المؤلفون: Cragg, James¹, Lowry, Danielle¹, Hopkins, Jonathan², Parker, David², Kay, Mark¹, Duddy, Martin², Tiwari, Alok¹ alok@doctors.org.uk

المصدر: Vascular & Endovascular Surgery. Feb2018, Vol. 52 Issue 2, p93-97. 5p.

مصطلحات موضوعية: *POPLITEAL artery, *ANGIOPLASTY, *ARTERIAL puncture, *BLOOD vessels, *DEMOGRAPHY, *FEMORAL artery, *HEMATOMA, *LONGITUDINAL method, *MEDICAL equipment, *PATIENT safety, *PERIPHERAL vascular diseases, *DATA analysis software, *TERTIARY care, *ANATOMY

مصطلحات جغرافية: UNITED Kingdom

مستخلص: Purpose: Previous reports have suggested higher periprocedural complications after ipsilateral antegrade femoral arterial access (AA). We looked at a contemporary series comparing complication rates between AA and contralateral retrograde femoral arterial access (RA) for femoropopliteal angioplasty. Method: A prospective review of all cases between 2010 and 2015 in a United Kingdom tertiary vascular center. Demographical and procedural data were obtained for those undergoing percutaneous femoropopliteal angioplasty. The primary outcome looked at periprocedural complications including retroperitoneal hematoma, pseudoaneurysm, hematoma requiring transfusion, arteriovenous fistulation, and surgical intervention. Secondary outcomes included contrast and radiation doses in addition to procedural failure leading to major amputation. Results: A total of 556 (66% male) patients underwent femoropopliteal angioplasty, 461 (82%) via AA. Groups were of comparable age, sex, comorbidity, and symptomatology. AA patients had a lower body mass index, 26 versus 29 (P = .005). No significant difference was seen in periprocedural (15.8% AA vs 11.6% RA; P = 0.292) or access site complications (3.7% AA vs 1.1% RA; P = 0.186). There was less need for a closure device, 40.3% AA vs 73% RA (P < .01), less contrast, 94 mL AA: 114 mL RA (P < .001), and less radiation, 3487 cGy cm2 AA: 9697 cGy cm2 RA (P < .001). Arterial access was also associated with greater technical success of 83.8%: 73.3% RA (P = .002). Conclusions: Arterial access is associated with higher technical success and reduced contrast/radiation doses with no significant difference in complications compared to RA contrary to previous reports. [ABSTRACT FROM AUTHOR]

المؤلفون: Nanjappa, A¹, Gill, J¹, Sadat, U², Colah, S¹, Abu-Omar, Y¹, Nair, S¹

المصدر: Perfusion. Nov2013, Vol. 28 Issue 6, p530-535. 6p. 4 Charts.

مصطلحات موضوعية: *MYOCARDIAL revascularization, *TRANSLUMINAL angioplasty, *ACADEMIC medical centers, *BLOOD testing, *AUTOTRANSFUSION of blood, *CHI-squared test, *CONFIDENCE intervals, *EPIDEMIOLOGY, *FISHER exact test, *LONGITUDINAL method, *MULTIVARIATE analysis, *SCIENTIFIC observation, *T-test (Statistics), *U-statistics, *SURGICAL equipment, *LOGISTIC regression analysis, *DATA analysis, *DATA analysis software, *DESCRIPTIVE statistics

مصطلحات جغرافية: UNITED Kingdom

مستخلص: The article presents a study that analyzes the effects of retrograde autologous priming (RAP) on the use of intraoperative packed red cell (PRC) or blood product transfusion. The study was conducted on patients who underwent coronary artery bypass grafting (CABG) for the first time. The results of the study show that the practise of RAP does not necessarily lessen RPG and other blood product transfusion requirements.

المؤلفون: Thomson, Rebekah, Meeran, Hanif, Valencia, Oswaldo, Al-Subaie, Nawaf

المصدر: Journal of Critical Care; 2014, Vol. 29 Issue 6, p997-1000, 4p

مصطلحات موضوعية: ACUTE kidney failure prevention, PATIENT monitoring, ACADEMIC medical centers, ALGORITHMS, REGULATION of body fluids, CHI-squared test, FISHER exact test, GOAL (Psychology), CARDIAC surgery, INTENSIVE care units, LONGITUDINAL method, MYOCARDIAL revascularization, HEALTH outcome assessment, POSTOPERATIVE care, STRATEGIC planning, T-test (Statistics), TRANSLUMINAL angioplasty, TREATMENT effectiveness, DATA analysis software, DESCRIPTIVE statistics, MANN Whitney U Test

مصطلحات جغرافية: UNITED Kingdom

المؤلفون: Canali, Emanuele, Masci, Pier, Bogaert, Jan, Bucciarelli Ducci, Chiara, Francone, Marco, Mcalindon, Elisa, Carbone, Iacopo, Lombardi, Massimo, Desmet, Walter, Janssens, Stefan, Agati, Luciano

المصدر: European Heart Journal - Cardiovascular Imaging; Nov2012, Vol. 13 Issue 11, p948-953, 6p

مصطلحات موضوعية: TRANSLUMINAL angioplasty, MYOCARDIAL infarction treatment, MAGNETIC resonance imaging, CHI-squared test, LONGITUDINAL method, MEDICAL cooperation, MULTIVARIATE analysis, MYOCARDIAL reperfusion, REGRESSION analysis, RESEARCH, SEX distribution, T-test (Statistics), U-statistics, VENTRICULAR remodeling, DATA analysis software, DESCRIPTIVE statistics

مصطلحات جغرافية: BELGIUM, UNITED Kingdom, ITALY

مستخلص: Aims There is conflicting evidence on the impact of gender on reperfusion after primary coronary angioplasty (PPCI), and on left ventricular (LV) remodelling (LVR). In a cohort of patients with reperfused ST elevation myocardial infarction (STEMI), gender-related differences on myocardial reperfusion, and sex-related differences on LVR were assessed by using a comprehensive cardiac magnetic resonance (CMR) approach. Methods and results In four tertiary referral centres, 283 (238 males and 45 females) consecutive STEMI patients, treated with PPCI within 12 h from symptoms onset underwent CMR 3 ± 2 days after STEMI and at 4-month follow-up. By CMR, the area at risk, infarct size (IS), microvascular obstruction (MVO), and myocardial salvage index (MSI) were assessed. Women were older than men (P = 0.014), more hypertensive (P < 0.001) and more frequently presented with pre-infarct angina (P = 0.018). An MSI extent was significantly higher (P = 0.013), IS was significantly smaller at both time points (acute P < 0.001, follow-up P < 0.001), and the MVO extent was significantly smaller (P < 0.001) in women. At multivariate analysis, Killip class and female sex were independently associated with a higher MSI (P = 0.02, P = 0.05, respectively). A similar incidence of LVR in both sexes was observed at follow-up (P = 0.808). Conclusions The better reperfusion pattern observed in women by CMR in our population of reperfused STEMI suggests sex-based differences exist. No gender differences were observed with respect to incidence of LV remodelling at the follow-up mainly occurring in the subset of patients with a larger IS. [ABSTRACT FROM AUTHOR]

: Copyright of European Heart Journal - Cardiovascular Imaging is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Parviz, Yasir¹ dr1yasir@hotmail.com, Rowe, Rebecca^1,2, Vijayan, Sethumadhavan², Iqbal, Javaid^1,2, Morton, Allison C.¹, Grech, Ever D.¹, Hall, Ian¹, Gunn, Julian^1,2

المصدر: Cardiovascular Revascularization Medicine. Dec2015, Vol. 16 Issue 8, p447-449. 3p.

مصطلحات موضوعية: *BRACHIAL artery, *ARTERIAL catheterization, *VASCULAR diseases, *FEASIBILITY studies, *CORONARY artery physiology, *PHYSIOLOGY, *CORONARY circulation, *CORONARY heart disease treatment, *CARDIOVASCULAR system, *COMPARATIVE studies, *CORONARY disease, *INTRAVENOUS catheterization, *LONGITUDINAL method, *RESEARCH methodology, *MEDICAL care, *MEDICAL cooperation, *MYOCARDIAL revascularization, *PATIENT safety, *RESEARCH, *RISK assessment, *SURVIVAL, *TRANSLUMINAL angioplasty, *PILOT projects, *EVALUATION research, *TREATMENT effectiveness, *RETROSPECTIVE studies, *HOSPITAL mortality, *CORONARY angiography

مصطلحات جغرافية: UNITED Kingdom

مستخلص: Background: Percutaneous vascular access for coronary intervention is currently achieved predominately via the radial route, the femoral route acting as a backup. Percutaneous trans-brachial access is no longer commonly used due to concerns about vascular complications. This study aimed to investigate the safety and feasibility of percutaneous brachial access when femoral and radial access was not possible.Methods: This is a retrospective data analysis of patients who attended a single tertiary cardiology centre in the UK between 2005 and 2014 and had a coronary intervention (coronary angiogram or PCI) via the brachial route. The primary endpoints were procedural success and the occurrence of vascular complications.Results: During the study period 26602 patients had a procedure (15655 underwent PCI and 10947 diagnostic angiography). Of these, 117 (0.44% of total) had their procedure performed via the brachial route. The procedure was successful in 96% (112/117) of cases. 13 (11%) patients experienced post procedural complications, of which 2 (1.7%) were serious. There were no deaths.Conclusion: Percutaneous trans-brachial arterial access is feasible with a high success rate and without evidence of high complication rate in a rare group of patients in whom femoral or sometimes radial attempts have failed. [ABSTRACT FROM AUTHOR]