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RonY

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170 papers 0 to 25 followers
https://www.readbyqxmd.com/read/27849158/neurological-injury-in-intermediate-risk-transcatheter-aortic-valve-implantation
#1
Jonathon P Fanning, Allan J Wesley, Darren L Walters, Eamonn M Eeles, Adrian G Barnett, David G Platts, Andrew J Clarke, Andrew A Wong, Wendy E Strugnell, Cliona O'Sullivan, Oystein Tronstad, John F Fraser
BACKGROUND: The application of transcatheter aortic valve implantation (TAVI) to intermediate-risk patients is a controversial issue. Of concern, neurological injury in this group remains poorly defined. Among high-risk and inoperable patients, subclinical injury is reported on average in 75% undergoing the procedure. Although this attendant risk may be acceptable in higher-risk patients, it may not be so in those of lower risk. METHODS AND RESULTS: Forty patients undergoing TAVI with the Edwards SAPIEN-XT(™) prosthesis were prospectively studied...
November 15, 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27854386/high-miscarriage-rate-in-women-treated-with-essure%C3%A2-for-hydrosalpinx-before-embryo-transfer-a-systematic-review-and-meta-analysis
#2
REVIEW
M W Barbosa, A Sotiriadis, S I Papatheodorou, V Mijatovic, C O Nastri, W P Martins
OBJECTIVES: Essure® has been tested as an alternative treatment for hydrosalpinx before embryo transfer (ET) in women undergoing assisted reproduction techniques. However, the persistence of a foreign body inside the uterine cavity might have a negative impact on the outcome of pregnancy. The present systematic review aimed at identifying, appraising and summarizing the available evidence regarding the effectiveness and safety of using Essure prior to ET for women with hydrosalpinx. METHODS: We searched for studies in PubMed, Scopus, CENTRAL, Web of Science and ClinicalTrials...
November 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27853743/a-novel-adjunctive-cleansing-method-to-reduce-colony-forming-units-on-duodenoscopes
#3
Karl Kwok, Joseph Chang, Simon Lo, Andrew Giap, Brian Lim, Bechien Wu
Background and study aims: Endoscopic retrograde cholangiopancreatography-related infections are of increasing global concern due to the emergence of multidrug-resistant bacteria such as carbapenem-resistant enterobacteriaceae (CRE), with bacterial biofilm production postulated as one cause of persistent infection from such virulent organisms. Because N-acetylcysteine (NAC) has been shown to possess antibacterial and biofilm-disruption properties, we aimed to evaluate if NAC would demonstrate clinical utility in reducing the colony forming units (CFU) at the elevator end of a duodenoscope, one of the hardest areas to clean...
November 2016: Endoscopy International Open
https://www.readbyqxmd.com/read/27817933/morcellation-worsens-survival-outcomes-in-patients-with-undiagnosed-uterine-leiomyosarcomas-a-retrospective-mito-group-study
#4
Francesco Raspagliesi, Giuseppa Maltese, Giorgio Bogani, Giovanni Fucà, Stefano Lepori, Pierandrea De Iaco, Myriam Perrone, Giovanni Scambia, Gennaro Cormio, Stefano Bogliolo, Alice Bergamini, Giuseppe Bifulco, Paolo Giovanni Casali, Domenica Lorusso
OBJECTIVE: To investigate the impact of morcellation on survival outcomes of patients affected by undiagnosed uterine sarcoma. METHODS: This is a retrospective study performed in 8 referral centers of MITO group. Data of women undergoing morcellation for apparent benign uterine myomas who were ultimately diagnosed with stage I uterine sarcoma on final pathology were compared with data of women who did not undergo morcellation. Uterine sarcoma included: leiomyosarcomas (LMS), smooth muscle tumors of uncertain malignant potential (STUMP), low-grade endometrial stromal sarcomas (LG-ESS) and undifferentiated uterine sarcomas (UUS)...
November 4, 2016: Gynecologic Oncology
https://www.readbyqxmd.com/read/27772790/whole-body-and-local-cryotherapy-in-restless-legs-syndrome-a-randomized-single-blind-controlled-parallel-group-pilot-study
#5
Svenja Happe, Stefan Evers, Christian Thiedemann, Sabine Bunten, Rudolf Siegert
OBJECTIVE: Treatment of restless legs syndrome (RLS) is primarily based on drugs. Since many patients report improvement of symptoms due to cooling their legs, we examined the efficacy of cryotherapy in RLS. PATIENTS AND METHODS: 35 patients (28 women, 60.9±12.5years) with idiopathic RLS and symptoms starting not later than 6pm were randomized into three groups: cold air chamber at -60°C (n=12); cold air chamber at -10°C (n=12); local cryotherapy at -17°C (n=11)...
November 15, 2016: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/27712663/whole-and-partial-body-cryostimulation-cryotherapy-current-technologies-and-practical-applications
#6
REVIEW
Romain Bouzigon, Frederic Grappe, Gilles Ravier, Benoit Dugue
Cold therapy is commonly used as a method to relieve pain and inflammation. This review focuses primarily on two methods of cold therapy that have received recent attention: whole-body cryotherapy and partial-body cryotherapy. These methods are used to induce physiological and psychological benefits in humans in the context of medicine, health and sports. The subjects experiencing cryotherapy are dressed in minimal clothing and are exposed to very cold air (at -110°C or less) for 1-4min. Despite the increasing scientific interest in these methods, there is a lack of information about the technologies used...
October 2016: Journal of Thermal Biology
https://www.readbyqxmd.com/read/27687201/implantable-electronic-cardiac-devices%C3%A2-and-compatibility-with-magnetic%C3%A2-resonance-imaging
#7
REVIEW
Jared D Miller, Saman Nazarian, Henry R Halperin
There is a growing population of patients with implanted electronic cardiac devices and a concomitant increase in the use of magnetic resonance (MR). There are theoretical safety risks posed to such devices by MR. However, there are now considerable laboratory data and clinical experience demonstrating safety in this setting, assuming appropriate device selection and patient monitoring. Herein, we review these data and our safety protocol and the new generation of devices that have been prospectively designed and tested to be safe for MR scanning, assuming certain conditions are met (i...
October 4, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27621196/evaluation-of-nickel-allergic-reactions-to-the-essure-micro-insert-theoretical-risk-or-daily-practice
#8
Sara Siemons, Michel Vleugels, Hugo van Eijndhoven
STUDY OBJECTIVE: To evaluate whether de novo development of nickel sensitization is related to placement of the Essure device, and to evaluate whether the grade of reaction to nickel increased after device placement in patients with a confirmed nickel allergy. DESIGN: Prospective cohort study (Canadian Task Force classification II-2). SETTING: Two nonacademic training hospitals in The Netherlands. PATIENTS: Healthy women of childbearing age desiring permanent sterilization...
September 13, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27569594/does-essure-cause-significant-de-novo-pain-a-retrospective-review-of-indications-for-second-surgeries-following-essure-placement
#9
Huse Kamencic, Luke Thiel, Erwin Karreman, John Thiel
STUDY OBJECTIVES: To examine the surgical indications and pathologic findings in patients undergoing a second surgery following placement of the Essure permanent birth control system to determine the role of Essure in developing new onset pelvic pain. DESIGN: Retrospective cohort (Canadian Task Force classification II-2). SETTING: Tertiary level hospital. PATIENTS: Women who have had Essure placement and subsequent second surgery...
August 25, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27494193/techniques-for-the-interruption-of-tubal-patency-for-female-sterilisation
#10
REVIEW
Theresa A Lawrie, Regina Kulier, Juan Manuel Nardin
BACKGROUND: This is an update of a review that was first published in 2002. Female sterilisation is the most popular contraceptive method worldwide. Several techniques exist for interrupting the patency of fallopian tubes, including cutting and tying the tubes, damaging the tube using electric current, applying clips or silicone rubber rings, and blocking the tubes with chemicals or tubal inserts. OBJECTIVES: To compare the different tubal occlusion techniques in terms of major and minor morbidity, failure rates (pregnancies), technical failures and difficulties, and women's and surgeons' satisfaction...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27450351/low-serum-testosterone-level-predisposes-to-artificial-urinary-sphincter-cuff-erosion
#11
Matthias D Hofer, Allen F Morey, Kunj Sheth, Timothy J Tausch, Jordan Siegel, Billy H Cordon, Matthew I Bury, Earl Y Cheng, Arun K Sharma, Chris M Gonzalez, William E Kaplan, Nicholas L Kavoussi, Alexandra Klein, Claus G Roehrborn
OBJECTIVE: To examine the association between decreased serum testosterone levels and AUS cuff erosion. METHODS: We evaluated serum testosterone levels in 53 consecutive patients. Low testosterone was defined as <280 ng/dl and found in 30/53 patients (56.6%). Chi-square and Student's t tests, Kaplan-Meier analysis, binary logistic regression and Cox regression analysis were used to determine statistical significance. RESULTS: Nearly all men with AUS cuff erosions had low serum testosterone (18/20, 90...
July 20, 2016: Urology
https://www.readbyqxmd.com/read/27449447/berlin-heart-excor-ventricular-assist-device-multilayer-membrane-rupture-in-a-pediatric-patient
#12
Arianna Di Molfetta, Sergio Filippelli, Gianfranco Ferrari, Aurelio Secinaro, Krystzof Zielinski, Antonio Amodeo
A 2-year-old child was implanted with an Berlin Heart EXCOR Ventricular Assist Device (Berlin Heart, Berlin, Germany) as a bridge to heart transplantation for idiopathic dilated cardiomyopathy. At postoperative day 296, a significant reduction of membrane movement was observed. The device was explanted and tested on a hydronumerical circulation simulator. Findings suggested that the integrity of the multilayered membrane had been compromised. This was confirmed by a computed tomography scan of the device. The computed tomography evidenced a detachment of the 3-layered membrane, with a thinner, convex layer on the side of the air chamber and an opposite convexity of the remaining membranes...
August 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27449466/progressive-mitral-stenosis-after-mitraclip-implantation-in-a-patient-with-systemic-inflammatory-disease
#13
Mike Saji, Gorav Ailawadi, Dale E Fowler, Damien J LaPar, John M Dent, Michael Ragosta, D Scott Lim
We describe a patient at high surgical risk who was successfully treated with a MitraClip (Abbott Vascular, Menlo Park, CA) without transmitral gradient. She received corticosteroid therapy for systemic lupus erythematosus, and progressive mitral stenosis developed late after MitraClip implantation. It gradually increased and reached 23 mm Hg at 28 months after the procedure; during the same period, her dose of prednisone had to be increased owing to lupus flare. Systemic inflammatory disease has the potential to result in mitral valve inflammation and fibrosis, ultimately causing thickening of the tissue bridge and worsening of the mitral valve obstruction...
August 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27396361/recovery-from-exercise-induced-muscle-damage-cold-water-immersion-versus-whole-body-cryotherapy
#14
Abd-Elbasset Abaïdia, Julien Lamblin, Barthélémy Delecroix, Cédric Leduc, Alan McCall, Mathieu Nédélec, Brian Dawson, Georges Baquet, Grégory Dupont
PURPOSE: The aim of this study was to compare the effects of cold-water immersion and whole-body cryotherapy on recovery kinetics following exercise induced muscle damage. METHODS: Ten physically active men performed single-leg hamstring eccentric exercise comprising 5 sets of 15 repetitions. Immediately post-exercise, subjects were exposed in a randomized cross-over design to cold-water immersion (10 minutes at 10°C) or whole-body cryotherapy (3 minutes at -110°C) recovery...
July 11, 2016: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/27281160/unacceptable-failure-of-the-pi2%C3%A2-implant
#15
J van Aaken, N Holzer, L Wehrli, F Delaquaize, I A Gonzalez, J Y Beaulieu
: The PI2® spacer is designed for treatment of trapeziometacarpal (TM) osteoarthritis. However, the shape of this implant has raised concerns about its stability. We retrospectively investigated 45 implants in 41 patients treated for trapeziometacarpal osteoarthritis in our hospital between 2004 and 2009 who underwent trapeziectomy and insertion of a PI2® spacer. Outcome parameters included revision rates and clinical outcomes correlated with implant position and scaphometacarpal distance, assessed using standard radiographs...
June 8, 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27227536/the-inflammatory-phenotype-in-failed-metal-on-metal-hip-arthroplasty-correlates-with-blood-metal-concentrations
#16
Erja-Leena Paukkeri, Riku Korhonen, Mari Hämäläinen, Marko Pesu, Antti Eskelinen, Teemu Moilanen, Eeva Moilanen
INTRODUCTION: Hip arthroplasty is the standard treatment of a painful hip destruction. The use of modern metal-on-metal (MOM) bearing surfaces gained popularity in total hip arthroplasties during the last decade. Recently, worrisome failures due to adverse reaction to metal debris (ARMD), including pseudotumor response, have been widely reported. However, the pathogenesis of this reaction remains poorly understood. The aim of the present study was to investigate the ARMD response by flow cytometry approach...
2016: PloS One
https://www.readbyqxmd.com/read/27235154/market-approval-processes-for-new-types-of-spinal-devices-challenges-and-recommendations-for-improvement
#17
Arno Bisschop, Maurits W van Tulder
BACKGROUND: Spinal pathology and related symptoms are among the most common health problems and are associated with high health care costs and productivity losses. Due to the aging population, these costs are further increasing every year. Another important reason for the increasing costs is the market approval of new technologies, such as spinal devices that are usually more expensive than the existing technologies. Previous cases of medical device failure led to concern about possible deficiencies in the market approval process...
September 2016: European Spine Journal
https://www.readbyqxmd.com/read/27237540/evaluation-of-explanted-cormatrix-intracardiac-patches-in-children-with-congenital-heart-disease
#18
Jennifer S Nelson, Amer Heider, Ming-Sing Si, Richard G Ohye
BACKGROUND: Animal data demonstrate that intracardiac patches of decellularized porcine small intestine submucosa (CorMatrix; CorMatrix Cardiovascular, Inc, Atlanta, GA) become repopulated with native cells, suggesting the possibility of a substrate for regenerative tissue in humans. We report the only prospective series to date of explanted CorMatrix patches placed in infants with congenital heart disease. METHODS: CorMatrix patches were implanted as the hemi-Fontan baffle in patients during their second stage of palliation...
October 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27227791/the-effects-of-a-single-whole-body-cryotherapy-exposure-on-physiological-performance-and-perceptual-responses-of-professional-academy-soccer-players-following-repeated-sprint-exercise
#19
M Russell, J Birch, T Love, C J Cook, R M Bracken, T Taylor, E Swift, E Cockburn, C Finn, D Cunningham, L Wilson, L P Kilduff
In professional youth soccer players, the physiological, performance and perceptual effects of a single whole body cryotherapy (WBC) session performed shortly after repeated sprint exercise were investigated. In a randomized, counter-balanced and crossover design, 14 habituated English Premier League academy soccer players performed 15 x 30 m sprints (each followed by a 10 m forced deceleration) on two occasions. Within 20 min of exercise cessation, players entered a WBC chamber (Cryo: 30 s at -60°C, 120 s at -135°C) or remained seated (Con) indoors in temperate conditions (∼25°C)...
May 21, 2016: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/27199031/accuracy-of-the-pacemaker-mediated-tachycardia-algorithm-in-boston-scientific-devices
#20
M Strik, A Frontera, R Eschalier, P Defaye, P Mondoly, P Ritter, M Haïssaguerre, S Ploux, P Bordachar
INTRODUCTION: The incidence of pacemaker-mediated tachycardia (PMT) varies as a function of patient characteristics, device programming and algorithm specificities. We investigated the efficacy of the Boston Scientific algorithm by reviewing PMT episodes in a large device population. METHODS: In this multicenter study, we included 328 patients implanted with a Boston Scientific device: 157 non-dependent patients with RYTHMIQ™ activated (RYTHMIQ group), 76 patients with permanent AV-conduction disorder (AV-block group) and 95 Cardiac Resynchronization Therapy patients (CRT group)...
July 2016: Journal of Electrocardiology
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