215,048 results match your criteria Catheterization and Cardiovascular Interventions[Journal]


A comparison of urodynamic findings between patients with complete and incomplete traumatic spinal cord injuries.

J Spinal Cord Med 2018 Dec 12:1-6. Epub 2018 Dec 12.

c The Department of Physical Medicine and Rehabilitation , Hitit University Medical School , Çorum , Turkey.

Objective: To compare urodynamic findings between patients with complete and incomplete traumatic spinal cord injuries (SCI) and to determine whether it is important to test with urodynamic study in patients with incomplete SCI.

Design: Retrospective study Setting: Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey Participants: A total of 66 patients with 36 complete and 30 incomplete traumatic SCI were included in the study, from July 2012 to September 2014.

Interventions: Urodynamic study Outcome Measures: Maximum cystometric capacity (MCC) , vesicle pressure at MCC, detrusor function (detrusor overactivity or not), bladder complience, bladder storage and emptying disorders, post-void residual volume (PVR) and bladder emptying method were recorded. Read More

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December 2018
2 Reads

Incidence of hemorrhagic complications with use of a radial compression device: a cohort study.

Rev Esc Enferm USP 2018 Dec 10;52:e03410. Epub 2018 Dec 10.

Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.

Objective: To examine the incidence of hemorrhagic complications in patients undergoing radial cardiac catheterization and using a hemostatic device for arterial compression.

Method: A prospective cohort study conducted with patients undergoing elective cardiac catheterization in two hemodynamic laboratories in southern Brazil. The TR Band® radial compression device was used during 4 hours for hemostasis of the arterial puncture site. Read More

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December 2018

Interventional Approach to Left Main Coronary Artery Dissection.

Cureus 2018 Oct 4;10(10):e3410. Epub 2018 Oct 4.

Cardiology, Staten Island University Hospital / Northwell Health, Staten Island, USA.

A left main coronary artery (LMCA) iatrogenic dissection is a rare but potentially life-threatening complication of coronary angioplasty. It can range from a simple tear in the artery wall to a severe dissection, causing complete blood flow obstruction. We report the case of a 63-year-old male patient who was presented to our catheterization laboratory following a positive stress test. Read More

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October 2018

Chest pain associated with rate-related left bundle branch block and cardiac memory mimicking ischemia.

J Cardiol Cases 2014 Mar 12;9(3):87-90. Epub 2013 Dec 12.

Division of Cardiology, University of South Alabama, Mobile, AL, USA.

Background: Intermittent left bundle branch block (LBBB) has been linked to chest pain, and causes cardiac memory electrocardiographic (ECG) changes mimicking ischemia.

Purpose: To present a case of chest pain with ECG abnormalities suggestive of ischemia, both likely caused by LBBB.

Case: A 33-year-old hypertensive female evaluated for chest pain and LBBB by ECG was treated with lisinopril and metoprolol, and scheduled for stress testing. Read More

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"Porcelain heart" a case of acute heart failure with massive myocardial calcification complicated with primary hyperparathyroidism.

J Cardiol Cases 2013 Dec 29;8(6):183-186. Epub 2013 Oct 29.

Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan.

A 47-year-old Japanese woman was transported to our hospital due to acute heart failure (AHF). She had been diagnosed with primary hyperparathyroidism (pHPT) and undergone parathyroidectomy 3 months previously. Chest X-ray showed marked cardiomegaly and severe pulmonary congestion, and transthoracic echocardiography indicated both left ventricular (LV) systolic and diastolic dysfunction, complicated with extensive massive myocardial calcification and no LV hypertrophy. Read More

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December 2013

Burn-associated delayed dilated cardiomyopathy evaluated by cardiac PET and SPECT: Report of a case.

J Cardiol Cases 2014 Nov 10;10(5):180-183. Epub 2014 Aug 10.

Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.

Dilated cardiomyopathy is a delayed-onset and rarely reported cardiac complication of burn injury although the mechanism remains unclear. We thus report a case of dilated cardiomyopathy following severe burn injury, in which technetium 99m sestamibi single-photon emission computed tomography (SPECT), iodine-123 beta-methyl-iodophenylpentadecanoic acid SPECT and F-fluorodeoxyglucose positron emission tomography (PET) were performed to evaluate the pathophysiologic condition in combination with cardiac catheterization and myocardial biopsy. The cardiac PET and SPECT images showed reduced myocardial blood flow, decreased fatty acid metabolism, and increased glucose utilization in the left ventricular lateral wall in spite of normal coronary angiography, no significant cardiac fibrosis, and inflammatory cell infiltration, which suggests that myocardial ischemia due to microcirculatory disturbance in hypermetabolic state associated with burn injury might be a causative mechanism of dilated cardiomyopathy in this case. Read More

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November 2014

Alemtuzumab induced ST-segment elevation and acute myocardial dysfunction.

J Cardiol Cases 2014 Nov 28;10(5):176-179. Epub 2014 Jul 28.

Montefiore-Einstein Center for Heart and Vascular Care, Albert Einstein College of Medicine, Bronx, NY, USA.

Cardiac toxicity as a side effect of chemotherapeutic agents has been well reported in the literature. Cardiac toxicity secondary to alemtuzumab has been reported, presenting as congestive heart failure and arrhythmias. Here we report a case of acute myocardial dysfunction after administration of a test dose of alemtuzumab. Read More

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November 2014

A case of human immunodeficiency virus-related heart failure resembling dilated cardiomyopathy but accompanied by high cardiac output.

J Cardiol Cases 2014 Nov 26;10(5):167-170. Epub 2014 Aug 26.

Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto City, Japan.

A 34-year-old man presented with heart failure (HF). He suffered opportunistic infections and was shown to be human immunodeficiency virus (HIV)-positive (viral load: 156,013 copies/mL) and have low CD4 lymphocytes (3/mm), so he was initially treated for the opportunistic infections. Initial investigations showed high elevation of brain natriuretic peptide (BNP: 969 pg/mL). Read More

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November 2014

Local injection of tissue-plasminogen activator using a pulse spray catheter as a treatment option for proximal deep vein thrombosis: A case report.

J Cardiol Cases 2014 Nov 27;10(5):163-166. Epub 2014 Jun 27.

Showa University Northern Yokohama Hospital, Division of Cardiology and Cardiac Catheterization Laboratories, Yokohama, Japan.

A 24-year-old woman was admitted to our hospital with the diagnosis of pulmonary thromboembolism (PTE) and left common iliac vein thrombosis. She had used low-dose contraceptive pill for dysmenorrhea. Otherwise, her laboratory data did not show any other thrombotic risk factors. Read More

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November 2014
1 Read

Left ventricular plasty improved cardiac function in a case of takotsubo cardiomyopathy with persistent aneurysm.

J Cardiol Cases 2013 May 15;7(5):e133-e136. Epub 2013 Feb 15.

Department of Cardiology and Hematology, Fukushima Medical University, 1 Hikarigaoka, Fukushima 960-1295, Japan.

A 72-year-old woman was admitted to a local hospital due to repeated chest pain in December 2011. On admission, blood tests showed elevation of cardiac enzyme and B-type natriuretic peptide levels. Electrocardiography showed ST-segment elevation in almost all leads. Read More

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Coronary rupture after stent deployment in a patient under chronic immunosuppressive therapy.

J Cardiol Cases 2012 Nov 11;6(5):e145-e149. Epub 2012 Aug 11.

1st Department of Cardiology, Hippokration Hospital, Medical School, National & Kapodistrian University of Athens, 13 Astypaleas, Anoixi, Attiki 14569, Greece.

Coronary rupture during cardiac catheterization and angioplasty is an uncommon but serious complication. Predisposing factors to this dreadful complication are not well defined. We present a case of coronary artery rupture during an urgent percutaneous intervention in a patient under chronic immunosuppressive therapy with corticosteroids and azathioprine, despite intravascular ultrasound (IVUS) guidance. Read More

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November 2012

Prinzmetal angina: An unrecognized cause of recurrent ST elevation myocardial infarction.

J Cardiol Cases 2012 Nov 15;6(5):e130-e132. Epub 2012 Jun 15.

Department of Medicine, Georgia Health Sciences University, 1120 15th Street, Augusta, GA 30912, USA.

Background: Prinzmetal's angina is characterized by a transient reduction in luminal diameter of a coronary artery resulting in spontaneous and often recurrent episodes of angina with electrocardiography (ECG) findings consistent with ST elevation.

Case Report: A 67-year-old male presented with complaint of intermittent chest discomfort during the previous 2-3 weeks. ECG obtained at presentation was consistent with ST elevation in inferior leads. Read More

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November 2012

A right coronary artery saccular aneurysm leading to an embolic myocardial infarction during diagnostic cardiac catheterization: A case report.

J Cardiol Cases 2012 Oct 9;6(4):e121-e123. Epub 2012 Aug 9.

Department of Cardiovascular Surgery, School of Medicine, Acıbadem University, İstanbul, Turkey.

Coronary artery aneurysms are localized dilatations greater than 1.5 times the diameter of the adjacent segments. These rarely seen abnormalities may lead to serious life-threatening complications such as myocardial infarction, coronary perforation and death. Read More

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October 2012

Traumatic transection of the left anterior descending artery caused by a projectile.

J Cardiol Cases 2012 Jun 31;5(3):e140-e142. Epub 2012 Mar 31.

University of Miami Miller School of Medicine, Department of Internal Medicine, Division of Cardiology, Miami, FL, USA.

Background: Coronary lesions caused by penetrating trauma are rare and associated with high mortality rates. Management depends on factors such as the location of the affected vessel and the degree of myocardial dysfunction. We present a case of penetrating cardiac trauma resulting in the subsequent occlusion of the distal left anterior descending artery (LAD) leading to the development of an apical myocardial infarct. Read More

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Coarctation of the aorta with some collaterals presenting as aortic dissection detected by 64-MDCT.

J Cardiol Cases 2012 Feb 4;5(1):e48-e50. Epub 2011 Oct 4.

Department of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan.

Coarctation of the aorta with aortic dissection is sometimes seen in cases of Turner syndrome, and most cases are type A aortic dissection, whereas coarctation of the aorta with type B aortic dissection is unusual. Only two cases of coarctation of the aorta presenting as aortic dissection have been reported in Japan, and only a few cases have been reported worldwide. We report here a case of coarctation of the aorta with some collaterals presenting as aortic dissection (type B) detected by 64-multidetector row computed tomography (MDCT). Read More

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February 2012

Acute pulmonary embolism induced by renal obstruction with benign prostatic hyperplasia: Case report.

J Cardiol Cases 2012 Feb 21;5(1):e39-e43. Epub 2011 Nov 21.

Division of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.

Background: We report a rare case of acute pulmonary embolism (PE) induced by urinary retention and bladder distention with benign prostatic hyperplasia (BPH).

Case Report: A 76-year-old male with BPH presented to the hospital with anuria of 24 h duration and abdominal distention. Physical examination revealed tenderness and distention of the lower abdomen and a swollen right leg. Read More

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February 2012

Postpartum multivessel coronary artery dissection treated with coronary artery bypass grafting.

J Cardiol Cases 2012 Feb 8;5(1):e23-e27. Epub 2011 Dec 8.

Hadassah University Hospital, Jerusalem, Israel.

Spontaneous coronary artery dissection is a rare but potentially life-threatening event associated with the peripartum period. We present a case of acute anterolateral ST elevation myocardial infarction in the postpartum period in a young woman. Thrombolytic therapy was successful, but later the patient required emergent coronary artery bypass grafting due to another acute inferolateral myocardial infarction that developed 4 h after cardiac catheterization which showed multivessel spontaneous coronary artery dissection. Read More

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February 2012

Very late stent thrombosis at 2.5 years after sirolimus-eluting stent implantation with prior angioscopic image of culprit lesion: A case report.

J Cardiol Cases 2012 Feb 26;5(1):e12-e15. Epub 2011 Nov 26.

Cardiovascular Division, Osaka Police Hospital, Osaka, Japan.

Although very late stent thrombosis after drug-eluting stent implantation is a critical event, its cause has not been clarified. This is the first report of a case with very late stent thrombosis after drug-eluting stent implantation for which prior angioscopic image of the culprit lesion is available. A 54-year-old Japanese male patient with stable angina who received implantation of sirolimus-eluting stent at the culprit lesion and 1-year follow-up angiographic and angioscopic examinations came back with chest pain at rest at 2. Read More

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February 2012
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Triphasic mitral inflow in acute coronary syndrome: A case study.

J Cardiol Cases 2011 Dec 18;4(3):e156-e159. Epub 2011 Sep 18.

Department of Cardiovascular Medicine, Kumamoto University School of Medicine, Kumamoto, Japan.

An 86-year-old woman was referred to our hospital for the management of rapid onset of chest pain. Blood analysis showed increased levels of cardiac enzymes and B-type natriuretic peptide. An electrocardiogram showed poor R wave in precordial leads and a QS wave in lead V4. Read More

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December 2011

A case of biopsy-proven cardiac sarcoidosis without any other extracardiac manifestations.

J Cardiol Cases 2011 Dec 20;4(3):e138-e142. Epub 2011 Aug 20.

Department of Pathology, Kitakyushu Municipal Medical Center, Kitakyushu, Japan.

A 49-year-old woman was referred to our hospital for uncontrollable heart failure. She had never been diagnosed as having sarcoidosis. Chest X-ray showed cardiomegaly without bilateral hilar lymphadenopathy. Read More

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December 2011

Mid-ventricular obstruction occurred in hypertrophic left ventricle of heterozygous Fabry's disease-Favorable effects of cibenzoline: A case report.

J Cardiol Cases 2011 Dec 7;4(3):e133-e137. Epub 2011 Sep 7.

Department of Internal Medicine, Division of Cardiology, Tanabe Central Hospital, Kyoto, Japan.

A 54-year-old woman visited our hospital because of palpitation and dizziness. Systolic ejection murmur, Levine IV/VI, was heard at the left sternal border and atrial gallop was auscultated at apex. Echocardiogram demonstrated diffuse hypertrophy of the left ventricular walls extending to the apex. Read More

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December 2011

Congenital coronary artery fistula presenting later in life.

J Cardiol Cases 2011 Aug 21;4(1):e43-e46. Epub 2011 Jun 21.

Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA.

A 53-year-old male presented to our tertiary medical center with complaints of dyspnea and exertional chest pain with mild left ventricular dysfunction and right ventricular enlargement on echocardiography. Cardiac catheterization showed a congenital right coronary artery fistula communicating with the right sided chambers. Using contrast enhanced multi-detector computed tomography scan, the fistula was clearly draining into the coronary sinus. Read More

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Successful treatment of in-stent restenosis of a covered stent graft with a paclitaxel-eluting stent.

J Cardiol Cases 2011 Aug 4;4(1):e13-e15. Epub 2011 May 4.

Interventional Cardiology and Cardiovascular Catheterization Lab, UCSD Medical Center, 200 West Arbor Drive, San Diego, CA, USA.

We present the case of a 58-year-old male with coronary artery disease and a significant stenosis of the left circumflex artery that was preceded by a coronary aneurysm. The stenosis and aneurysm were treated successfully with a coronary stent graft. The patient subsequently developed in-stent restenosis (ISR). Read More

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Postpartum spontaneous coronary dissection presenting with ventricular fibrillation.

J Cardiol Cases 2011 Feb 21;3(1):e17-e21. Epub 2010 Dec 21.

Ben Taub General Hospital, Baylor College of Medicine, Houston, TX, USA.

Background: Spontaneous coronary artery dissection is a rare cause of acute coronary syndromes; and one quarter of these patients present during the post-partum period. Furthermore, ventricular fibrillation is a rare presentation of this disease entity.

Case: A 32-year-old woman presented 3 days post Cesarean-section delivery with chest pain, ischemic electrocardiogram changes, and ventricular fibrillation arrest. Read More

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February 2011

Redefining the fluoroscopic landmarks for common femoral arterial puncture during cardiac catheterization: Femoral angiogram and computed tomography angiogram (FACT) study of common femoral artery anatomy.

Catheter Cardiovasc Interv 2018 Dec 7. Epub 2018 Dec 7.

Division of Cardiology, Aultman Hospital, Canton, Ohio.

Background: The mid-femoral head (F ) is a common fluoroscopic target for common femoral artery (CFA) puncture during cardiac catheterization. Punctures above the inguinal ligament (marking the proximal end of CFA) increase the risk of retroperitoneal hemorrhage and are classified as high punctures.

Methods: We retrospectively analyzed 114 CT angiograms for the anatomic relationship of the inguinal ligament to the femoral head (FH) and inferior epigastric artery (IEA). Read More

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December 2018

Distal radial access for coronary angiography and percutaneous coronary intervention: A state-of-the-art review.

Authors:
Thierry Corcos

Catheter Cardiovasc Interv 2018 Dec 11. Epub 2018 Dec 11.

Department of Cardiology, American Hospital of Paris and Hôpital Foch, Suresnes, France.

Since its introduction by Lucien Campeau three decades ago, percutaneous radial artery approach at the forearm has been shown to provide advantages over the femoral approach and has become the standard approach for coronary angiography and intervention. Though infrequent, vascular complications still remain, mainly radial artery occlusion. Therefore, a more distal radial approach at the snuffbox or at the dorsum of hand has been suggested, initially by anethesiologists for perioperative patient monitoring, and more recently by Babunashvili et al. Read More

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December 2018
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Spontaneous pulmonary air embolism in a child undergoing procedural deep sedation: case report and review of the literature.

Eur Rev Med Pharmacol Sci 2018 Nov;22(22):7916-7919

Department of Anesthesiology and Intensive Care, Fondazione Policlinico Universitario A. Gemelli - IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.

We performed a systematic review of the literature starting from a real case of venous air embolism (VAE) in a young infant undergoing central catheterization during procedural sedation. Air embolism due to internal jugular vein catheterization during procedural sedation is very rare, but it is a potentially life-threatening complication of central catheterization that warrants attention. To our knowledge, this is the first case published in a similar scenario. Read More

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November 2018

Left atrial strain improves estimation of filling pressures in heart failure: a simultaneous echocardiographic and invasive haemodynamic study.

Clin Res Cardiol 2018 Dec 10. Epub 2018 Dec 10.

Institution for Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.

Aims: Left ventricular diastolic pressure estimation is essential for characterization of heart failure (HF). Patients with normal resting left atrial (LA) pressures (LAP), but steep LAP elevation on exertion, pose a particular diagnostic challenge. Current recommendations on echocardiographic LAP estimation have limited accuracy. Read More

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December 2018

Pulmonary hypertension in Spanish patients with systemic sclerosis. Data from the RESCLE registry.

Clin Rheumatol 2018 Dec 7. Epub 2018 Dec 7.

Autoimmune Diseases Unit, Department of Internal Medicine, Hospital Universitario Vall d'Hebron, Barcelona, Spain.

Introduction: Our objective was to evaluate the pulmonary hypertension (PH) data for Spanish patients with systemic sclerosis (SSc), define the PH types and determine the associated factors.

Method: Descriptive study of PH-related data from the multicentre RESCLE registry. Estimated systolic pulmonary artery pressure (esPAP), measured via echocardiogram was considered elevated if ≥ 35 mmHg. Read More

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December 2018

[Nosocomial urinary tract infection: an analysis beyond urinary catheterization].

Rev Chilena Infectol 2018 ;35(3):246-252

Servicio de Medicina Interna, Hospital Privado Universitario de Córdoba, Instituto Universitario de Ciencias Biomédicas de Córdoba, Córdoba, Argentina.

Introduction: Nosocomially acquired urinary tract infections (NAUTI) represent an important public health issue, but its characteristics when they are not catheter associated (CA-UTI) or when they take place outside intensive care units (ICU) are poorly understood.

Objectives: To determine the patients' characteristics, etiology and antimicrobial susceptibility of NAUTI, both CA-UTI and no CA-UTI, in general ward and ICU.

Methods: We conducted a retrospective analytic cross-sectional study, between 2009 and 2013, in a third level universitary hospital. Read More

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January 2018

A diagnostic algorithm for pulmonary hypertension due to left heart disease in resource-limited settings: can busy clinicians adopt a simple, practical approach?

Cardiovasc J Afr 2018 Nov 30;29:1-7. Epub 2018 Nov 30.

Hatter Institute for Cardiovascular Research in Africa, South African Medical Research Council Cape Heart Centre, IDM, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

Pulmonary hypertension (PH) has progressively moved from an orphan disease to a significant global health problem with a major disease burden in limited7hyphen;resource countries, where over 97% of patients live. The aetiologies of PH differ between high- and low-income nations, but PH due to left heart disease is credited to be the most frequent contemporary form. Although a straightforward diagnosis of PH requires the use of right heart catheterisation (RHC), access to equipment for RHC is a deterrent. Read More

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November 2018

Bipolar en bloc tumor resection versus standard monopolar TURBT - which is the best way to go in non-invasive bladder cancer?

Rom J Morphol Embryol 2018 ;59(3):773-780

Department of Nephrology and Dialysis, "St. John" Emergency Clinical Hospital, Clinical Department No. 3, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania;

The aim of the study was to observe similarities and differences regarding surgical safety and prognosis between en bloc bipolar resection and monopolar transurethral resection of bladder tumors (TURBTs) in medium size papillary non-muscle invasive bladder tumors (NMIBTs). A total of 90 patients with papillary bladder tumors presenting a diameter between 1 and 3 cm were equally divided and alternatively assigned for en bloc bipolar ablation (the study group) and conventional TURBT (the control group). During one year, every three months, the follow-up was performed and the protocol included urinary cytology and cystoscopy. Read More

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January 2018

User perception of a new hydrophilic-coated male urinary catheter for intermittent use.

Nurs Open 2019 Jan 4;6(1):116-125. Epub 2018 Sep 4.

Radboudumc Nijmegen The Netherlands.

Aims: This study investigated user perception and adherence related to a hydrophilic-coated urinary catheter (LoFric® Origo™), available for male patients who practice intermittent catheterization.

Design: The study had a prospective observational design, including patients from 19 European hospitals.

Methods: A total of 416 patients were eligible for the study; 179 experienced catheter users and 237 de novo. Read More

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January 2019
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The level of safety standards in implementing therapeutic and caring procedures by emergency department personnel.

Nurs Open 2019 Jan 14;6(1):109-115. Epub 2018 Sep 14.

School of Nursing and Midwifery Dezful University of Medical Sciences Dezful Iran.

Aim: The present study aimed to determine the level of applying safety standards in treatment and therapy processes.

Design: In the present descriptive study, 120 cases of nasogastric intubation, bladder catheterization and intramuscular and intravenous injections done by emergency staff were randomly selected.

Methods: The data were collected by a two-section checklist including demographic features and four sheets of observation. Read More

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January 2019

Increased index of microcirculatory resistance in older patients with heart failure with preserved ejection fraction.

J Geriatr Cardiol 2018 Nov;15(11):687-694

Department of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Objective: To study the coronary microvascular function in older patients with heart failure with preserved ejection fraction (HFpEF) using an invasive pressure-temperature sensor guidewire.

Methods: Patients undergoing echocardiography and cardiac catheterization examinations for exertional dyspnea and a positive stress test were retrospectively enrolled from January 2014 to November 2017, and were allocated into the control group or HFpEF group. The HFpEF group was secondary divided into two groups according to the age of 65. Read More

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November 2018

Cardiac Manifestations in Systemic Lupus Erythematosus: A Case Report and Review of the Literature.

Am J Med Case Rep 2018 ;6(9):180-183

Department of Medicine, Division of Rheumatology, State University of New York, Downstate Medical Center/Health + Hospitals Kings County Brooklyn, NY 11203 USA.

Background: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease with a wide range of clinical features and variable clinical course. SLE tends to affect women during childbearing years and is characterized by multi-organ involvement. Cardiac complications in SLE, which have been described to occur in about 50% of the cases, contributes to significant morbidity and mortality in this population. Read More

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January 2018

Comparison of Three-Quadrant Transversus Abdominis Plane Block and Continuous Epidural Block for Postoperative Analgesia After Transperitoneal Laparoscopic Nephrectomy.

Anesth Pain Med 2018 Oct 3;8(5):e80024. Epub 2018 Sep 3.

Department of Anesthesiology and Intensive Care, Universitas Indonesia, Jakarta, Indonesia.

Background: Postoperative pain management is important for the early recovery of the living donor patient. Patient-controlled opioid analgesia, epidural analgesia, or a combination of both is the preferred pain management after abdominal surgery although these approaches have serious side effects. The transversus abdominis plane (TAP) block has been increasingly used for postoperative pain management and the addition of dexamethasone to local anesthetic can prolong the duration of action. Read More

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October 2018

Ultrasound-Guided Vascular Access Is an Important Tool to Prevent Catastrophes: Transinferior Epigastric Artery Cardiac Catheterization.

Case Rep Cardiol 2018 8;2018:2041643. Epub 2018 Nov 8.

Department of Cardiovascular Services, Marshall University Joan C. Edwards School of Medicine, Huntington, WV, USA.

We report a case of cardiac catheterization that was done entirely by accidentally accessing the inferior epigastric artery (IEA) through an unintentional puncture of the U-shaped portion of the inferior epigastric artery. Luckily the patient did not have any trauma to the IEA and was d/c home with no complications. A 48-year-old female with history of hypertension and CAD S/P left circumflex stent many years ago who presented to our facility with persistent crescendo angina for which decision was made to proceed with LHC. Read More

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November 2018

Sex differences in management and outcomes of patients with stable symptoms suggestive of coronary artery disease: Insights from the PROMISE trial.

Am Heart J 2018 Nov 9;208:28-36. Epub 2018 Nov 9.

Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC.

Background: Although sex differences exist in the management of acute coronary syndromes, less is known about the management and outcomes of women and men with suspected coronary artery disease being evaluated with noninvasive testing (NIT).

Methods: We investigated sex-based differences in NIT results and subsequent clinical management in 4,720 women and 4,246 men randomized to CT angiography versus stress testing in the PROMISE trial. Logistic regression models assessed relationships between sex and referral for catheterization, revascularization, and aspirin or statin use. Read More

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November 2018

Selective Middle Cerebral Artery Occlusion In The Rabbit: Technique And Characterization With Pathologic Findings and Multimodal MRI.

J Neurosci Methods 2018 Dec 7. Epub 2018 Dec 7.

Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, California, United States.

Background: A reliable animal model of ischemic stroke is vital for pre-clinical evaluation of stroke therapies. We describe a reproducible middle cerebral artery (MCA) embolic occlusion in the French Lop rabbit characterized with multimodal MRI and histopathologic tissue analysis.

New Method: Fluoroscopic-guided microcatheter placement was performed in five consecutive subjects with angiographic confirmation of MCA occlusion with autologous clot. Read More

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December 2018

The postnatal management of boys in a national cohort of bladder outlet obstruction.

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of Paediatric Urology, Birmingham Children's Hospital, UK. Electronic address:

Aim: The most common cause of congenital bladder outlet obstruction (BOO) is posterior urethral valves (PUV). Initial treatment requires decompression, but transurethral incision (TUI) or primary diversion is all described. There is no randomized control trial to guide management. Read More

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November 2018

Accuracy of non-invasive stress testing in women and men with angina in the absence of obstructive coronary artery disease.

Int J Cardiol 2018 Oct 23. Epub 2018 Oct 23.

Division of Cardiovascular Medicine, Department of Medicine, Stanford School of Medicine, Stanford, CA, USA. Electronic address:

Objective: While >20% of patients presenting to the cardiac catheterization laboratory with angina have no obstructive coronary artery disease (CAD), a majority (77%) have an occult coronary abnormality (endothelial dysfunction, microvascular dysfunction (MVD), and/or a myocardial bridge (MB)). There are little data regarding the ability of noninvasive stress testing to identify these occult abnormalities in patients with angina in the absence of obstructive CAD.

Methods: We retrospectively evaluated 155 patients (76. Read More

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October 2018

The effect of a surgical safety checklist on complication rates associated with permanent transvenous pacemaker implantation in dogs.

J Vet Cardiol 2018 Dec 5. Epub 2018 Dec 5.

Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, 1060 William Moore Drive, Raleigh, NC 27607, USA.

Introduction: To determine whether use of a surgical safety checklist (SSC) would reduce the rate of major complications after permanent transvenous pacemaker implantation in dogs.

Animals: The study included one hundred ninety-nine dogs undergoing pacemaker implantation for bradyarrhythmias at an academic teaching hospital.

Methods: A service-specific SSC was developed and implemented for cardiac catheterization procedures in 2015. Read More

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December 2018
1 Read

A 44-Year-Old Woman With Sudden Breathlessness, Tightness in Chest, and Hypotension After Extubation in the Early Postoperative Period After Liver Transplantation.

Chest 2018 Dec;154(6):e177-e180

Critical Care Medicine Department, Instituto Nacional de Ciencias Médicas y Nutricion Salvador Zubiran, Mexico City, Mexico. Electronic address:

Case Presentation: A 44-year-old woman with Child-Pugh class C cirrhosis due to primary biliary cirrhosis and mild portopulmonary syndrome received a liver transplant. Her basal catheterization showed a mean pulmonary arterial pressure (mPAP) of 28 mm Hg, pulmonary artery occlusion pressure (PAOP) of 8 mm Hg, pulmonary vascular resistance (PVR) of 307 dynes.s. Read More

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December 2018

Extreme exercise dislike of a toddler due to a patent foramen ovale.

Cardiol Young 2018 Dec 11:1-2. Epub 2018 Dec 11.

Fetal and Pediatric Cardiology,University Hospitals Leuven,Herestraat 49, 3000 Leuven,Belgium.

A 5-year-old girl presented with chronic fatigue and extreme exercise intolerance. After countless doctor visits, investigations, and hospital admissions, striking desaturation during exercise test pointed to a cardiovascular problem. Desaturation as a result of right-to-left shunting through a patent foramen ovale during upright exercise was hypothesised. Read More

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December 2018

Urinary catheters: PART 2 Catheterisation in males and females.

Br J Nurs 2018 Dec;27(22):1306-1310

Senior Lecturer in Adult Nursing, Northumbria University.

Michelle Mitchell, Graduate Tutor for Adult Nursing, Northumbria University, michelle3.mitchell@northumbria.ac. Read More

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December 2018

Implant of ATOMS® system for the treatment of postoperative male stress urinary incontinence: results of a single centre.

Int Braz J Urol 2018 Oct 30;44. Epub 2018 Oct 30.

Department of Neuro-Urology, CTO - Spinal Unit, Città della Salute e della Scienza di Torino, Turin, Italy.

Purpose: The aim of our study is to evaluate the efficacy and safety of ATOMS® system for the treatment of postoperative male stress urinary incontinence (SUI).

Materials And Methods: We retrospectively evaluated all patients treated at our institution for postoperative male SUI with ATOMS® implant. We excluded patients with low bladder compliance (< 20 mL / cmH2O), uncontrolled detrusor overactivity, detrusor underactivity (BCI < 100), urethral or bladder neck stricture and low cystometric capacity (< 200 mL). Read More

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October 2018

Advantages of Intraprocedural Unenhanced CT During Adrenal Venous Sampling to Confirm Accurate Catheterization of the Right Adrenal Vein.

Cardiovasc Intervent Radiol 2018 Dec 5. Epub 2018 Dec 5.

Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.

Purpose: To evaluate the advantages of intraprocedural CT during adrenal venous sampling (AVS) to confirm accurate catheterization of the right adrenal vein (RAV).

Materials And Methods: This single-institution study included 106 patients (mean age 52.4 years; range 28-74 years) with primary aldosteronism who performed contrast-enhanced CT (CECT) before AVS following AVS between January 2011 and March 2018. Read More

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December 2018
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White coat syndrome and its variations: differences and clinical impact.

Integr Blood Press Control 2018 8;11:73-79. Epub 2018 Nov 8.

Department of Pharmacology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil,

Hypertension is closely linked to increased cardiovascular risk and development of target organ damage (TOD). Therefore, proper clinical follow-up and treatment of hypertensive subjects are mandatory. A great number of individuals present a variation on blood pressure (BP) levels when they are assessed either in the office or in the out-of-office settings. Read More

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November 2018