2,012 results match your criteria repeated aspiration

High presacral collection approached through the perineal route: A novel computed tomography-guided technique.

SA J Radiol 2021 11;25(1):2014. Epub 2021 Mar 11.

Department of Orthopaedics, Faculty of Health Sciences, University College of Medical Sciences and GTB Hospital, Dilshad Garden, Delhi, India.

For a definitive diagnosis of abdomino-pelvic lesions, percutaneous aspiration or biopsy is often necessary; however, finding a safe 'window' for access is challenging. This case report discusses a novel method to approach a deep pelvic collection and also briefly reviews the various approaches to access such lesions. A sample was obtained from a non-resolving presacral collection using a CT-guided percutaneous, trans-perineal approach with repeated sessions of hydro-dissection. Read More

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[Treatment of patients with abscess of prostate gland by the method of percutaneous punction].

Urologiia 2021 Mar(1):45-49

Educational Institution Grodno State Medical University, Grodno, Republic of Belarus.

Objectives: Demonstrate the treatment of prostatic abscess with a minimally invasive method - abscess puncture with aspiration of purulent fluid and injection of an antibiotic into abscess cavity.

Materials And Methods: Diagnosis of prostatic abscess of 23 patients using ultrasonography, computed tomography and magnetic resonance imaging of the pelvic region. 19 patients with the abscess within the prostatic capsule were treated with perineal percutaneous puncture method with aspiration of the abscess fluid and injection of antibiotics into cavity. Read More

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Does the alpha-defensin lateral flow test conserve its diagnostic properties in a larger population of chronic complex periprosthetic infections? Enlargement to 112 tests, from 42 tests in a preliminary study, in a reference center.

Orthop Traumatol Surg Res 2021 Mar 31:102912. Epub 2021 Mar 31.

Centre de Référence pour le Traitement des Infections Ostéo-Articulaires Complexes (CRIOAC), Avenue du Professeur-Émile-Laine, 59037 Lille, France; Univ. Lille, CHU Lille, ULR 4490, Département Universitaire de Chirurgie Orthopédique et Traumatologique, F-59000 Lille, France; Service d'Orthopédie, Hôpital Salengro, Place de Verdun, CHU Lille, F-59000 Lille, France.

Background: Diagnosis of periprosthetic infection (PPI) is crucial for management of bone and joint infection. The preoperative gold-standard is joint aspiration, providing results after 2-14 days' culture, with non-negligible false negative rates due to the fragility of certain micro-organisms and/or prior antibiotic treatment. The Synovasure alpha-defensin lateral flow test (Zimmer, Warsaw, IN, USA) contributes within minutes to joint fluid diagnosis of almost all infectious agents, including in case of concomitant antibiotic therapy. Read More

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Diagnostic accuracy of the BJI InoPlex™ (Diaxonhit) immunoassay on blood samples for periprosthetic joint infection in complex microbiological situations. Preliminary results of 24 cases in a French Reference Center for Complex Bone and Joint Infection (CRIOAC).

Orthop Traumatol Surg Res 2021 Mar 28:102909. Epub 2021 Mar 28.

University Lille, CHU de Lille, ULR 4490, département universitaire de chirurgie orthopédique et traumatologique, 59000 Lille, France; CRIOAC, centre de référence pour le traitement des infections ostéo-articulaires complexes Lille-Tourcoing, rue Emile-Laine, 59037 Lille, France; CHU de Lille, service de bactériologie-hygiène, centre de biologie-pathologie, 59000 Lille, France.

Background: While joint aspiration is the benchmark for diagnosing periprosthetic joint infections (PJI), the results can be flawed because certain bacteria are difficult to culture, the patient is on concurrent antibiotic therapy or in some cases, repeated joint aspirations confer conflicting results. The BJI InoPlex™ (Diaxonhit) is a multiplex ELISA (Enzyme Linked Immunosorbent Assay) that measures the immune response (presence of specific IgG) to certain bacterial species from three families: Staphylococcus (8 antigens) epidermidis, aureus and lugdunensis, Streptococcus B (4 antigens) and Cutibacterium acnes (4 antigens). This assay is done with peripherally collected blood. Read More

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Identification of acquired tracheoesophageal fistula after tracheostomy decannulation by videofluoroscopic swallowing study: A case report.

Medicine (Baltimore) 2021 Apr;100(13):e25349

Department of Rehabilitation Medicine, Biomedical Research Institute, Pusan National University Hospital.

Rationale: Videofluoroscopic swallowing study (VFSS) is a noninvasive radiographic procedure that examines the oral, pharyngeal, and cervical esophageal stages of swallowing. Tracheoesophageal fistula (TEF) is difficult to diagnose depending on its size and location. However, how VFSS can be of benefit in the diagnosis of TEF has not been reported yet. Read More

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Use of a non-invasive accelerometric method for diagnosing gastroesophageal reflux in premature infants.

J Perinatol 2021 Mar 23. Epub 2021 Mar 23.

Division of Neonatology, Department of Pediatrics and Human Development, Michigan State University College of Human Medicine, East Lansing, MI, USA.

Objective: To evaluate the clinical usefulness of a non-invasive accelerometric device to diagnose GER in preterm babies.

Study Design: An accelerometer was taped over the sub-xiphoid process in 110 preterm (GA 29.6 ± 3. Read More

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Chest pain showing precordial ST-segment elevation in a 96-year-old woman with right coronary artery occlusion: A case report.

World J Clin Cases 2021 Mar;9(8):1877-1884

Department of Electrocardiology, Shaanxi Provincial People's Hospital, Xi'an 710068, Shaanxi Province, China.

Background: Typically, right coronary artery (RCA) occlusion causes ST-segment elevation in inferior leads. However, it is rarely observed that RCA occlusion causes ST-segment elevation only in precordial leads. In general, an electrocardiogram is considered to be the most important method for determining the infarct-related artery, and recognizing this is helpful for timely discrimination of the culprit artery for reperfusion therapy. Read More

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Diagnostic pitfall of thyroid fine-needle aspiration induced fibrosis: follicular adenoma mimicking medullary thyroid carcinoma in frozen section.

Diagn Pathol 2021 Mar 17;16(1):25. Epub 2021 Mar 17.

Department of Pathology, Jeonbuk National University Medical School, Jeonbuk National University Medical School, 567 Baekje-daero, Doekjin-gu, Jeonju-si, Jeollabuk-do, 561-756, Republic of Korea.

Background: Fine-needle aspiration (FNA) is a frequently utilized method for the diagnosis of thyroid nodules. Although the technique has clear advantages, the injury caused by the aspiration needle can induce various histological alterations. Herein, we report a case of follicular adenoma showing histological alterations possibly caused by FNA biopsy. Read More

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The Potentially Therapeutic Role of EPAC in Curbing the Process of Idiopathic Pulmonary Fibrosis via Differential Cellular Pathways.

J Inflamm Res 2021 26;14:611-619. Epub 2021 Feb 26.

Department of Pharmacology, School of Basic Medical Sciences, Zhejiang University, Hangzhou, 310058, People's Republic of China.

Idiopathic pulmonary fibrosis (IPF) is a chronic progressive fibrosis disease caused by genetic susceptibility (causative) and other indirect risk factors such as smoking, micro-aspiration and air pollution. Repeated damage of lung epithelial cells can cause fibroblast activation and excessive collagen will lead the scar formation and severe fibrosis. It has been decades since drugs for the treatment of IPF were developed, but clinical choices were limited. Read More

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February 2021

[Two Cases of Synchronous Double Primary Prostate Cancer Accompanying Bone Metastasis and Colon Cancer].

J UOEH 2021 ;43(1):103-115

Department of Surgery, Kitakyushu General Hospital.

We report two cases of synchronous double primary cancers, which were composed of prostate cancer accompanied by bone metastasis and colon cancer, within only five months of each other. The first was a 77-year-old man whose ECOG PS was 0. He was referred to our hospital in March 2020 because abdominal CT scan, which was performed at a clinic for the purpose of close examination of poor control of diabetes, showed wall thickening of the sigmoid colon. Read More

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January 2021

Ultrasound-guided-fine-needle Aspiration Drainage and Percutaneous Ethanol Injection for Benign Neck Cysts.

J Med Ultrasound 2020 Oct-Dec;28(4):225-229. Epub 2020 Aug 24.

Department of Otolaryngology Head and Neck Surgery, Far Eastern Memorial Hospital, New Taipei, Taiwan.

Background: Ultrasound-guided-fine-needle aspiration drainage (US-FNAD) and US-percutaneous ethanol injection (US-PEI) have been widely used in the management of benign neck cysts. However, the long-term results of US-FNAD and US-PEI are not well elucidated.

Methods: We retrospectively collated patients under neck US examinations from March 2007 to December 2017 and investigated the recurrence after US-FNAD and US-PEI. Read More

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The accuracy of fine needle aspiration cytology in the clinical diagnosis of minor salivary gland tumours.

Int J Oral Maxillofac Surg 2021 Feb 19. Epub 2021 Feb 19.

Showa University Head and Neck Oncology Centre, Tokyo, Japan; Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University, School of Dentistry, Tokyo, Japan; Department of Otorhinolaryngology, Showa University, School of Medicine, Tokyo, Japan.

The objective of this study was to investigate the accuracy of fine needle aspiration cytology (FNAC) and biopsy for the clinical diagnosis of minor salivary gland tumours (MSGTs). This retrospective study of 32 MSGT cases was conducted over a 5-year period. Clinical features including age, sex, and location of the tumour were obtained from the patient clinical records. Read More

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February 2021

Fine-Needle Aspiration Biopsy of Intraocular Mass-like Lesions.

Am J Clin Pathol 2021 Feb 20. Epub 2021 Feb 20.

Department of Pathology, Yale University School of Medicine, New Haven, CT, USA.

Objectives: The purpose of this study was to evaluate the diagnostic performance of fine-needle aspiration (FNA) biopsy for intraocular mass-like lesions and its contributing factors.

Methods: Intraocular FNA cases were retrieved and reviewed along with histopathologic follow-ups, if available. The effects of rapid on-site evaluation (ROSE), repeated biopsy, and adjunct immunocytochemical studies on cytologic diagnoses were analyzed. Read More

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February 2021

Cost-effectiveness of rapid on-site evaluation of endoscopic ultrasound fine needle aspiration in gastrointestinal lesions.

Cytopathology 2021 May 9;32(3):326-330. Epub 2021 Mar 9.

Department of Gastroenterology, Faculty of Medicine in the Galilee, Galilee Medical Center, Bar-Ilan University, Safed, Israel.

Background And Aim: Rapid on-site evaluation (ROSE) can improve adequacy rates of fine needle aspiration (FNA) and thus save operational costs. Our aim was to assess the cost-efficacy of ROSE performed during endoscopic ultrasound (EUS)-FNA of gastrointestinal lesions.

Method: This was a retrospective cohort study of 156 patients who underwent EUS-FNA for pancreatic, submucosal upper gastrointestinal, and adjacent lesions at Galilee Medical Center between 2012 and 2017. Read More

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Diagnostic Lobectomy for Bethesda III Thyroid Nodules: Pathological Outcomes and Risk Factors for Malignancy.

Ann Otol Rhinol Laryngol 2021 Feb 10:3489421993976. Epub 2021 Feb 10.

Department of Otolaryngology, San Antonio Military Medical Center, San Antonio, TX, USA.

Objective: An indeterminate thyroid nodule fine-needle aspiration (FNA) presents a unique dilemma. We evaluated our institution's experience with Bethesda III thyroid nodules, including the risk of malignancy (ROM) of these nodules removed for diagnostic lobectomy and radiologic and clinical risk factors for malignancy.

Study Design: Retrospective chart review. Read More

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February 2021

Efficacy of Adjuvant Application of Platelet-Rich Plasma After Needle Aspiration of Calcific Deposits for the Treatment of Rotator Cuff Calcific Tendinitis: A Double-Blinded, Randomized Controlled Trial With 2-Year Follow-up.

Am J Sports Med 2021 03 10;49(4):873-882. Epub 2021 Feb 10.

Centre for Orthopaedic Surgery OCON, Hengelo, the Netherlands.

Background: Needle aspiration of calcific deposits (NACD) is a frequently used treatment for rotator cuff calcific tendinitis (RCCT). However, a substantial number of patients experience recurrent or persisting shoulder symptoms after NACD.

Purpose: To compare the effects of adjuvant application of platelet-rich plasma (PRP) after NACD (NACP+PRP) with those of conventional NACD with corticosteroids (NACD+corticosteroids) on pain, shoulder function, and quality of life (QoL). Read More

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Large pure cystic papillary thyroid cancer in a young female patient despite repeated negative fine-needle aspiration biopsies.

Hormones (Athens) 2021 Feb 10. Epub 2021 Feb 10.

Second Department of Propaedeutic Surgery, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

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February 2021

Effect of an Information Video before Thyroid Biopsy on Patients Anxiety.

J Invest Surg 2021 Feb 8:1-8. Epub 2021 Feb 8.

Radiology, Saglık Bilimler University, Konya Training and Research Hospital, Konya, Turkey.

Aim: To investigate the effects of video-based information on the anxiety of patients who underwent ultrasound-guided thyroid fine-needle aspiration biopsy.

Methods: Fifty consecutive patients who underwent thyroid fine needle aspiration biopsy were included in the study prospectively. Patients were divided into two groups before the biopsy. Read More

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February 2021

Iatrogenic intracranial vessel dissection during mechanical thrombectomy rescued by emergent stenting: 2 case reports.

Radiol Case Rep 2021 Apr 28;16(4):835-842. Epub 2021 Jan 28.

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

Intracranial vessel dissection is a procedural complication associated with endovascular treatment. However, there have been few reports on its potential causes and management during mechanical thrombectomy. In approximately 250 cases of mechanical thrombectomy over the past 5 years at our institution, iatrogenic intracranial dissection occurred in 2 patients (0. Read More

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Fluoroscopy X-Ray Organ-Specific Dosimetry System (FLUXOR) for Estimation of Organ Doses and Their Uncertainties in the Canadian Fluoroscopy Cohort Study.

Radiat Res 2021 04;195(4):385-396

Department of Epidemiology and Biostatistics, School of Medicine, University of California San Francisco, San Francisco, California 94143-1228.

As part of ongoing efforts to assess lifespan disease mortality and incidence in 63,715 patients from the Canadian Fluoroscopy Cohort Study (CFCS) who were treated for tuberculosis between 1930 and 1969, we developed a new FLUoroscopy X-ray ORgan-specific dosimetry system (FLUXOR) to estimate radiation doses to various organs and tissues. Approximately 45% of patients received medical procedures accompanied by fluoroscopy, including artificial pneumothorax (air in pleural cavity to collapse of lungs), pneumoperitoneum (air in peritoneal cavity), aspiration of fluid from pleural cavity and gastrointestinal series. In addition, patients received chest radiographs for purposes of diagnosis and monitoring of disease status. Read More

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Suction force rather than aspiration flow correlates with recanalization in hard clots: an in vitro study model.

J Neurointerv Surg 2021 Jan 29. Epub 2021 Jan 29.

R&D, Anaconda Biomed, S L Barcelona, Spain.

Background: ANA Advanced Neurovascular Access provides a novel funnel component designed to reduce clot fragmentation and facilitate retrieval in combination with stent-retrievers (SRs) in stroke patients by restricting flow and limiting clot shaving. In previous publications ANA presented excellent in vitro/in vivo efficacy data, especially with fibrin-rich hard clots. We aimed to determine the main physical property responsible for these results, namely suction force versus aspiration flow. Read More

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January 2021

Identifying the risk factors and incidence of Asherman Syndrome in women with post-abortion uterine curettage.

J Obstet Gynaecol Res 2021 Apr 18;47(4):1549-1555. Epub 2021 Jan 18.

Department of Obstetrics and Gynecology, Memorial Ankara Hospital, Ankara, Turkey.

Aim: To evaluate the risk factors and incidence of Asherman Syndrome in women with post-abortion uterine evacuation and curettage.

Methods: A total of 2546 patients who had surgical abortion (uterine evacuation and curettage) before the 20th gestational week with indications of missed abortion, anembryonic pregnancy, incomplete abortion, and elective curettage in a tertiary antenatal care center were recruited. The patients were called and surveyed for their symptoms; including infertility, oligo-amenorrhea and recurrent pregnancy loss, preterm birth and intrauterine growth retardation and abnormal placentation as criteria of Asherman Syndrome. Read More

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Percutaneous aspiration-injection-reaspiration (PAIR) for the treatment of abdominal cysts: Initial report in sheep and goat.

Acta Vet Hung 2021 Jan 16. Epub 2021 Jan 16.

3Division of Animal Genetics and Breeding, Faculty of Veterinary Sciences and Animal Husbandry, SKUAST, Kashmir, Srinagar, Jammu and Kashmir, India.

Percutaneous aspiration-injection-reaspiration (PAIR), also called sclerotherapy, is a minimally invasive, inexpensive and safe technique for the treatment of abdominal cysts in humans. A study was planned to evaluate the feasibility of this procedure in the management of abdominal cysts in sheep and goat. Adult ewes (n = 5) and one doe (n = 1) found to have abdominal cysts (one cyst/animal) on repeated survey ultrasonography (USG) were included in the study. Read More

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January 2021

Late Stent Thrombosis After Drug-Coated Balloon Coronary Angioplasty for In-Stent Restenosis.

Int Heart J 2021 Jan 16;62(1):171-174. Epub 2021 Jan 16.

Department of Emergency and Chest Pain Center, Cheeloo College of Medicine, Qilu Hospital of Shandong University.

A 41-year-old woman with chest pain for 6 hours was admitted to our chest pain center, presenting with acute myocardial infarction. Coronary angiography showed acute total occlusion in the proximal left anterior descending artery due to late stent thrombosis. After thrombus aspiration and intracoronary administration of 0. Read More

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January 2021

Collection and maturation of (brown brocket deer) oocytes obtained after ovarian stimulation.

Zygote 2021 Jan 15:1-7. Epub 2021 Jan 15.

NUPECCE - Núcleo de Pesquisa e Conservação de Cervídeos, Departamento de Zootecnia, Faculdade de Ciências Agrárias e Veterinárias, Universidade Estadual Paulista, Jaboticabal, SP, Brazil.

In vitro production of embryos has gained prominence as a tool for use in wildlife conservation programmes in situ and ex situ. However, the development of this technique depends on steps that include ovarian stimulation, collection and oocyte maturation. The purpose of this study was to assess the feasibility of an ovarian stimulation protocol for follicular aspiration, the efficiency of videolaparoscopy for follicular aspiration and test a medium for in vitro oocyte maturation for the species Mazama gouazoubira. Read More

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January 2021

Outcome of manual thrombus aspiration for patients undergoing primary PCI for acute STEMI showing large thrombus burden.

Egypt Heart J 2021 Jan 12;73(1). Epub 2021 Jan 12.

Department of Cardiology, Faculty of Medicine, Ain Shams University, Abbasia, Cairo, Egypt.

Background: Routine thrombus aspiration during primary PCI does not improve clinical outcomes. Although recent guidelines for management of patient presented by ST-elevation myocardial infarction treated by primary PCI does not recommend routine use of thrombus aspiration and ranking it as class III recommendation. However, there is remaining uncertainty about rule of TA in group of patients presented by STEMI and their initial coronary angiogram shows large thrombus burden as there is a logical rationale for greater benefit, and still, there are no clear guidelines for management of this group of patients; the aim of this study is to evaluate the in-hospital and short-term outcome of using manual thrombus aspiration in STEMI patients undergoing primary PCI and showing large thrombus burden. Read More

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January 2021

Effect of Active Aspiration and Sheath Location on Intrapelvic Pressure During Miniaturized Percutaneous Nephrolithotomy.

Urology 2021 Jan 6. Epub 2021 Jan 6.

Ankara University School of Medicine, Department of Urology, Ankara, Turkey.

Objective: To evaluate the effects of location of the tip of percutaneous sheath and nephroscope in the collecting system together with active aspiration on the Intrapelvic pressure measurements (IPP) during miniaturized percutaneous nephrolithotomy (miniPNL).

Materials And Methods: The data of 20 patients underwent miniPNL in supine position was collected prospectively. IPP measurements were done with an 8 Fr urodynamic pressure measurement catheter in 4 different settings with respect to location of tip of sheath and nephroscope. Read More

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January 2021

Development of a microfluidic membraneless vaporization flow system for trace analysis of arsenic.

Anal Methods 2021 01;13(2):202-211

Department of Chemistry, University of the Balearic Islands, 07122 Palma de Mallorca, Spain.

A new design of a membraneless vaporization (MBL-VP) unit coupled with a specific flow system is presented for the determination of arsenic at trace levels using a hydride generation process. The MBL-VP unit contains two concentric conical reservoirs, with the outer cone selected as the donor reservoir. The volume of the outer donor reservoir is thereby greater than the acceptor volume, necessary for holding sufficient sample and reagents for the generation of arsine gas by reaction between As(iii) and sodium borohydride under acidic conditions. Read More

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January 2021

Tubercular Mastitis Mimicking as Malignancy: A Case Report.

Prague Med Rep 2020 ;121(4):267-276

Department of Pharmacy Practice, Faculty of Pharmacy, Vignan Institute of Pharmaceutical Technology, Visakhapatnam, India.

Tubercular mastitis is a rare form of extrapulmonary tuberculosis commonly seen in multiparous and lactating women in developing countries. It is a diagnostic challenge and commonly misdiagnosed as breast carcinoma. Tubercular mastitis is paucibacillary, and fine-needle aspiration cytology provides an accurate diagnosis - the presence of granulomas with Langerhans giant cells on histopathological examination warrants empirical treatment with anti-tubercular drugs. Read More

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January 2021

Extensive peritoneal lavage with saline after curative gastrectomy for gastric cancer (EXPEL): a multicentre randomised controlled trial.

Lancet Gastroenterol Hepatol 2021 02 27;6(2):120-127. Epub 2020 Nov 27.

Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address:

Background: Peritoneal recurrence of gastric cancer after curative surgical resection is common and portends a poor prognosis. Early studies suggest that extensive intraoperative peritoneal lavage (EIPL) might reduce the risk of peritoneal recurrence and improve survival. We aimed to evaluate the survival benefit of EIPL in patients with gastric cancer undergoing curative gastrectomy. Read More

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February 2021