James Jin, Michele F Mercuri, Michael A Grosso, Victor Fernandez, Naab Al-Saady, Natalya Pelekh, Bela Merkely, Sergey Zenin, Mykola Kushnir, Jindrich Spinar, Valeriy Batushkin, Joris R de Groot, Gregory Y H Lip
BACKGROUND: Edoxaban, an oral factor Xa inhibitor, is non-inferior for prevention of stroke and systemic embolism in patients with atrial fibrillation and is associated with less bleeding than well controlled warfarin therapy. Few safety data about edoxaban in patients undergoing electrical cardioversion are available. METHODS: We did a multicentre, prospective, randomised, open-label, blinded-endpoint evaluation trial in 19 countries with 239 sites comparing edoxaban 60 mg per day with enoxaparin-warfarin in patients undergoing electrical cardioversion of non-valvular atrial fibrillation...
October 22, 2016: Lancet
https://www.readbyqxmd.com/read/27490808/polyunsaturated-fatty-acids-and-prostate-cancer-risk-a-mendelian-randomisation-analysis-from-the-practical-consortium
#9
Nikhil K Khankari, Harvey J Murff, Chenjie Zeng, Wanqing Wen, Rosalind A Eeles, Douglas F Easton, Zsofia Kote-Jarai, Ali Amin Al Olama, Sara Benlloch, Kenneth Muir, Graham G Giles, Fredrik Wiklund, Henrik Gronberg, Christopher A Haiman, Johanna Schleutker, Børge G Nordestgaard, Ruth C Travis, Jenny L Donovan, Nora Pashayan, Kay-Tee Khaw, Janet L Stanford, William J Blot, Stephen N Thibodeau, Christiane Maier, Adam S Kibel, Cezary Cybulski, Lisa Cannon-Albright, Hermann Brenner, Jong Park, Radka Kaneva, Jyotsna Batra, Manuel R Teixeira, Hardev Pandha, Wei Zheng
BACKGROUND: Prostate cancer is a common cancer worldwide with no established modifiable lifestyle factors to guide prevention. The associations between polyunsaturated fatty acids (PUFAs) and prostate cancer risk have been inconsistent. Using Mendelian randomisation, we evaluated associations between PUFAs and prostate cancer risk. METHODS: We used individual-level data from a consortium of 22 721 cases and 23 034 controls of European ancestry. Externally-weighted PUFA-specific polygenic risk scores (wPRSs), with explanatory variation ranging from 0...
August 23, 2016: British Journal of Cancer
https://www.readbyqxmd.com/read/27488761/modified-transesophageal-echocardiography-of-the-dissected-thoracic-aorta-a-novel-diagnostic-approach
#10
Wouter W Jansen Klomp, Linda M Peelen, George J Brandon Bravo Bruinsma, Arnoud W J Van't Hof, Jan G Grandjean, Arno P Nierich
BACKGROUND: Transesophageal echocardiography (TEE) is a key diagnostic modality in patients with acute aortic dissection, yet its sensitivity is limited by a "blind-spot" caused by air in the trachea. After placement of a fluid-filled balloon in the trachea visualization of the thoracic aorta becomes possible. This method, modified TEE, has been shown to be an accurate test for the diagnosis of upper aortic atherosclerosis. In this study we discuss how we use modified TEE for the diagnosis and management of patients with (suspected) acute aortic dissection...
2016: Cardiovascular Ultrasound
https://www.readbyqxmd.com/read/27354860/impact-of-transesophageal-echocardiography-during-transseptal-puncture-on-atrial-fibrillation-ablation
#11
İsmail Erden, Emine Çakcak Erden, Ebru Golcuk, Tolga Aksu, Kıvanç Yalin, Tümer Erdem Güler, Kazım Serhan Özcan, Burak Turan
BACKGROUND: The aim of our study was to demonstrate the added value of routine transesophageal echocardiography (TEE) for correctly positioning the transseptal system in the fossa ovalis (FO), thus potentially preventing complications during fluoroscopy-guided transseptal puncture (TP), and for assessing the optimal puncture site within the FO according to the expected procedure type. METHODS: Ninety-one patients undergoing pulmonary vein isolation (PVI) procedures by cryoballoon technique for drug-resistant paroxysmal or persistent atrial fibrillation (AF) were prospectively included...
June 2016: Journal of Arrhythmia
https://www.readbyqxmd.com/read/27318746/emergency-physician-performed-transesophageal-echocardiography-for-extracorporeal-life-support-vascular-cannula-placement
#12
James Fair, Joseph Tonna, Patrick Ockerse, Brian Galovic, Scott Youngquist, Stephen H McKellar, Michael Mallin
INTRODUCTION: There is growing interest and application of extracorporeal membrane oxygenation (ECMO) as a life-saving procedure for out-of-hospital cardiac arrest (OHCA), also called extracorporeal life support (ECLS). Extracorporeal membrane oxygenation cannulation with ongoing chest compressions is challenging, and transesophageal echocardiography (TEE) is an invaluable tool with which to guide ECMO wire guidance and cannula positioning. METHODS: We describe our protocol for TEE guidance by emergency physicians in our hospital...
August 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27301954/yield-of-adenomas-and-colorectal-cancers-within-5-years-of-a-negative-colonoscopy-are-the-guidelines-guiding
#13
Chin Li Tee, Bree Stephensen, Andrew Sloss, David A Grieve
BACKGROUND: Screening for colorectal cancers outside the recommended guidelines presents a considerable burden to resource management in many public hospitals. The aim of this study is to evaluate the frequency, indications and outcomes for repeat colonoscopy performed within 5 years of a negative colonoscopy. METHODS: A retrospective review of all colonoscopies at Nambour Hospital in 2008 was performed to identify those with a negative colonoscopy. The charts of patients undergoing repeat colonoscopy at the same institution within 5 years of a negative colonoscopy were examined further, and data obtained regarding indications and outcomes of subsequent colonoscopies...
June 14, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27229932/intra-operative-device-closure-of-perimembranous-ventricular-septal-defect-without-cardiopulmonary-bypass-under-guidance-of-trans-epicardial-echocardiography-a-single-center-experience
#14
Yong Sun, Peng Zhu, Pengyu Zhou, Yilong Guo, Shao-Yi Zheng
BACKGROUND: Intraoperative device closure of perimembranous ventricular septal defect(VSD) through a lower mini-sternotomy is safe, less invasive, and has excellent surgical and cosmetic outcomes. Our study is to evaluate the feasibility of closing VSD under guidance of trans-epicardial echocardiography. METHODS: We reviewed the clinical course of 41 patients referred to our institution for minimally invasive closure of perimembranous VSD. The trans-epicardial echocardiography(TEE) was used to monitor the whole procedure to guide the positioning of device and evaluate the operative effect instantly after operation...
2016: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/27183884/accuracy-of-transesophageal-echocardiography-in-the-identification-of-postoperative-intramural-ventricular-septal-defects
#15
Jyoti K Patel, Andrew C Glatz, Reena M Ghosh, Shannon M Jones, Chitra Ravishankar, Christopher Mascio, Meryl S Cohen
BACKGROUND: Intramural ventricular septal defects (VSDs), residual interventricular communications occurring after repair of conotruncal defects, are associated with poor postoperative outcomes. The ability of intraoperative transesophageal echocardiography (TEE) to identify intramural VSDs has not yet been evaluated. METHODS: Intraoperative TEE and postoperative transthoracic echocardiography (TTE) data in all patients undergoing all biventricular repair of conotruncal anomalies in our hospital between January 1, 2006, and June 30, 2013, were reviewed...
September 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27134181/image-guided-brachytherapy-in-locally-advanced-cervical-cancer-improved-pelvic-control-and-survival-in-retroembrace-a-multicenter-cohort-study
#16
Alina Sturdza, Richard Pötter, Lars Ulrik Fokdal, Christine Haie-Meder, Li Tee Tan, Renaud Mazeron, Primoz Petric, Barbara Šegedin, Ina Maria Jurgenliemk-Schulz, Christel Nomden, Charles Gillham, Orla McArdle, Erik Van Limbergen, Hilde Janssen, Peter Hoskin, Gerry Lowe, Ekkasit Tharavichitkul, Elena Villafranca, Umesh Mahantshetty, Petra Georg, Kathrin Kirchheiner, Christian Kirisits, Kari Tanderup, Jacob Christian Lindegaard
PURPOSE: Image guided brachytherapy (IGBT) for locally advanced cervical cancer allows dose escalation to the high-risk clinical target volume (HRCTV) while sparing organs at risk (OAR). This is the first comprehensive report on clinical outcome in a large multi-institutional cohort. PATIENTS AND METHODS: From twelve centres 731 patients, treated with definitive EBRT±concurrent chemotherapy followed by IGBT, were analysed. Kaplan-Meier estimates at 3/5years were calculated for local control (LC, primary endpoint), pelvic control (PC), overall survival (OS), cancer specific survival (CSS)...
April 29, 2016: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/27113795/image-guided-adaptive-brachytherapy-with-combined-intracavitary-and-interstitial-technique-improves-the-therapeutic-ratio-in-locally-advanced-cervical-cancer-analysis-from-the-retroembrace-study
#17
Lars Fokdal, Alina Sturdza, Renaud Mazeron, Christine Haie-Meder, Li Tee Tan, Charles Gillham, Barbara Šegedin, Ina Jürgenliemk-Schultz, Christian Kirisits, Peter Hoskin, Richard Pötter, Jacob C Lindegaard, Kari Tanderup
BACKGROUND AND PURPOSE: Image guided adaptive brachytherapy (IGABT) using intracavitary applicators (IC) has led to a significant improvement of local control in locally advanced cervical cancer (LACC). Further improvement has been obtained with combined intracavitary/interstitial (IC/IS) applicators. The aim of this analysis was to evaluate the impact on local control and late morbidity of application of combined IS/IC brachytherapy in a large multicentre population. MATERIAL/METHODS: 610 patients with LACC from the retroEMBRACE study were included...
April 21, 2016: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/27095784/-feasibility-of-retrograde-approach-for-percutaneous-closure-of-ventricular-septal-defect-under-solely-guidance-of-transesophageal-echocardiography
#18
Y Han, C Y Gao, H D Xu, T B Fan, B T Peng, B Li, L Liu, X B Pan, Z Y Cheng
OBJECTIVE: To evaluate the feasibility of retrograde transcatheter closure of ventricular septal defects (VSD) under trans-esophageal echocardiography (TEE). METHODS: Twelve patients with VSD, with 4 residual shunt, treated by transcatheter VSD closure under solely guidance of TEE were summarized. Mean age, body weight and average diameter of VSD in 12 cases were (11.58±6.57) years, (31.85±13.28) kg, (5.50±2.20) mm, respectively. All patients were treated by retrograde transcatheter closure under solely guidance of TEE...
April 12, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27082494/whole-grain-dietary-recommendations-the-need-for-a-unified-global-approach
#19
Chris J Seal, Anne P Nugent, E-Siong Tee, Frank Thielecke
Increased whole-grain (WG) consumption reduces the risk of CVD, type 2 diabetes and some cancers, is related to reduced body weight and weight gain and is related to improved intestinal health. Definitions of 'WG' and 'WG food' are proposed and used in some countries but are not consistent. Many countries promote WG consumption, but the emphasis given and the messages used vary. We surveyed dietary recommendations of fifty-three countries for mentions of WG to assess the extent, rationale and diversity in emphasis and wording of any recommendations...
June 2016: British Journal of Nutrition
https://www.readbyqxmd.com/read/27079542/preprocedural-transthoracic-echocardiography-can-predict-amplatzer-septal-occluder-device-size-for-transcatheter-atrial-septal-defect-closure
#20
Serena P Sah, Sergio Bartakian, Howaida El-Said, Delaram P Molkara, Beth Printz, John W Moore
OBJECTIVE: To evaluate whether preprocedural transthoracic echocardiography (TTE) can be used to predict Amplatzer septal occluder (ASO) size for device closure of atrial septal defect (ASD). DESIGN: Retrospective review of patients who underwent ASD device closure at our institution between August 2006 and August 2013 was performed. Patients with complex congenital heart disease, devices other than the ASO, multiple devices, or inadequate TTE images were excluded...
December 2016: Congenital Heart Disease
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