72,565 results match your criteria puncture needle

Nocardia farcinica cerebral abscess: a systematic review of treatment strategies.

Neurochirurgie 2021 May 11. Epub 2021 May 11.

Neurosurgery department, Timone University Hospital, APHM, 264 rue Saint-Pierre, 13005 Marseille, France; Aix-Marseille Univ, INSERM, MMG, Marseille, France.

Purpose: Nocardia farcinica is an opportunistic pathogen causing mainly pneumonia in immunocompromised patients, complicated in almost one-third of the cases by a thick-walled multiloculated cerebral abscess which induces significant morbidity and mortality. This review aims to assess the optimal treatment strategy for N. farcinica cerebral abscess. Read More

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Systemic vascular air embolus following CT-guided transthoracic needle biopsy: a potentially fatal complication.

BMJ Case Rep 2021 May 12;14(5). Epub 2021 May 12.

Department of Respiratory Medicine, Odense University, Odense, Denmark.

Following an uncomplicated CT-guided transthoracic biopsy, a patient becomes unconscious and subsequently dies despite immediate cardiac resuscitation. The patient felt well during the procedure but started complaining about dizziness and chest pain when he sat up. When he again was put in a supine position, cardiac arrest was noted. Read More

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Fulminant methicillin-sensitive infection: from pinprick to multiorgan failure.

BMJ Case Rep 2021 May 11;14(5). Epub 2021 May 11.

Intensive Care Unit, Aventura Hospital and Medical Center, Aventura, Florida, USA.

A woman in her 60s with diabetes presented to our institution with altered mental status. Preceding symptoms included headaches, nausea and vomiting. One month prior to presentation, she cut her left thumb and developed a pustule, which she occasionally manipulated with a non-sterile needle. Read More

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Red dichromatic imaging reduces endoscopic treatment time of esophageal varices by increasing bleeding point visibility (with video).

Dig Endosc 2021 May 10. Epub 2021 May 10.

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.

Background: Red dichromatic imaging (RDI) is a novel image-enhanced endoscopy released in 2020, which increases the visibility of deeper vessels. In this study, we retrospectively investigated whether RDI can shorten treatment times of endoscopic injection sclerotherapy (EIS), and which operational procedure times are affected compared with white light imaging (WLI).

Methods: A total of 155 patients (RDI: 70; WLI: 85) with risky esophageal varices (EV), who were treated with EIS were analyzed. Read More

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[Endoscopic ultrasound-guided fine-needle biopsy for diagnosis of pancreatic metastases producing parathyroid hormone-related protein].

Nihon Shokakibyo Gakkai Zasshi 2021 ;118(5):480-489

Division of Pathology, Department of Diagnosis Pathology, University of Miyazaki Hospital.

A 66-year-old man was admitted to our department with hypercalcemia, pancreatic and liver tumors, and periportal lymph node enlargement. Contrast-enhanced computed tomography revealed a tumor in the pancreatic tail and the right hepatic lobe along with periportal lymphadenopathy. Laboratory data revealed hypercalcemia and high serum parathyroid hormone-related protein (PTHrP) levels. Read More

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Preventing Post-Lumbar Puncture Headache.

Ann Emerg Med 2021 May 6. Epub 2021 May 6.

Université de Paris, UMRS 1144, INSERM, Paris, France; Centre de Neurologie Cognitive, Assistance Publique Hôpitaux de Paris, APHP.Nord, Site Lariboisière Fernand-Widal, Paris France.

Post-lumbar puncture headache is the main adverse event from lumbar puncture and occurs in 3.5% to 33% of patients, causing functional and socio-professional disability. We searched the post-lumbar puncture headache literature and, based on this review and personal expertise, identified and addressed 19 frequently asked questions regarding post-lumbar puncture headache risk factors and prevention. Read More

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Dynamic Needle Tip Positioning versus Palpation and Ultrasound for Arteriovenous Puncture: A Meta-analysis.

Ultrasound Med Biol 2021 May 6. Epub 2021 May 6.

Department of Orthopaedics, Hebei Province Cangzhou Hospital of Integrated Traditional and Western Medicine (Cangzhou No. 2 Hospital), Hebei, Cangzhou, China.

At present, dynamic needle-tip positioning (DNTP) technology is applied in arteriovenous puncture, challenging the use of ultrasound technology alone and palpation. Our goals were to extract data from experimental DNTP, ultrasound and palpation studies, using Review Manager, Version 5.3, for data analysis, and to evaluate whether DNTP has certain advantages in puncture. Read More

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Primary squamous cell carcinoma of the pancreas with a large pseudocyst of the pancreas as the first manifestation: a rare case report and literature review.

BMC Gastroenterol 2021 May 8;21(1):208. Epub 2021 May 8.

Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.

Background: Primary squamous cell carcinoma (SCC) of the pancreas with pseudocysts, especially diagnosed by endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA), is extremely rare.

Case Presentation: A 64-year-old man was admitted to our department for abdominal distension. Two months ago, he experienced abdominal pain for 1 day and was diagnosed with acute pancreatitis in another hospital. Read More

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Examination of endobronchial ultrasound-guided transbronchial needle aspiration using a puncture needle with a side trap.

Sci Rep 2021 May 7;11(1):9789. Epub 2021 May 7.

Department of Respiratory Medicine, Yokohama Municipal Citizen's Hospital, Yokohama, Kanagawa, Japan.

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is useful for diagnosing hilar and mediastinal lymph node enlargement; however, specimens obtained are often small and inadequate for pathologic diagnosis. In June 2017, EchoTip ProCore, a puncture needle with a side trap, was launched in Japan. In this single-center prospective interventional study, 57 patients with lymph nodes, intrapulmonary tumor or pleural mass were diagnosed using EBUS-TBNA with EchoTip ProCore between June 2017 and February 2020. Read More

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Should we use a patient's port as the preferred intravenous route rather than inserting an additional venous access?

J Vasc Access 2021 May 7:11297298211015058. Epub 2021 May 7.

Catholic University Hospital, Rome, Italy.

Early in 2021, the Infusion Nursing Society has released the latest version of the Infusion Therapy Standards of Practice. In the last two decades, these Standards have been representing one of the most important evidence-based documents available in the world of venous access. Nevertheless, we were quite concerned reading a recommendation included in chapter 26 (Vascular Access Device Planning: practice recommendation I, C): "Use a patient's port, unless contraindicated (e. Read More

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A new method for facilitating ultrasound-guided in-plane cannulation of the subclavian vein: a randomized clinical trial.

Sci Rep 2021 May 5;11(1):9605. Epub 2021 May 5.

Department of Anesthesiology, Daping Hospital, Army Medical University, 10 ChangjiangZhilu, Yuzhong District, Chongqing, 400042, China.

The objective of this study was to propose a new method for facilitating needle-beam alignment ultrasound-guided in-plane catheterization of the subclavian vein (SCV). Three hundred patients were recruited, and ultrasound examination of the SCV was performed. Then, the patients were divided into two groups and SCV catheterization was performed: ultrasound-guided catheterization with the aiming method (group A) and ultrasound-guided catheterization with needle guide (group NG). Read More

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Sarcomatoid carcinoma associated with chronic empyema and early lung and pleural metastases: A case report.

Medicine (Baltimore) 2021 May;100(18):e25692

Department of Pathology, Inha University Hospital, Inha University College of Medicine, Jung-gu, Incheon, South Korea.

Introduction: The relationship between chronic empyema and malignant tumors, most of which are lymphoma, has been recognized for many decades. Sarcomatoid carcinoma associated with chronic empyema is extremely rare, may metastasize to other organs in the early stage, and rapidly progresses to death. As far as we know, this was the first case report on sarcomatoid carcinoma associated chronic empyema. Read More

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Ultrasound-guided pediatric vascular cannulation by inexperienced operators: outcomes in a training model.

J Ultrasound 2021 May 4. Epub 2021 May 4.

Department of Clinical Sciences, Fernando Pessoa Canarias University, Las Palmas de Gran Canaria, Spain.

Objective: To present the results of an ultrasound vascular cannulation (UGVC) training program for inexperienced operators using a training model.

Method: This was a descriptive observational study developed in the paediatric intensive care unit (PICU) of a third-level hospital. Operators received basic theoretical training in the USVC technique, followed by practical training with a model designed for USVC-inexperienced healthcare professionals. Read More

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Neck exploration for a huge synovial sarcoma, case report and literature review.

J Pak Med Assoc 2021 Feb;71(2(B)):766-768

Department of Surgery, Mayo Hospital, Lahore, Pakistan.

A 47-year-old woman presented in the outpatient department of EAST Surgical ward of MAYO Hospital Lahore, Pakistan, on February 2019 with complaint of swelling in the front section of the neck since five months which increased gradually in size and had been causing pain since two months. She had no comorbidities and insignificant family history. Examination revealed a 23×20 cm mass on the right side of the posterior triangle of the neck. Read More

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February 2021

Connect your needle to a smartphone to increase EUS FNA sample quality and diagnostic accuracy of solid pancreatic masses: a randomized trial.

Endoscopy 2021 May 3. Epub 2021 May 3.

Gastroenterology and Hepatology, Carol Davila University of Medicine and Pharmacy, Bucuresti, Romania.

Background And Study Aims: EUS FNA is recommended for diagnosis of solid pancreatic masses. We aimed to evaluate if a high needle movement acceleration value during puncture increases diagnostic accuracy.

Patients And Methods: EUS FNA needle acceleration was measured using a PocketLab accelerometer connected by Bluetooth to a smartphone. Read More

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A prospective multicenter study of endoscopic ultrasound-guided fine needle biopsy using a 22-gauge Franseen needle for pancreatic solid lesions.

J Gastroenterol Hepatol 2021 May 3. Epub 2021 May 3.

Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.

Background And Aim: While encouraging data of endoscopic ultrasound (EUS)-guided fine-needle biopsy (EUS-FNB) using a 22-gauge Franseen needle have been reported, large-scale data of per pass and quantitative analyses are still lacking.

Methods: This was a multicenter prospective study of EUS-FNB using the 22-gauge Franseen needle for a pancreatic solid lesion. Cytological and histological analyses per pass were evaluated and semi-quantitative analyses were performed on core tissue and blood contamination. Read More

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"Interventional Pain Training using Phantom Model during COVID-19 Pandemic".

Pain Pract 2021 May 2. Epub 2021 May 2.

Pain Management Department, Hospital Zambrano Hellion, TecSalud. San Pedro Garza García, Nuevo León, México.

Background: Fluoroscopic-guided lumbar procedures have increased in daily pain practice since the lumbar spine is one of the most common sources of pain. Interventional pain fellows must develop a minimum number of skills during their training in order to achieve the competences without neglecting radiological safety. However, medical training in fluoroscopic-guided interventions is being affected by the current COVID-19 situation. Read More

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The transseptal puncture experience: Safety insights from FDA MAUDE database.

Catheter Cardiovasc Interv 2021 May 1. Epub 2021 May 1.

Division of Cardiology, Florida Atlantic University, Boca Raton, Florida, USA.

Background: There is a paucity of literature on safety and efficacy of various transseptal puncture (TSP) needles.

Objectives: To assess the reported mechanisms of failure, complications, and outcomes among the most frequently used transseptal needles in the United States.

Methods: We queried the Food and Drug Administration (FDA) Manufacturer and User Facility Device Experience (MAUDE) database between January 2011 and January 2021 for reports on the most commonly used transseptal needles: NRG (Baylis Medical, Montreal, Canada), and BRK (St. Read More

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Accidental digital epinephrine injection injury: a case of conservative management.

J Surg Case Rep 2021 Apr 19;2021(4):rjab110. Epub 2021 Apr 19.

Division of Plastic Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

The open access to epinephrine autoinjectors has resulted in an increased number of reports related to accidental injection into the digits. The appropriate management after accidental injection remains controversial. This study presents the first case in Saudi Arabia of a young man who accidentally injected epinephrine into the thumb and a literature review of the treatment options available. Read More

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[Professor 's experience in treatment of stroke by acupuncture based on theory].

Zhongguo Zhen Jiu 2021 Apr;41(4):421-3

Department of Acupuncture and Moxibustion, Beijing Hospital of TCM, Capital Medical University, Beijing 100010.

Professor 's clinical experience in treatment of stroke by acupuncture based on (clearing away pathogenic factors) theory is summarized. According to the pathogens nature of stroke patients (wind, fire, phlegm, blood stasis, asthenia) and the relationship between pathogenic and the antipathogenic , distinguishing the relationship between the main and secondary pathogenic factors, different acupuncture programs are determined. The filiform needle acupuncture, fire needle acupuncture, bloodletting therapy and other acupuncture methods are used to achieve the treatment objectives of clearing wind, fire, phlegm, blood stasis and strengthening the body. Read More

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Endovascular treatment of massive hemorrhage arising from inferior thyroid artery after fine needle aspiration of thyroid: a case report.

BMC Surg 2021 Apr 27;21(1):220. Epub 2021 Apr 27.

Department of Radiology, Chungbuk National University Hospital, 776, 1sunhwan-ro, Seowon-g, Cheongju-si, Chungcheongbuk-do, Republic of Korea.

Background: Fine needle aspiration (FNA) of the thyroid gland is an effective and safe method for evaluating thyroid nodules; catastrophic complications following FNA of thyroid are rare. Massive hematomas with active bleeding leading to airway compromise are extremely rare complications of FNA, with only a few reported cases in literature.

Case Presentation: An 80 year-old man presented to the emergency room with severe respiratory distress, four hours after undergoing thyroid FNA for the evaluation of a thyroid nodule. Read More

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Evaluation of follicular flushing with double lumen needle in patients undergoing assisted reproductive technology treatments.

JBRA Assist Reprod 2021 Apr 27;25(2):272-275. Epub 2021 Apr 27.

Fertipraxis, Human Reproduction Center, Rio de Janeiro, Brazil.

Objective: The purpose of this study was to investigate the possible impact of follicular flushing on the number of oocytes retrieved and oocytes in metaphase II in patients with poor ovarian response (POR) compared to direct aspiration.

Methods: This prospective, comparative, randomized single center study included 208 punctures of patients with POR, submitted to assisted reproduction technology (ART) treatments. Two groups were compared; one in which double lumen needles were used (Wallace DNS1733) for follicular flushing (n=105), and one in which single lumen needles were used (Wallace ONS1733) for direct aspiration (n=103), upon the observation of ≤ 5 follicles between 15-17 mm, ≤ 4 follicles with sizes greater than 18 mm on hCG day, and ≤ 7 recovered oocytes. Read More

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MicroRNA-140-3p alleviates intervertebral disc degeneration KLF5/N-cadherin/MDM2/Slug axis.

RNA Biol 2021 Apr 27:1-14. Epub 2021 Apr 27.

Department of Spinal Surgery, The First Hospital of Jilin University, Changchun, P.R. China.

MicroRNAs (miRNAs) are associated with healing or deteriorating degenerated intervertebral disc (IVD) tissues in spinal cord diseases, including intervertebral disc degeneration (IDD). IDD represents a chronic process of extracellular matrix destruction, but the relevant molecular mechanisms implicated in the regenerative effects of miRNAs are unclear. Here, we investigated the regenerative effects of microRNA-140 (miR-140-3p) in an IDD model induced by annulus needle puncture. Read More

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Association between different peritoneal dialysis catheter placement methods and short-term postoperative complications.

BMC Nephrol 2021 Apr 26;22(1):151. Epub 2021 Apr 26.

Department of Ultrasound, the Third Affiliated Hospital of Soochow University, 213003, Changzhou, China.

Background: Considering that current peritoneal dialysis has its own shortcomings, In this study, the Seldinger technique was modified to explore the relationship between different catheter placement methods of peritoneal dialysis and short-term postoperative complications.

Methods: We retrospectively analyzed the data of 157 patients who received peritoneal dialysis in the Department of Nephrology of our hospital from January 2017 to December 2019. According to different catheter placement methods, the patients were divided into three groups: 111 cases of open surgery technique, 23 cases of Seldinger technique, and 23 cases of modified Seldinger technique (ultrasound-guided Veress needle puncture). Read More

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Spinal subdural hematoma and subdural anesthesia following combined spinal-epidural anesthesia: a case report.

BMC Anesthesiol 2021 Apr 26;21(1):130. Epub 2021 Apr 26.

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Sichuan Province, Chengdu, China.

Background: Subdural anesthesia and spinal subdural hematoma are rare complications of combined spinal-epidural anesthesia. We present a patient who developed both after multiple attempts to achieve combined spinal-epidural anesthesia.

Case Presentation: A 21-year-old parturient, gravida 1, para 1, with twin pregnancy at gestational age 34 weeks underwent cesarean delivery. Read More

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[Feasibility and safety of fetal intravascular transfusion via the intrahepatic vein in the treatment of fetal anemia].

Zhonghua Fu Chan Ke Za Zhi 2021 Apr;56(4):244-250

Fetal Medicine Unit and Prenatal Diagnosis Center, Shanghai First Maternity and Infant Hospital, Tongji University, Shanghai 201204, China.

To investigate the feasibility and safety of fetal intravascular transfusion via the intrahepatic vein in the treatment of fetal anemia. This was a retrospective analysis of all fetuses requiring intrauterine transfusion (IUT) in the Shanghai First Maternity and Infant Hospital between January 2010 and December 2019. According to the different ways of IUT, they were divided into intrahepatic venous transfusion group and umbilical venous transfusion group, fetal outcomes and the incidence of procedure-related complications between the two groups were compared. Read More

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[Comparison of sample materials for the detection of infection with porcine reproductive and respiratory syndrome virus].

Tierarztl Prax Ausg G Grosstiere Nutztiere 2021 Apr 26;49(2):112-119. Epub 2021 Apr 26.

Außenstelle für Epidemiologie, Bakum, Stiftung Tierärztliche Hochschule Hannover.

Objective: In breeding farms with a high health status, pigs are frequently sampled using invasive methods (i. e. blood sampling). Read More

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Hydrogel-coated needles prevent puncture site bleeding.

Acta Biomater 2021 Apr 22. Epub 2021 Apr 22.

The Vascular Biology and Therapeutics Program, Yale School of Medicine, New Haven, CT, USA; Departments of Surgery and of Cellular and Molecular Physiology, Yale School of Medicine, New Haven, CT, USA. Electronic address:

Introduction: Incomplete hemostasis after vascular cannulation can cause a hematoma or pseudoaneurysm. We hypothesized that a hydrogel-coated needle would effectively and rapidly stop bleeding after vascular cannulation.

Methods: A hydrogel composed of sodium alginate, hyaluronic acid, and calcium carbonate was coated onto the surface of suture needles. Read More

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Real-time ultrasound-guided low thoracic epidural catheter placement: technical consideration and fluoroscopic evaluation.

Reg Anesth Pain Med 2021 Apr 23. Epub 2021 Apr 23.

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea (the Republic of).

Background And Objective: Thoracic epidural analgesia can significantly reduce acute postoperative pain. However, thoracic epidural catheter placement is challenging. Although real-time ultrasound (US)-guided thoracic epidural catheter placement has been recently introduced, data regarding the accuracy and technical description are limited. Read More

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Extraluminal Recanalization for Biliary Duct-to-Duct Anastomotic Obstruction After Living Donor Liver Transplantation: Experience in Eight Patients.

Cardiovasc Intervent Radiol 2021 Apr 22. Epub 2021 Apr 22.

Center for Liver and Pancreatobiliary Cancer, National Cancer Center, Goyang-si, Gyeonggi-do, Republic of Korea.

Purpose: To investigate clinical outcomes and safety of extraluminal recanalization for duct-to-duct anastomotic obstruction after living donor liver transplantation (LDLT).

Materials And Methods: Extraluminal recanalization was performed as a salvage procedure after failure of intraluminal cannulation in eight patients who underwent percutaneous transhepatic treatment of duct-to-duct anastomotic obstruction 11.0 ± 5. Read More

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