10,390 results match your criteria Femoral Artery Cannulation

A Time-Out for Arterial Access.

Cardiovasc Revasc Med 2022 Jul 18;40:150-151. Epub 2022 May 18.

Department of Interventional Cardiology, Excela Health, Greensburg, PA, United States of America.

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Synchronous Type 3 EVAR Endoleaks at Multiple Sites Following Transfemoral Transcatheter Aortic Valve Replacement.

JACC Case Rep 2022 Jun 15;4(12):742-750. Epub 2022 Jun 15.

Department of Vascular Surgery, NCH Healthcare System, Naples, Florida, USA.

We describe a complication following transfemoral transcatheter aortic valve replacement in a patient who underwent remote endovascular abdominal aortic aneurysm repair. This report highlights technical complications to be vigilant of when using intravascular catheterization in patients with previous aneurysm repair while also showcasing synchronous type 3 endoleaks at multiple sites. (). Read More

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Distal Perfusion With Modified Centrifugal Pump Circuit in Thoracic and Thoracoabdominal Aortic Aneurysm Repair.

Vasc Endovascular Surg 2022 Jun 12:15385744221108049. Epub 2022 Jun 12.

Department of Cardiovascular Surgery, 60521Ege University School of Medicine, Izmir, Turkey.

Objective: The left heart bypass is currently the most frequent adjunct to provide distal aortic perfusion during aortic clamping. However, closed-circuits cannot respond to sudden hemodynamic fluctuations during aortic clamping which may lead to complications. In this report, we aim to give the technical aspects of reservoir-added centrifugal pump circuit system, its implementation and the clinical outcomes. Read More

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Endovascular treatment of femoropopliteal arterial occlusive disease: Current techniques and limitations.

Semin Vasc Surg 2022 Jun 26;35(2):180-189. Epub 2022 Apr 26.

University of Kentucky College of Medicine, 800 Rose Street, MN 275, Lexington, KY 40536. Electronic address:

In an aging population with a rising incidence of peripheral artery disease, endovascular therapy is a favorable alternative to open surgical bypass. As a minimally invasive approach, endovascular therapy incurs less physiologic stress and periprocedural complications. Balloon angioplasty and stenting have been the predominant tools in peripheral endovascular therapy. Read More

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Single Radial Access Simultaneous Left Ventricular and Ascending Aortic Pressure for the Evaluation of Aortic Stenosis: The "Double-Barrel" Technique.

J Invasive Cardiol 2022 Jun;34(6):E481-E483

29333 Picana Lane, Wesley Chapel, FL 33543 USA.

The use of simultaneous left ventricular and ascending aortic pressure tracings by cardiac catheterization is the gold standard of care for accurate hemodynamic assessment of aortic stenosis severity in patients with equivocal echocardiogram. We describe the first-in-man single radial access "double-barrel" technique for the evaluation of aortic stenosis. A 7-Fr Glidesheath Slender hydrophilic-coated introducer sheath (Terumo) was placed in the right radial artery. Read More

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Single direct right axillary artery cannulation using a modified Seldinger technique in minimally invasive cardiac surgery.

Gen Thorac Cardiovasc Surg 2022 May 31. Epub 2022 May 31.

Department of Cardiovascular Surgery, Chiba-Nishi General Hospital, 107-1 Kanegasaku, Matsudo, Chiba, 270-2251, Japan.

Objectives: Single direct right axillary artery cannulation is uncommon in minimally invasive cardiac surgery; however, the risk of cerebral infarction due to retrograde perfusion using the femoral artery remains high in patients with thoracoabdominal aortic atheroma. In our institution, we perform right axillary artery cannulation using a modified Seldinger technique in patients with atherosclerotic disease. This study aimed to evaluate the safety and effectiveness of this technique in minimally invasive cardiac surgery. Read More

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Incomplete Removal and Accidental Retention of Temporary Epicardial Pacing Wires in the Chest after Heart Surgery: A Case Report.

J Tehran Heart Cent 2021 Jul;16(3):129-131

Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Temporary pacemaker wires are commonly used for the diagnosis and treatment of arrhythmias in the acute postoperative period. We herein describe a 65-year-old woman with a history of coronary artery bypass graft surgery who was referred to the hospital with a purulent discharge in the lower third of the sternal region while on antibiotics. Two years later, following treatment failure, 2 sternal wires were removed. Read More

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Simplified TAVR Procedure: How Far Is It Possible to Go?

J Clin Med 2022 May 16;11(10). Epub 2022 May 16.

Department of Cardiology, Montpellier University Hospital, 34295 Montpellier, France.

Increasing operators' experience and improvement of the technique have resulted in a drastic reduction in complications following transcatheter aortic valve replacement (TAVR) in patients with lower surgical risk. In parallel, the procedure was considerably simplified, with a routine default approach including local anesthesia in the catheterization laboratory, percutaneous femoral approach, radial artery as the secondary access, prosthesis implantation without predilatation, left ventricle wire pacing and early discharge. Thus, the "simplified" TAVR adopted in most centers nowadays is a real revolution of the technique. Read More

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Aortic arch repair: lessons learned over three decades at Baylor College of Medicine.

J Cardiovasc Surg (Torino) 2022 May 27. Epub 2022 May 27.

Baylor College of Medicine, Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Houston, TX, USA -

The treatment of complex aortic arch disease continues to be among the most demanding cardiovascular operations, with a considerable risk of death and stroke. Since January 1990, our single-practice service has performed over 3,000 repairs of the aortic arch. Our aim is to describe the progression of our technical approach to open aortic arch repair. Read More

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Agreements between mean arterial pressure from radial and femoral artery measurements in refractory shock patients.

Sci Rep 2022 May 25;12(1):8825. Epub 2022 May 25.

Division of Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand.

Radial and femoral artery catheterization is the most common procedure for monitoring patients with shock. However, a disagreement in mean arterial pressure (MAP) between the two sites has been reported. Hence, the aim of this study was to compare the MAP from the radial artery (MAP) with that of the femoral artery (MAP) in patients with refractory shock. Read More

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Experience of Cadaver Donor Nephrectomy with Cadaver Surgical Training.

Yonago Acta Med 2022 May 23;65(2):181-183. Epub 2022 May 23.

Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan.

As cadaver donor nephrectomy in kidney transplantation is performed in only a limited number of cases, few physicians are skilled in the surgical technique. We performed two cadaver donor nephrectomy sessions during cadaver surgical training. The first session was performed by a lecturer who was skilled in the technique, with physicians and nurses participating in order to learn the methodology. Read More

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Duplex ultrasound and clinical outcomes of medical management of pediatric lower extremity arterial thrombosis.

J Vasc Surg 2022 May 20. Epub 2022 May 20.

Division of Vascular Surgery, Oregon Health & Science University, Portland, OR.

Objectives: Natural history and duplex ultrasound (DU) findings of pediatric lower extremity arterial thrombosis (PLEAT) are not well-defined. We describe acute and short-term DU findings of PLEAT to aid duplex interpretation and patient management.

Methods: From August 2018 to April 2021 children with suspected PLEAT were identified prospectively. Read More

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Update From the Longitudinal Assessment of Safety of Femoropopliteal Endovascular Treatment With Paclitaxel-Coated Devices Among Medicare Beneficiaries: The SAFE-PAD Study.

Circ Cardiovasc Interv 2022 Jun 20;15(6):e012074. Epub 2022 May 20.

Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA (E.A.S., Y.S., R.W.Y.).

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Veno-Venous Extracorporeal Membrane Oxygenation in Minipigs as a Robust Tool to Model Acute Kidney Injury: Technical Notes and Characteristics.

Front Med (Lausanne) 2022 28;9:866667. Epub 2022 Apr 28.

Institute of Surgical Research, University of Szeged, Szeged, Hungary.

Objective: Veno-venous extracorporeal membrane oxygenation (vv-ECMO) can save lives in severe respiratory distress, but this innovative approach has serious side-effects and is accompanied by higher rates of iatrogenic morbidity. Our aims were, first, to establish a large animal model of vv-ECMO to study the pathomechanism of complications within a clinically relevant time frame and, second, to investigate renal reactions to increase the likelihood of identifying novel targets and to improve clinical outcomes of vv-ECMO-induced acute kidney injury (AKI).

Methods: Anesthetized Vietnamese miniature pigs were used. Read More

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An unusual case of femoral arteriovenous fistula associated with acute limb ischemia following femoral vein catheterization for hemodialysis.

J Vasc Bras 2022 2;21:e20210199. Epub 2022 May 2.

University of Colombo, Colombo, Sri Lanka.

Co-occurrence of acute limb ischemia (ALI) and arteriovenous fistula (AVF) as a manifestation of inadvertent arterial injury during percutaneous femoral vein dialysis catheter insertion is a rare and dangerous, but preventable complication. Iatrogenic femoral AVF commonly presents late, with leg swelling or high output cardiac failure. However, the co-occurrence of a femoral AVF with both progressive leg swelling, and acute thromboembolism has not been previously reported. Read More

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Prohibitive Radial Artery Occlusion Rates Following Transradial Access Using a 6-French Neuron MAX Long Sheath for Intracranial Aneurysm Treatment.

Clin Neuroradiol 2022 May 13. Epub 2022 May 13.

Department of Neuroradiology, Sorbonne University. APHP. Pitié-Salpêtrière Hospital, 47, Bd de l'Hôpital, 75013, Paris, France.

Objective: To evaluate the feasibility, safety, and rate of radial artery occlusion (RAO) after the treatment of intracranial aneurysms using a 6F Neuron MAX (Penumbra, Alameda, CA, USA) long sheath directly into the radial artery.

Methods: All consecutive patients treated for unruptured intracranial aneurysms with TRA using a 6F Neuron MAX catheter between September 2019 and May 2021 in a single tertiary center were screened. They were referred to a consultation and an ultrasound-Doppler assessment of the radial artery 3 months after treatment with the attending neuroradiologist. Read More

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Auryon Laser in Peripheral Arterial Interventions: A Single-Center Experience (Auryon-SCE).

J Invasive Cardiol 2022 Jun 11;34(6):E428-E432. Epub 2022 May 11.

Midwest Cardiovascular Research Foundation, 630 East 4th Street, Davenport, IA 52803 USA.

Background: The Auryon 355-nm laser atherectomy system (AngioDynamics, Inc) showed a low rate of target-lesion revascularization (TLR) at 6-month follow-up in the investigational device exemption study. At present, real-world data are not available. In this study, we analyze major adverse events and 6-month outcomes with the Auryon laser system in treating infrainguinal arterial disease in all comers at a single center. Read More

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Computational fluid dynamics analysis of endoluminal aortic perfusion.

Perfusion 2022 May 12:2676591221099809. Epub 2022 May 12.

Division of Thoracic Surgery and Thoracic Organ Support, University Hospital Medical Faculty, 39058RWTH Aachen University, Aachen, Germany.

Introduction: In peripheral percutaneous (VA) extracorporeal membrane oxygenation (ECMO) procedures the femoral arteries perfusion route has inherent disadvantages regarding poor upper body perfusion due to watershed. With the advent of new long flexible cannulas an advancement of the tip up to the ascending aorta has become feasible. To investigate the impact of such long endoluminal cannulas on upper body perfusion, a Computational Fluid Dynamics (CFD) study was performed considering different support levels and three cannula positions. Read More

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Usefulness of transpedal intervention for inferior epigastric artery bleeding following catheter ablation: a case report.

Eur Heart J Case Rep 2022 May 26;6(5):ytac181. Epub 2022 Apr 26.

Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan.

Background: Cardiovascular interventions may result in access-site complication, including inferior epigastric artery (IEA) bleeding. The IEA injury is generally treated through surgery and transcatheter embolization; however, additional complications should be avoided in the bailout procedure. Here, we present a case of catheter ablation complicated by IEA haemorrhage that we managed by transcatheter embolization using a transpedal intervention (TPI). Read More

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Distal perfusion cannula use in femoro-femoral VA-ECMO.

Xiaotong Hou

Perfusion 2022 Jul 9;37(5):437-438. Epub 2022 May 9.

Beijing Anzhen Hospital, 12667Capital Medical University, Beijing 100029 China.

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Strategies to reduce limb ischemia in peripheral venoarterial extracorporeal membrane oxygenation: A systematic review and Meta-analysis.

Int J Cardiol 2022 Aug 9;361:77-84. Epub 2022 May 9.

Department of Medicine, Tufts Medical Center and Tufts University School of Medicine, United States of America; The Cardiovascular Center, Tufts Medical Center and Tufts University School of Medicine, United States of America. Electronic address:

Venoarterial extracorporeal membrane oxygenation (VA-ECMO) provides cardiovascular and respiratory support for patients in cardiogenic shock; yet, complications are a frequent source of morbidity and mortality. Limb ischemia can be potentially mitigated by limp perfusion protection strategies (LPPS). We performed a systematic review and meta-analysis to evaluate the safety and efficacy of two LPPS in patients treated with peripheral VA-ECMO - prophylactic insertion of a distal perfusion catheter (DPC) and small bore (<17 Fr) arterial return cannula. Read More

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Treatment of a severe distal thoracic and abdominal coarctation with cutting balloon and stent implantation in an infant: From fetal diagnosis to adolescence.

Health Sci Rep 2022 May 25;5(3):e625. Epub 2022 Apr 25.

Cliniques Universitaires Saint-Luc UCL Brussels Belgium.

Background And Aims: Abdominal coarctations are rare. Surgical treatment is difficult and requires re-interventions to adjust the graft material to patient growth. We report effective treatment by interventional catheterization in an infant with the concern to allow adjustment for growth and prevention of vessel damage. Read More

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Distal transradial access for targeted spinal angiography and embolization.

Interv Neuroradiol 2022 Apr 28:15910199221097489. Epub 2022 Apr 28.

Department of Clinical Neurosciences, 26634Foothills Medical Centre, Calgary, Alberta, Canada.

Background: Spinal catheter angiography is commonly performed in the evaluation and treatment of spinal vascular lesions. The typical approach to spinal angiography consists of access through the femoral artery with the use of suitably shaped catheters for selective catheterization of the spinal segmental vasculature. The purpose of our study was to evaluate the safety and feasibility of distal transradial access through the "anatomical snuffbox" for targeted spinal angiography, for the investigation and treatment of selected spinal lesions. Read More

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Endovascular Management of a Large Femoral Pseudoaneurysm: A Case Report and Literary Review.

Cureus 2022 Mar 10;14(3):e23045. Epub 2022 Mar 10.

Department of Surgery, Detroit Medical Center (DMC) Sinai-Grace Hospital, Detroit, USA.

Femoral artery pseudoaneurysms have an increased incidence over the past few years due to the rise in percutaneous catheterization and so have the potential treatment options. Ultrasound-guided thrombin injection has been strongly studied, and data have shown its efficacy, safety, and superiority to ultrasound-guided compression therapy as well as open surgical repair; however, a less well-studied approach that appears to be burgeoning is endovascular stent repair. Many small studies and case reports have shown this option to be not only effective but also safe and might be the treatment option of choice in patients who are deemed high risk for surgical intervention or with complicated anatomical considerations at the site of injury. Read More

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Major adverse limb events in patients with femoro-popliteal and below-the-knee peripheral arterial disease treated with either sirolimus-coated balloon or standard uncoated balloon angioplasty: a structured protocol summary of the "SirPAD" randomized controlled trial.

Trials 2022 Apr 21;23(1):334. Epub 2022 Apr 21.

Department of Angiology, University Hospital Zurich, Zurich, Switzerland.

Background: Peripheral arterial disease is a progressive atherosclerotic disease with symptoms ranging from an intermittent claudication to acute critical limb ischemia and amputations. Drug-coated balloons and stents were developed to prevent neo-intimal proliferation and restenosis after percutaneous transluminal angioplasty. Randomized controlled trials showed that drug-coated, notably paclitaxel-coated, devices reduce restenosis, late lumen loss, and the need for target lesion re-vascularization compared with uncoated ones. Read More

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The use of the Safeguard pressure-assisted device for maintenance of hemostasis following angiography in children.

J Vasc Interv Radiol 2022 Apr 18. Epub 2022 Apr 18.

Division of Vascular and Interventional Radiology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115 Boston, USA; Division of Anesthesiology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115 Boston, USA.

Purpose: To assess the safety and efficacy of post-hemostasis use of the SafeGuard pressure-assisted device following angiography in children performed under general anesthesia.

Materials And Methods: We retrospectively reviewed the medical records of 74 children (43 females) with mean age of 8.9 years (range 0. Read More

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Sex-Related Outcomes Following Drug Balloon Angioplasty in Patients from the BIOLUX P-III Registry: A Subgroup Analysis.

Cardiovasc Intervent Radiol 2022 Jul 20;45(7):918-928. Epub 2022 Apr 20.

Department of Vascular Surgery, Royal Perth Hospital, Level 2, MRF Building, Perth, 6000, Australia.

Purpose: To evaluate the use of drug-coated balloons in a real-world patient population with peripheral arterial disease and analyse the impact of sex on mid-term outcomes following their utilisation.

Methods: The BIOLUX P-III is a prospective, international, multi-centre, registry of patients with infra-inguinal lesions treated using the Passeo-18 Lux, a drug-coated balloon. Our study is a 24-month subgroup analysis of these patients; primary endpoints were freedom from major adverse events and clinically driven target lesion re-vascularisation within 12 months post-intervention. Read More

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Percutaneous versus surgical femoral access in minimally invasive cardiac operations.

Eur J Cardiothorac Surg 2022 May;61(6):1348-1354

Department of Cardiac Surgery, University Hospital Bonn, Bonn, Germany.

Objectives: Both surgical and percutaneous femoral accesses for the establishment of extracorporeal circulation are used in minimally invasive cardiac surgeries. The goal of this study was to compare the outcomes with the MANTA vascular closure device after percutaneous arterial decannulation via the surgical approach.

Methods: Between November 2018 and January 2021, a total of 490 consecutive patients underwent minimally invasive cardiac operations at our institution. Read More

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Successfully treating the common femoral artery "no go zone" with directional atherectomy plus antirestenotic therapy (DAART).

Catheter Cardiovasc Interv 2022 03;99(4):1317-1318

Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA.

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Preventive aerobic training preserves sympathovagal function and improves DNA repair capacity of peripheral blood mononuclear cells in rats with cardiomyopathy.

Sci Rep 2022 04 19;12(1):6422. Epub 2022 Apr 19.

Institute of Cardiology of Rio Grande do Sul/University Foundation of Cardiology (IC/FUC), Av. Princesa Isabel, 370, Porto Alegre, Rio Grande do Sul, Brazil.

To evaluate the effect of preventive aerobic exercise training on sympathovagal function, cardiac function, and DNA repair capacity in a preclinical model of doxorubicin (DOX)-induced cardiomyopathy. Forty male Wistar-Kyoto rats were allocated into four groups (n = 10/group): D (DOX-treated) and C (controls) remained sedentary, and DT (DOX-trained) and CT (control-trained) performed aerobic training 4 days/week, during 4 weeks before exposure to DOX (4 mg/kg/week during 4 weeks) or saline solution. We evaluated cardiac function (echocardiography), hemodynamic and sympathovagal modulation (artery-femoral cannulation), cardiac troponin T levels, and DNA repair capacity (comet assay). Read More

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