138,327 results match your criteria Percutaneous Absess Drainage


Adverse events in patients with high platelet reactivity following successful chronic total occlusion PCI: The Assessment of Dual AntiPlatelet Therapy with Drug-Eluting Stents (ADAPT-DES) study.

Am Heart J 2019 Feb 20;211:68-76. Epub 2019 Feb 20.

New York-Presbyterian Hospital/Columbia University Medical Center, New York, NY; Cardiovascular Research Foundation, New York, NY.

Background: Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) typically requires a greater number of stents and longer stent length than non-CTO PCI, placing these patients at greater risk for adverse ischemic events. We sought to determine whether the association between high platelet reactivity (HPR) and the risk of ischemic events is stronger after CTO than non-CTO PCI.

Methods: Patients undergoing successful PCI in the multicenter ADAPT-DES study were stratified according to whether they underwent PCI of a CTO. Read More

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http://dx.doi.org/10.1016/j.ahj.2019.02.002DOI Listing
February 2019

[Cystic nephroma : a rare kidney neoplasm].

Rev Med Liege 2019 Mar;74(3):125-128

Service d'Urologie, CHU Liège, Belgique.

Cystic nephroma is a rare kidney neoplasm belonging to the entity of cystic tumours. It is a slow-growing tumour, which develops insidiously, sometimes reaching a considerable size. The diagnosis is more often accidental (except for mass syndrome in children). Read More

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SCAI expert consensus statement on operator and institutional requirements for PFO closure for secondary prevention of paradoxical embolic stroke: The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists.

Catheter Cardiovasc Interv 2019 Mar 21. Epub 2019 Mar 21.

Department of Medicine, University of California, Los Angeles, California.

Until recently, evidence to support Patent Foramen Ovale (PFO) closure for secondary prevention of recurrent stroke has been controversial. Publication of high-quality evidence from randomized clinical trials and the subsequent FDA approval of two devices for percutaneous PFO closure is expected to increase the volume of PFO closure procedures not only in the United States but worldwide. As this technology is disseminated broadly to the public, ensuring the safe and efficacious performance of PFO closure is essential to mitigate risk and avoid unnecessary procedures. Read More

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http://dx.doi.org/10.1002/ccd.28111DOI Listing

Influence of vertebral bone mineral density on total dispersion volume of bone cement in vertebroplasty.

Medicine (Baltimore) 2019 Mar;98(12):e14941

Department of Orthopedic, Shaanxi Provincial People's Hospital.

The aim of this study was to investigate the influence of vertebral bone mineral density (BMD) on total diffusion volume of bone cement in percutaneous vertebroplasty (PVP). This study was a retrospective review of prospectively collected data of consecutive patients with A1.2 thoracolumbar compression fractures treated by PVP. Read More

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http://dx.doi.org/10.1097/MD.0000000000014941DOI Listing

Serum YKL-40 predicts long-term outcome in patients undergoing primary percutaneous coronary intervention for ST-segment elevation myocardial infarction.

Medicine (Baltimore) 2019 Mar;98(12):e14920

Department of Intensive Care Unit.

Serum YKL-40, a potential inflammatory marker, is greatly increased at the early stage of ST-segment elevation myocardial infarction (STEMI). Here, we hypothesized that YKL-40 levels at admission could predict the long-term outcomes after STEMI.A total of 324 patients with acute STEMI undergoing primary percutaneous coronary intervention (PCI) were consecutively enrolled and followed for 24 months. Read More

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http://dx.doi.org/10.1097/MD.0000000000014920DOI Listing

Effect of chronic kidney disease in ischemic cardiomyopathy: Long-term follow-up - REVISION-DM2 trial.

Medicine (Baltimore) 2019 Mar;98(12):e14692

Division of Clinical Cardiology, Heart Institute (InCor), University of São Paulo School of Medicine, São Paulo, Brazil.

A strong association exists between chronic kidney disease (CKD) and coronary artery disease (CAD). The role of CKD in the long-term prognosis of CAD patients with versus those without CKD is unknown. This study investigated whether CKD affects ventricular function. Read More

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http://dx.doi.org/10.1097/MD.0000000000014692DOI Listing

Novel ultra-long (48 mm) everolimus-eluting stent for diffusely disease coronary vessels.

Minerva Cardioangiol 2019 Mar 19. Epub 2019 Mar 19.

Institute of Cardiology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University of the Sacred Heart, Rome, Italy.

Background: Long drug-eluting stents may limit the need of stent overlaps in patients with diffusely diseased coronary arteries. We evaluated the clinical results of percutaneous-coronary- intervention (PCI) using a novel ultra-long (48 mm) everolimus-eluting stent (EES) in a real- word population.

Methods: Patients who underwent PCI with 48 mm EES between June 2015 and April 2017 in our centre were enrolled. Read More

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http://dx.doi.org/10.23736/S0026-4725.19.04879-5DOI Listing

Management of aspirin intolerance in patients undergoing percutaneous coronary intervention: the role of mono-antiplatelet therapy. A retrospective, multicenter, study.

Minerva Cardioangiol 2019 Mar 18. Epub 2019 Mar 18.

Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Turin, Italy.

Background: The optimal management of patients with aspirin intolerance undergoing stent implantation represents a challenge for physicians. The aim of this study was to assess the overall number of patients discharged with mono anti-platelet therapy after PCI, the most frequent aspirin intolerance symptoms in this population and the overall incidence of patient oriented composite end-points (POCE).

Methods: From January 2006 to June 2016 all patients discharged with mono-antiplatelet therapy because of aspirin intolerance/hypersensitivity/allergy and treated by means of PCI were included. Read More

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http://dx.doi.org/10.23736/S0026-4725.19.04787-XDOI Listing

CT-based Morphometric Analysis of Approach of Percutaneous Transforaminal Endoscopic Lumbar Interbody Fusion.

Orthop Surg 2019 Mar 21. Epub 2019 Mar 21.

Department of Minimally Invasive Spine Surgery, Tianjin Hospital, Tianjin, China.

Objectives: A radiographic study was designed to measure the relationship of the exiting nerve root and its surroundings to the corresponding intervertebral disc for percutaneous transforaminal endoscopic lumbar interbody fusion to better understand the regional anatomy and to improve clinical applications.

Methods: A retrospective study from January 2017 to October 2017 was conducted at Tianjin Hospital. CT images were obtained from patients presenting low back pain (110 patients), and analysis was performed bilaterally from L to L S . Read More

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http://dx.doi.org/10.1111/os.12434DOI Listing

Long-term impact of diabetes in patients with ST-segment elevation myocardial infarction: Insights from the EXAMINATION randomized trial.

Catheter Cardiovasc Interv 2019 Mar 20. Epub 2019 Mar 20.

Interventional Cardiology Department, University Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.

Background: Long-term outcomes of diabetic patients suffering from ST-segment elevation myocardial infarction (STEMI) and treated with second-generation drug-eluting stent have been scarcely evaluated. The aim of this posthoc subanalysis of the EXAMINATION trial was to compare 5-year outcomes according to the presence of diabetes mellitus.

Methods: From a total of 1,497 patients included in the trial, 258 were diabetics (n = 137, received everolimus-eluting stent (EES) and n = 121 bare-metal stent (BMS); whereas 1,239 were nondiabetics (n = 613 treated with EES and n = 626 with BMS). Read More

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http://dx.doi.org/10.1002/ccd.28194DOI Listing
March 2019
2.107 Impact Factor

Two-part models for cost with zeros to decompose effects of covariates on probability of cost, mean nonzero cost, and mean total cost.

Stat Med 2019 Mar 20. Epub 2019 Mar 20.

VA Center of Innovation for Veteran-Centered and Value-Driven Care, VA Eastern Colorado Health Care System, Denver, Colorado.

Health care cost data often contain many zero values, for patients who did not use any care. Two-part models with logistic models for part I, probability of use (ie, nonzero cost) and log-link models for part II, mean cost of use (ie, nonzero cost) are often used. Effects of exposures or covariates on total (marginal) cost are often of interest, and recent work has proposed useful methods. Read More

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http://dx.doi.org/10.1002/sim.8140DOI Listing

Incidence, angiographic and clinical predictors, and impact of stent thrombosis: a 6-year survey of 6,545 consecutive patients.

Neth Heart J 2019 Mar 20. Epub 2019 Mar 20.

Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands.

Objective: We sought to determine the incidence, angiographic predictors, and impact of stent thrombosis (ST).

Background: Given the high mortality after ST, this study emphasises the importance of ongoing efforts to identify angiographic predictors of ST.

Methods: All consecutive patients with angiographically confirmed ST between 2010 and 2016 were 1:4 matched for (1) percutaneous coronary intervention (PCI) indication and (2) index date ±6 weeks to randomly selected controls. Read More

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http://dx.doi.org/10.1007/s12471-019-1253-2DOI Listing

Comparison of short-term complications between Onlay and Duckett urethroplasty and the analysis of risk factors.

Int Urol Nephrol 2019 Mar 20. Epub 2019 Mar 20.

Department of Urology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, 200040, China.

Aims: To compare the short-term complications between Onlay and Duckett urethroplasty and to analyze the various risk factors cause the complications.

Methods: The children with hypospadias who underwent treatment with Onlay or Duckett urethroplasty from November 2014 to June 2016 were followed up. The difference in complications between the two groups was analyzed. Read More

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http://dx.doi.org/10.1007/s11255-019-02125-1DOI Listing

Atrial septal defect and patent foramen ovale: early and long-term effects on endothelial function after percutaneous occlusion procedure.

Heart Vessels 2019 Mar 20. Epub 2019 Mar 20.

Section of Cardiovascular Diseases, Department of Emergency and Organ Transplantation, School of Medicine, Policlinico, University of Bari, Bari, Italy.

Percutaneous closure of atrial septal defect (ASD)/patent foramen ovale (PFO) can influence systemic hemodynamics. The aim of this research was to evaluate the influence of the closure procedure on morphological and functional characteristics of systemic vascular walls. Fourteen ASD (mean age 40 ± 16 years) and 14 PFO (45 ± 8 years) patients were enrolled in this retrospective study. Read More

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http://dx.doi.org/10.1007/s00380-019-01385-2DOI Listing

Anti-Anginal Medication Titration Among Patients with Residual Angina 6-Months After Chronic Total Occlusion Percutaneous Coronary Intervention: Insights from OPEN CTO Registry.

Eur Heart J Qual Care Clin Outcomes 2019 Mar 21. Epub 2019 Mar 21.

University of Missouri-Kansas City, Kansas City, MO.

Background: Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has been shown to reduce angina and improve quality of life, but the frequency of new or residual angina after CTO PCI and its relationship with titration of anti-anginal medications (AAM) has not been described.

Methods: Among consecutive CTO PCI patients treated at 12 U.S. Read More

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http://dx.doi.org/10.1093/ehjqcco/qcz015DOI Listing

Safety and Efficacy of Triple Antithrombotic Therapy with Dabigatran versus Vitamin K Antagonist in Atrial Fibrillation Patients: A Pilot Study.

Biomed Res Int 2019 13;2019:5473240. Epub 2019 Feb 13.

Chair of Cardiology, University of Campania "Luigi Vanvitelli", Naples, Italy.

Background: Combination of dual antiplatelet (DAPT) and oral anticoagulation therapy is required to decrease cardioembolic stroke and stent thrombosis risk in patients with atrial fibrillation (AF) and acute coronary syndrome (ACS). We compared the safety and efficacy of dabigatran etexilate with vitamin K antagonist (VKA), in combination with DAPT (aspirin plus clopidogrel) treatment in AF patients who underwent percutaneous coronary intervention (PCI) with stenting for ACS.

Methods: Consecutive nonvalvular AF patients who received twice-daily dabigatran 110 mg (n = 389) or VKA (n = 510) and DAPT were included. Read More

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http://dx.doi.org/10.1155/2019/5473240DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393928PMC
February 2019

Sonothrombolysis in ST-segment Elevation Myocardial Infarction Treated with Primary Percutaneous Coronary Intervention.

J Am Coll Cardiol 2019 Mar 7. Epub 2019 Mar 7.

University of Nebraska Medical Center, Omaha, NE. Electronic address:

Background: Pre-clinical studies have demonstrated that high mechanical index (MI) impulses from a diagnostic ultrasound transducer (DUS) during an intravenous microbubble infusion (Sonothrombolysis) can restore epicardial and microvascular flow in acute ST-segment elevation myocardial infarction (STEMI).

Objective: We tested the clinical effectiveness of sonothrombolysis in patients with STEMI.

Methods: Patients with their first STEMI were prospectively randomized to either DUS-guided high MI impulses during an intravenous ultrasound agent infusion prior to, and following, emergent percutaneous coronary intervention (PCI), or to a control group that received PCI only (n=50 in each group). Read More

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http://dx.doi.org/10.1016/j.jacc.2019.03.006DOI Listing

Health Status After Transcatheter Mitral-Valve Repair in Heart Failure and Secondary Mitral Regurgitation: COAPT Trial.

J Am Coll Cardiol 2019 Mar 4. Epub 2019 Mar 4.

Saint Luke's Mid America Heart Institute and University of Missouri-Kansas City, Kansas City, Missouri. Electronic address:

Background: In the COAPT (Cardiovascular Outcomes Assessment of the MitraClip Percutaneous Therapy for Heart Failure Patients with Functional Mitral Regurgitation) trial, transcatheter mitral valve repair (TMVr) led to reduced heart failure (HF) hospitalizations and improved survival in patients with symptomatic HF and 3+ to 4+ secondary mitral regurgitation (MR) on maximally-tolerated medical therapy. Given the advanced age and comorbidities of these patients, improvement in health status is also an important treatment goal.

Objectives: The purpose of this study was to understand the health status outcomes of patients with HF and 3+ to 4+ secondary MR treated with TMVr versus standard care. Read More

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http://dx.doi.org/10.1016/j.jacc.2019.02.010DOI Listing

Image-Guided Percutaneous Biopsy for Pancreatic Lesions: 10-Year Experience in a Tertiary Cancer Center.

Can Assoc Radiol J 2019 Mar 17. Epub 2019 Mar 17.

Department of Radiology, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.

Introduction: Image-guided biopsy is an important tool in the diagnosis of solid pancreatic masses. This study aims to evaluate the accuracy and complications associated with this procedure.

Methods: We conducted a retrospective cohort study of all patients referred to interventional radiology for pancreatic biopsy at our institution from July 2004-July 2015. Read More

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http://dx.doi.org/10.1016/j.carj.2018.10.014DOI Listing

Ultrasound-guided percutaneous laser ablation for papillary thyroid microcarcinoma: a retrospective analysis of 37 patients.

Cancer Imaging 2019 Mar 20;19(1):16. Epub 2019 Mar 20.

Department of Ultrasound, The Affiliated Suzhou Hospital of Nanjing Medical University, No. 1 Lijiang Road, Suzhou, 215163, China.

Background: Over the past ten years, more papillary thyroid microcarcinoma (PTMC) has been diagnosed more frequently due to the development of imaging technology, and the incidence of PTMC has increased significantly. Ultrasound-guided percutaneous laser ablation (PLA) is mainly used for benign thyroid nodules, and few studies have been published on the use of PLA for PTMC. In the present study, a retrospective analysis was performed to explore the efficacy of PLA for PTMC. Read More

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http://dx.doi.org/10.1186/s40644-019-0204-xDOI Listing

Successful bailout procedure for acute popliteal artery occlusion associated with EXOSEAL® vascular closure device: a case report.

J Med Case Rep 2019 Mar 21;13(1):90. Epub 2019 Mar 21.

Department of Cardiovascular Medicine, Kyoto Chubu Medical Center, 25, Yagi-Ueno, Yagi-cho, Nantan, Japan.

Background: Vascular closure devices have been widely used to achieve rapid hemostasis after percutaneous catheterization procedures via the common femoral artery. The EXOSEAL vascular closure device is a device that can deliver a bioabsorbable polyglycolic acid plug to fill the subcutaneous puncture route at the groin for rapid hemostasis, and this device has a lower risk of arterial occlusion than other vascular closure devices.

Case Presentation: An 83-year-old Japanese man underwent percutaneous coronary intervention for a proximal stenosis in his left circumflex artery through a 7-Fr sheath from his right common femoral artery. Read More

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http://dx.doi.org/10.1186/s13256-018-1950-2DOI Listing

Proposed percutaneous aortic valve prosthesis made of cryogel.

Proc Inst Mech Eng H 2019 Mar 20:954411919837302. Epub 2019 Mar 20.

4 Department of Chemical and Biochemical Engineering, Western University, London, ON, Canada.

Transcatheter heart valves are promising for high-risk patients. Generally, their leaflets are made of pericardium stented in a Nitinol basket. Despite their relative success, they are associated with significant complications such as valve migration, implantation risks, stroke, coronary obstruction, myocardial infraction, acute kidney injury (which all are due to the release of detached solid calcific pieces in to the blood stream) and expected issues existing with tissue valves such as leaflet calcification. Read More

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http://dx.doi.org/10.1177/0954411919837302DOI Listing

Percutaneous navigable intradiscal decompression in treatment of lumbar disc herniation: a single-center experience

Turk J Med Sci 2019 Mar 21;49(2). Epub 2019 Mar 21.

Background/aim: Minimally invasive procedures have been increasingly used for the treatment of herniated discs. Nonsurgical interventions minimize the secondary damage to other tissues and shorten the length of hospital stay by avoiding general anesthesia. Possible complications are thermal injuries, root injury, discitis, endplate damage, dural injury, meningitis, infection, increase in pain, and muscle spasm. Read More

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http://dx.doi.org/10.3906/sag-1805-187DOI Listing

Mineralocorticoid receptor antagonist pre-treatment and early post-treatment to minimize reperfusion injury after ST-elevation myocardial infarction: The MINIMIZE STEMI trial.

Am Heart J 2019 Feb 20;211:60-67. Epub 2019 Feb 20.

Hatter Cardiovascular Institute, London, United Kingdom; Barts Heart Centre, St Bartholomew's Hospital, London, United Kingdom; The National Institute of Health Research University College London Hospitals Biomedical Research Centre, London, United Kingdom; National Heart Research Institute Singapore, National Heart Centre Singapore, Singapore; Cardiovascular and Metabolic Disorders Program, Duke-National University of Singapore, Singapore; Yong Loo Lin School of Medicine, National University Singapore, Singapore; Tecnologico de Monterrey, Centro de Biotecnologia-FEMSA, Nuevo Leon, Mexico. Electronic address:

Background: Mineralocorticoid receptor antagonist (MRA) therapy has been shown to prevent adverse left ventricular (LV) remodeling in ST-segment elevation myocardial infarction (STEMI) patients with heart failure. Whether initiating MRA therapy prior to primary percutaneous coronary intervention (PPCI) accrues additional benefit of reducing myocardial infarct size and preventing adverse LV remodeling is not known. We aimed to investigate whether MRA therapy initiated prior to reperfusion reduces myocardial infarct (MI) size and prevents adverse LV remodeling in STEMI patients. Read More

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http://dx.doi.org/10.1016/j.ahj.2019.02.005DOI Listing
February 2019

Percutaneous Strain Reduction Screws-A Safe and Simple Surgical Option for Problems With Bony Union. A Technical Trick.

J Orthop Trauma 2019 Apr;33(4):e151-e157

Oxford Trauma Unit, John Radcliffe Hospital, Headington, Oxford, United Kingdom.

This article describes percutaneous strain reduction screws, a technical trick, to provide effective stability in a simple manner and at low cost. Percutaneous strain reduction screws are an option when a surgeon has decided that further intervention is indicated for a fracture that has not united. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001396DOI Listing

Rheumatic heart disease in the modern era: recent developments and current challenges.

Rev Soc Bras Med Trop 2019 Mar 14;52:e20180041. Epub 2019 Mar 14.

Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.

Rheumatic heart disease (RHD) remains a major cause of preventable death and disability in children and young adults. Despite significant advances in medical technology and increased understanding of disease mechanisms, RHD continues to be a serious public health problem throughout the world, especially in low- and middle-income countries. Echocardiographic screening has played a key role in improving the accuracy of diagnosing RHD and has highlighted the disease burden. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
Publisher Site
http://dx.doi.org/10.1590/0037-8682-0041-2019DOI Listing
March 2019
1 Read

Analysis of the Appropriate Use Criteria for Coronary Angiography in Two Cardiology Services of Southern Brazil.

Arq Bras Cardiol 2019 Mar 14. Epub 2019 Mar 14.

Instituto de Cardiologia de Santa Catarina, São José, SC - Brazil.

Background: Despite its great relevance, there are no studies in our country evaluating the application of the 2012 guidelines for the appropriate use of cardiac diagnostic catheterization.

Objective: To analyze the adequacy of coronary angiography performed in two hospitals in the southern region of Brazil.

Methods: This is a multicenter cross-sectional study, which analyzed indications, results and proposals for the treatment of 737 coronary angiograms performed in a tertiary hospital with multiple specialties (Hospital A) and a tertiary cardiology hospital (Hospital B). Read More

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http://dx.doi.org/10.5935/abc.20190055DOI Listing

Ticagrelor for patients with ST-segment elevation myocardial infarction after emergency percutaneous coronary intervention.

J Biol Regul Homeost Agents 2019 Mar 20;33(2). Epub 2019 Mar 20.

Ward II of Cardiovascular Department, Zhengzhou Central Hospital Affiliated to Zhengzhou University, ZhengZhou, China.

Acute ST-segment elevation myocardial infarction (STEMI) is one of the most common cardiovascular emergencies. With the improvement of living standards, the incidence and mortality rate of STEMI has shown a significant growth trend. Read More

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The Proximal Optimization Technique Improves Clinical Outcomes When Treated without Kissing Ballooning in Patients with a Bifurcation Lesion.

Korean Circ J 2019 Feb 22. Epub 2019 Feb 22.

Division of Cardiology, Department of Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background And Objectives: There are limited data regarding the clinical efficacy of the proximal optimization technique (POT) in the treatment of coronary bifurcation lesions. We investigated the influence of POT on the clinical outcomes of patients with coronary bifurcation lesions.

Methods: We enrolled a total of 1,191 patients with a bifurcation lesion with a side branch (SB) diameter ≥2. Read More

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http://dx.doi.org/10.4070/kcj.2018.0352DOI Listing
February 2019

Ticagrelor-induced Angioedema After Percutaneous Coronary Intervention in a Patient with a History of Ischemic Stroke and Low Response to Clopidogrel: A Rare Dilemma.

Cureus 2018 Dec 11;10(12):e3720. Epub 2018 Dec 11.

Cardiology, Saint Vincent Hospital, Worcester, USA.

Dual antiplatelet therapy (DAPT) is widely recognized as the mainstay of treatment after percutaneous coronary intervention (PCI). Premature discontinuation may pose a risk of in-stent thrombosis, acute myocardial infarction, and death. With the increased usage of antiplatelet agents, increased attention has been drawn to their potential allergic reactions. Read More

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http://dx.doi.org/10.7759/cureus.3720DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415980PMC
December 2018

Pseudocyst of the pancreas masquerading as spontaneous pneumomediastinum.

J Surg Case Rep 2019 Mar 13;2019(3):rjz068. Epub 2019 Mar 13.

Department of Cardiothoracic Surgery, Monash Medical Centre, Monash Health, Melbourne, Australia.

Pseudocyst of the pancreas extending into the thorax represents a rare but potentially catastrophic diagnosis. It can be difficult to both diagnose and manage, with only limited management suggestions within the literature. While pleural effusion is a common complication of pancreatitis, transthoracic extension of a pseudocyst is a rare phenomenon. Read More

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http://dx.doi.org/10.1093/jscr/rjz068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415621PMC

Pulmonary sclerosing pneumocytoma presenting as slow-growing multiple nodules over a long period.

Radiol Case Rep 2019 May 7;14(5):602-607. Epub 2019 Mar 7.

Department of Pathology, The Jikei University School of Medicine, Tokyo, Japan.

Pulmonary sclerosing pneumocytoma is an uncommon slow-growing benign tumor that usually occurs in middle-aged women and generally presents as a solitary well-defined nodule. An 18-year-old woman was incidentally detected to have multiple lung nodules on chest radiography that slowly increased in size over a period of 7 years. Computed tomography images showed multiple well-defined nodules surrounded by numerous smaller nodules with a maximum diameter of 3 cm in the left lung. Read More

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http://dx.doi.org/10.1016/j.radcr.2019.02.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407144PMC

The Fragility Index in Randomized Controlled Trials for Patent Foramen Ovale Closure in Cryptogenic Stroke.

J Stroke Cerebrovasc Dis 2019 Mar 16. Epub 2019 Mar 16.

Department of Neurology and Stroke Unit, Hacettepe University Hospitals, Sihhiye, Ankara, Turkey.

Background And Purpose: The routine use of percutaneous transcatheter patent foramen ovale closure (PPFOC) to prevent recurrent stroke in patients with cryptogenic stroke is still a matter of debate after completion major randomized controlled trials (RCTs).

Methods: The fragility index of RCTs evaluating effect of PPFOC against medial therapy alone in stroke prevention was calculated to assess the robustness of statistically significant findings.

Results: Literature search with PubMed identifies 6 RCTs on PPFOC. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10523057193008
Publisher Site
http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2019.02.029DOI Listing
March 2019
1 Read

Endovascular therapy versus femoropopliteal bypass surgery for medium-length TASC II B and C lesions of the superficial femoral artery: An observational propensity-matched analysis.

Vascular 2019 Mar 19:1708538119837134. Epub 2019 Mar 19.

3 Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.

Objectives: This study was designed to compare clinical outcomes of percutaneous transluminal angioplasty with optional stenting (PTA/s) and femoropopliteal bypass (FPB) surgery as primary invasive treatment in patients with medium-length superficial femoral artery (SFA) lesions.

Methods: We performed a single-center retrospective, observational analysis in all consecutive patients who had undergone initial invasive treatment for medium-length, TASC II B and TASC II C, SFA lesions from 2004 to 2015. Primary endpoints were primary and secondary clinical patency. Read More

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http://dx.doi.org/10.1177/1708538119837134DOI Listing

Electromagnetic Navigation Bronchoscopy Localization Versus Percutaneous CT-Guided Localization for Lung Resection via Video-Assisted Thoracoscopic Surgery: A Propensity-Matched Study.

J Clin Med 2019 Mar 18;8(3). Epub 2019 Mar 18.

Department of Surgery, College of Medicine, National Taiwan University Hospital and National Taiwan University, Taipei 100, Taiwan.

Background: An ideal preoperative localization method is essential for the resection of small and deep-seated pulmonary nodules by video-assisted thoracoscopic surgery (VATS) in the era of low-dose computed tomography (CT) screening. This study describes a new localization method using electromagnetic navigation bronchoscopy (ENB) and compares it against conventional percutaneous CT-guided methods.

Methods: Between January 2016 and May 2018, 18 consecutive patients with a total of 27 pulmonary nodules underwent ENB localization using patent blue vital dye before thoracoscopy for lung resection at the National Taiwan University Hospital. Read More

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http://dx.doi.org/10.3390/jcm8030379DOI Listing

Pharmacodynamic changes of platelet reactivity status in patients with chronic kidney disease after coronary artery stenting.

Biomed Pharmacother 2019 Mar 16;113:108773. Epub 2019 Mar 16.

Department of Cardiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. Electronic address:

Objectives: This study was to evaluate platelet reactivity over time among patients with chronic kidney disease (CKD) receiving standard dose of clopidogrel after percutaneous coronary intervention (PCI). The effect of CYP2C19 loss-of-function genotypes on platelet reactivity was also determined.

Methods: Patients with CKD (n = 138) on maintenance dose of clopidogrel after PCI were enrolled. Read More

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http://dx.doi.org/10.1016/j.biopha.2019.108773DOI Listing

Explantation of Percutaneous Spinal Cord Stimulator Devices: A Retrospective Descriptive Analysis of a Single-Center 15-Year Experience.

Pain Med 2019 Mar 19. Epub 2019 Mar 19.

Department of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Objectives: The aims of this study were to identify the reasons for explanation of spinal cord stimulator (SCS) devices and to further quantify the proportions and time lines of these causes of explantation in order to determine improvement opportunities for the development of best practices. Design. Retrospective, single academic center. Read More

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http://dx.doi.org/10.1093/pm/pny245DOI Listing

Patient-oriented composite endpoints and net adverse clinical events with ticagrelor monotherapy following percutaneous coronary intervention: Insights from the randomized GLOBAL LEADERS trial.

EuroIntervention 2019 Mar 19. Epub 2019 Mar 19.

NHLI, Imperial College London, London, United Kingdom, United Kingdom.

Aims: To evaluate the impact of 23-month ticagrelor monotherapy following one-month dual antiplatelet therapy (DAPT) after percutaneous coronary intervention (PCI) on the rates of patient-oriented composite endpoints (POCE) and net adverse clinical events (NACE).

Methods And Results: The rates of site-reported Academic Research Consortium (ARC)-2 defined POCE (all-cause death, any stroke, any myocardial infarction or any revascularization) and NACE (POCE or bleeding type 3 or 5 according to the Bleeding ARC [BARC]) were reported up to two-years by intention-to-treat principle in the randomized, multi-centre, open-label GLOBAL LEADERS study comparing two antiplatelet strategies in 15,991 patients undergoing PCI. The experimental strategy consisted of aspirin with ticagrelor for one month followed by ticagrelor monotherapy for 23 months, whereas the reference treatment consisted of 12-month DAPT followed by 12-month aspirin monotherapy. Read More

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http://dx.doi.org/10.4244/EIJ-D-19-00202DOI Listing
March 2019
3.769 Impact Factor

Safety and efficacy of the novel sirolimus-eluting bioresorbable scaffold for the treatment of de novo coronary artery disease: One-year results from a prospective patient-level pooled analysis of NeoVas trials.

Catheter Cardiovasc Interv 2019 Feb;93(S1):832-838

General Hospital of Northern Theater Command, Shenyang, Liaoning, China.

Objectives: This prospective, patient-level analysis assessed the safety and efficacy of NeoVas sirolimus-eluting bioresorbable scaffold (BRS) in patients with coronary lesions. Furthermore, to meet China Food and Drug Administration requirements, we conducted an objective performance criterion study by pooling all patients implanted with the NeoVas BRS in a previous randomized controlled trial (RCT) and registry trial.

Background: Drug-eluting stent-related permanent vessel caging by metallic struts may lead to several complications associated with percutaneous coronary intervention. Read More

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http://dx.doi.org/10.1002/ccd.28067DOI Listing
February 2019

Ultrasound-guided percutaneous treatment of volar radiocarpal ganglion cysts: Safety and efficacy.

J Clin Ultrasound 2019 Mar 19. Epub 2019 Mar 19.

Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York.

Purpose: To determine the safety and efficacy of ultrasound (US)-guided percutaneous treatment of volar radiocarpal ganglion cysts.

Methods: The institutional review board approved the retrospective study of patients referred for US-guided percutaneous treatment of a volar radiocarpal ganglion cyst over a 5-year period. Treatment consisted of a combination of aspiration, lavage using anesthetic, wall fenestration, and steroid injection. Read More

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http://dx.doi.org/10.1002/jcu.22724DOI Listing

Clinical course of abdominal aortic aneurysms in Behçet disease: a retrospective analysis.

Rheumatol Int 2019 Mar 19. Epub 2019 Mar 19.

Division of Rheumatology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Fatih, 34093, Istanbul, Turkey.

Arterial aneurysms are rare manifestations of Behçet Disease (BD) with high morbidity and mortality. This study aimed to investigate the clinical course of BD patients with abdominal aortic aneurysms (AAA). We retrospectively searched charts of BD patients, followed up between 1988 and 2011, to identify those with AAA with at least 6-month clinical and radiological follow-up data. Read More

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http://dx.doi.org/10.1007/s00296-019-04283-yDOI Listing

Complications and clinical utility of ultrasonographically guided pyelocentesis and antegrade pyelography in cats and dogs: 49 cases (2007-2015).

J Am Vet Med Assoc 2019 Apr;254(7):826-834

Objective: To describe the diagnostic utility and clinical safety of ultrasonographically guided percutaneous pyelocentesis and antegrade pyelography in cats and dogs.

Design: Retrospective case series.

Animals: 39 cats and 10 dogs with 55 affected kidneys. Read More

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http://dx.doi.org/10.2460/javma.254.7.826DOI Listing

Percutaneous Endoscopic Transforaminal Approach for Far Lateral Lumbar Discectomy: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2019 Mar 19. Epub 2019 Mar 19.

Department of Neurosurgery, Nanoori Incheon Hospital, Incheon, Republic of Korea.

The conventional surgical approach to far lateral lumbar disk herniations is a paraspinal Wiltse approach. During the Wiltse approach, it is sometimes necessary to resect some of the facet or pars interarticularis to achieve an adequate exposure. The endoscopic transforaminal route can be of benefit in far lateral disk herniations due to direct access to the epidural space through Kambin's triangle, without the need for any bony removal or nerve retraction. Read More

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http://dx.doi.org/10.1093/ons/opz037DOI Listing

Prevalence of Decreased Myocardial Blood Flow in Symptomatic Patients with Patent Coronary Stents: Insights from Low-Dose Dynamic CT Myocardial Perfusion Imaging.

Korean J Radiol 2019 Apr;20(4):621-630

Institute of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Objective: To study the prevalence and clinical characteristics of decreased myocardial blood flow (MBF) quantified by dynamic computed tomography (CT) myocardial perfusion imaging (MPI) in symptomatic patients without in-stent restenosis.

Materials And Methods: Thirty-seven (mean age, 71.3 ± 10 years; age range, 48-88 years; 31 males, 6 females) consecutive symptomatic patients with patent coronary stents and without obstructive lesions were prospectively enrolled to undergo dynamic CT-MPI using a third-generation dual-source CT scanner. Read More

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http://dx.doi.org/10.3348/kjr.2018.0399DOI Listing

Re-biopsy and liquid biopsy for patients with non-small cell lung cancer after EGFR-tyrosine kinase inhibitor failure.

Thorac Cancer 2019 Mar 18. Epub 2019 Mar 18.

Department of Medical Oncology, Shanghai Pulmonary Hospital & Thoracic Cancer Institute, Tongji University School of Medicine, Shanghai, China.

Background: Re-biopsy is important for exploring resistance mechanisms, especially for non-small cell lung cancer (NSCLC) patients who develop resistance to EGFR-tyrosine kinase inhibitors (TKIs). Liquid biopsy using circulating tumor DNA has come into use for this purpose. This retrospective study investigated the status of re-biopsy and liquid biopsy in NSCLC patients with EGFR mutations and evaluated their effect on clinical strategies and prognosis. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/1759-7714.13
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http://dx.doi.org/10.1111/1759-7714.13035DOI Listing
March 2019
1 Read

Clinical Impact of Using a More Sensitive Troponin Assay in Patients with Acute Chest Pain.

Clin Cardiol 2019 Mar 19. Epub 2019 Mar 19.

Department of Emergency, Qilu Hospital, Shandong University, Jinan, China.

Background: More sensitive troponin assays have the potential to better evaluate the patients with suspected acute coronary syndrome (ACS). Meanwhile, they may result in avoidable diagnostic testing.

Hypothesis: Our aim was to determine the clinical impact of implementing a more sensitive cardiac troponin I (cTnI) assay in patients with acute non-traumatic chest pain presenting to the emergency department (ED). Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/clc.23177
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http://dx.doi.org/10.1002/clc.23177DOI Listing
March 2019
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Percutaneous Endoscopic Lumbar Foraminoplasty for Lumbar Foraminal Stenosis of Elderly Patients with Unilateral Radiculopathy: Radiographic Changes in Magnetic Resonance Images.

J Neurol Surg A Cent Eur Neurosurg 2019 Mar 18. Epub 2019 Mar 18.

Department of Orthopedic Surgery, Busan Bumin Hospital, Busan, Republic of Korea.

Background And Study Aims/objective:  Clinical outcomes of percutaneous endoscopic lumbar foraminoplasty (PELF) performed for lumbar foraminal stenosis (LFS) have been reported in the literature. However, no study has reported the radiographic changes in magnetic resonance imaging (MRI) after surgery. This report presents the clinical outcome as well as radiographic changes in MRI after PELF for elderly patients with unilateral radiculopathy. Read More

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http://dx.doi.org/10.1055/s-0038-1677052DOI Listing

Clinical and Survival Outcomes Using Percutaneous Cholecystostomy Tube Alone or Subsequent Interval Cholecystectomy to Treat Acute Cholecystitis.

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of General Surgery, St. Vincent's University Hospital, Dublin 4, Ireland.

Background: Percutaneous cholecystostomy (PCT) is a safe method of gallbladder drainage in the setting of severe or complicated acute cholecystitis (AC), particularly in patients who are high-risk surgical candidates. Small case series suggest that PCT aids resolution of acute cholecystitis in up to 90% of patients. However, reluctance is observed in utilising PCT more frequently, due to concerns that we are committing comorbid patients to an interval surgical procedure for which they may not be suitable. Read More

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http://dx.doi.org/10.1007/s11605-019-04194-0DOI Listing

The Effect of Pancreaticojejunostomy Technique on Fistula Formation Following Pancreaticoduodenectomy in the Soft Pancreas.

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Surgery, George Washington University Medical Center, Washington, DC, USA.

Introduction: A soft pancreas has been associated with an increased risk of post-operative pancreatic fistula formation. Few studies have evaluated the effect of anastomotic technique (duct to mucosa vs invagination) on fistula formation. This study aims to compare the effect of anastomotic technique on fistula formation among patients with a soft pancreas in a large multiinstitutional database. Read More

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http://dx.doi.org/10.1007/s11605-019-04164-6DOI Listing

Feasibility of planning coronary artery bypass grafting based only on coronary computed tomography angiography and CT-derived fractional flow reserve: a pilot survey of the surgeons involved in the randomized SYNTAX III Revolution trial.

Interact Cardiovasc Thorac Surg 2019 Mar 18. Epub 2019 Mar 18.

Centro Cardiologico Monzino, IRCCS, Milan, Italy.

Objectives: Invasive coronary angiography has been the preferred diagnostic method to guide the decision-making process between coronary artery bypass grafting (CABG) and percutaneous coronary intervention and plan a surgical revascularization procedure. Guidelines recommend a heart team approach and assessment of coronary artery disease (CAD) complexity, objectively quantified by the anatomical SYNTAX score. Coronary computed tomography angiography (CCTA) and CT-derived fractional flow reserve (FFRCT) are emerging technologies in the diagnosis of stable CAD. Read More

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http://dx.doi.org/10.1093/icvts/ivz046DOI Listing