Search Results
Results 301 - 350 of 1555
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Rigatelli Gianluca - - 2009
BACKGROUND: Multimedia programmes relating to education and consents may be useful for decreasing anxiety during catheter-based repair in patients with congenitally malformed hearts. OBJECTIVE: Our study was aimed at evaluating the impact of multimedia protocols for education of a population of consecutive patients with congenitally malformed hearts prior to transcatheter ...
Oran Nazan Tuna - - 2008
A prospective analysis was conducted comparing dysfunction attributable to catheter thrombosis in subjects who received a heparin catheter lock three times a week (n = 15) to those who received a heparin lock six times a week (n = 15) immediately after the insertion of a temporary haemodialysis catheter. Thrombus ...
Yamamoto Takeshi - - 2009
BACKGROUND: A novel modified tissue-type plasminogen activator, monteplase, has been approved for acute major pulmonary embolism (PE) in Japan. Monteplase has rapid and sustained lytic effects because of a steep rise in concentration after bolus infusion and a longer half-life. METHODS AND RESULTS: To assess the efficacy and safety of ...
Da Costa Antoine - - 2009
BACKGROUND: Radiofrequency ablation (RFA) of cavotricuspid isthmus (CTI)-dependent atrial flutter (AFL) can be performed using either externally cooled-tip RFA catheters or large-tip (8 mm) catheters. However, experimental and clinical studies suggest that the efficacy of both catheters may vary with CTI anatomy and catheters orientation. OBJECTIVES: The aim of this ...
Liang Ching-Chung - - 2009
The objective of this study is to assess the impact of bladder catheterization on the incidence of postoperative urinary tract infection (UTI) and urinary retention (PUR) following laparoscopic-assisted vaginal hysterectomy (LAVH). One hundred fifty patients undergoing LAVH were randomly assigned to no catheter use, 1-day, and 2-day catheter groups. The ...
Cohen Stephen C - - 2008
BACKGROUND: Our objective was to evaluate a powered bone marrow aspiration device for use in diagnosing disease and monitoring disease course and medical therapy. PATIENTS AND METHODS: The device was used in accordance with practice guidelines and directions for use. Data collection included insertion success, time to insertion and complications. ...
Courtney Angi - - 2008
PURPOSE: To prospectively assess the safety of the PleurX catheter in the management of recurrent ascites in patients with advanced abdominal malignancy and the consequent quality of life among these patients. MATERIALS AND METHODS: This was a multicenter, prospective study of PleurX catheters implanted between March 2004 and April 2005 ...
Lai Chao-Han - - 2009
Over-the-wire exchange is a standard treatment for patients with tunneled hemodialysis catheters (THCs) that fail to maintain sufficient extracorporeal blood flow. However, this well-known procedure is unsuitable in the presence of exit-site infection (ESI). In such cases, a modified exchange technique with introduction of the new THC through a remote ...
Crispin Alexander - - 2008
BACKGROUND: Home parenteral nutrition (HPN) has been shown to delay deterioration in cancer patients with malnutrition. Its risk-benefit ratio, however, is determined by the threat of central venous catheter (CVC) complications. Only few prospective studies on this subject exist, most of them based on small samples. The objective of this ...
Peterson William J WJ Division of Nephrology, University of Alabama at Birmingham, 728 Richard Arrington Blvd., Birmingham, AL 35233, - - 2009
Catheter-related bacteremia (CRB) is a frequent complication of tunneled dialysis catheters, and Enterococcus is a common infecting organism. CRB may be treated by instilling an antibiotic lock into the catheter lumen in conjunction with systemic antibiotics. The efficacy of this approach in Enterococcus bacteremia is unknown. Quality improvement report. 64 ...
Ekbal Nasirul J - - 2008
Elderly patients form the most rapidly expanding group of hemodialysis (HD) patients in Europe and the United States. There are initiatives to promote an increase in arteriovenous fistula (AVF) formation. There are concerns that elderly patients may have lower rates of surgical vascular access compared with younger patients due to ...
Singh R - - 2008
BACKGROUND: Peripheral intravenous catheter-related phlebitis is a common and significant problem in clinical practice. This study was carried out to determine the occurrence of peripheral intravenous catheter related phlebitis and to define the possible factors associated to its development. MATERIALS AND METHODS: Prospective observational study was carried out on 230 ...
Sharma Ajay P - - 2008
BACKGROUND: Recent single-arm studies reported good catheter outcome despite shorter break-in periods after peritoneal dialysis (PD) catheter insertions. These results were attributed to tight catheter securing during the insertions. Objective: To compare catheter-related outcomes after different break-in periods in the tightly secured PD catheters. PATIENTS AND METHODS: The study cohort ...
Watkins John M - - 2008
Describe the incidence and identify risk factors for seroma development after MammoSite breast brachytherapy (MBT). MBT patient data were prospectively recorded into a quality assurance database. Departmental and electronic records were reviewed to extract patient-, treatment-, and outcome-specific data. Stepwise logistic regression analysis was performed to identify factors associated with ...
Horiuchi A - - 2008
BACKGROUND AND STUDY AIMS: Percutaneous endoscopic gastrostomy (PEG) is the preferred route for long-term enteral feeding. The aim of this study was to compare a direct, modified introducer method using a bumper-button-type device with the standard pull method for PEG. PATIENTS AND METHODS: Between October 2005 and January 2007 consecutive ...
Shen-Gunther Jane - - 2008
OBJECTIVES: The goals were (1) to describe a novel placement technique for the ON-Q anesthetic system based on somatic neural anatomy and (2) to determine its feasibility, efficacy, and associated morbidity among surgical patients on a gynecologic oncology service. METHODS: A retrospective observational study of 100 consecutive patients who underwent ...
Li Tung-Chou - - 2008
We report a case of intrathecal baclofen infusion pump implantation complicated by migration of the catheter tip. A 55-year-old man required an intrathecal baclofen infusion for severe spasticity 4 years after a cervical spinal cord injury with incomplete tetraparesis. Twelve months after initial implantation of the device, the patient began ...
Del Pozo J L - - 2008
The most serious problem related to the use of tunneled catheters in hemodialysis is bacteremia. The aim of this study was to detect hemodialysis catheter colonization and, establish a preemptive therapy based on a catheter antibiotic lock in order to prevent development of catheter-related bloodstream infections. During a 24-month period, ...
Zganjer Mirko - - 2008
Central venous catheters provide an easy access for intravenous medications. Having a central line in place will relieve a child from the discomfort and danger of multiple regular intravenous lines for chemotherapy. The use of indwelling central venous catheters has become commonplace in the management of children undergoing oncological treatment. ...
Zaritsky Joshua J - - 2008
Current data demonstrate pediatric patients who remain on hemodialysis (HD) therapy are more likely to be dialyzed via central venous catheters (CVCs) than arteriovenous grafts (AVGs) and fistulae (AVFs). We retrospectively compared complications and health-related quality of life (HRQOL) associated with different vascular access types at two large centers over ...
Papaspyros Sotiris - - 2008
BACKGROUND: A rising number of acute hospitals in the UK have been providing patients with bedside entertainment services (BES) since 1995. However, their effect on postoperative patient mobility has not been explored. OBJECTIVES: The aim of this prospective randomised clinical trial was to compare the level of postoperative physical activity ...
Tewari Ashutosh - - 2008
OBJECTIVE: To study the feasibility of avoiding a urethral catheter after robotic radical prostatectomy by using suprapubic diversion with a urethral splint, as urethral catheterization is often a source of major discomfort and pain to the patient, and can cause more concern to the patient than the procedure; we present ...
Borowski Andrzej - - 2008
STUDY DESIGN: Retrospective clinical and radiographic review of complications related to intrathecal baclofen therapy (ITB) and posterior spine fusion (PSF) in patients with cerebral palsy. OBJECTIVE: To report the technical considerations and complications associated with ITB in patients undergoing PSF. SUMMARY OF BACKGROUND DATA: A common treatment for spasticity in ...
Spector Marcelo - - 2008
PURPOSE: To report the authors' clinical experience with the Tal Palindrome chronic dialysis catheter with a symmetric tip. MATERIALS AND METHODS: During a 39-month period, 126 Palindrome catheters were placed consecutively in 85 patients. Follow-up was available for 115 catheters. Insertion complications, patency, catheter-related bacteremia, exit site infections, and reasons ...
Kawamura Junichiro - - 2008
Venous ports are mandatory for chemotherapy in cancer patients because prolonged infusions are required. The aim of this study was to assess the safety of peripheral arm ports for chemotherapy in patients with colorectal cancer. A peripheral venous access port was placed in the upper arm in 113 consecutive patients ...
Kerr Andrew - - 2008
PURPOSE: To determine whether placing a purse-string suture at the tunnel exit site at the time of tunneled dialysis catheter (TDC) insertion will decrease postprocedural bleeding. MATERIALS AND METHODS: In a retrospective single-center, single-operator study, 51 patients in the control group had TDCs inserted without purse-string sutures at the tunnel ...
Kuo William T - - 2008
PURPOSES: The standard medical management for patients in extremis from massive pulmonary embolism (PE) is systemic thrombolysis, but the utility of this treatment relative to catheter-directed intervention (CDI) is unknown. We evaluated the effectiveness of CDI as part of a treatment algorithm for life-threatening PE. METHODS: A retrospective review was ...
Königsrainer I - - 2009
In a quality improvement audit on epidural analgesia in 300 patients after major abdominal surgery, we identified postoperative lower leg weakness and premature catheter dislodgement as the most frequent causes of premature discontinuation of postoperative epidural infusion. Lower limb motor weakness occurred in more than half of the patients with ...
Kilciler Mete - - 2008
PURPOSE: To assess whether Foley catheterization of the rectum after transrectal ultrasound (TRUS)-guided prostate biopsy decreases complication rates. MATERIALS AND METHODS: Between June 2000 and September 2006, 275 consecutive patients were evaluated after undergoing TRUS-guided prostate biopsy. All procedures were performed on an outpatient basis. Patients were divided into two ...
Hemal Ashok K - - 2008
PURPOSE: We report our experience with robotic reconstruction for recurrent supratrigonal vesicovaginal fistulas and its outcome. MATERIALS AND METHODS: From August 2006 to October 2007 we treated 7 cases of recurrent supratrigonal vesicovaginal fistula. Salient features of our technique are 1) vaginoscopy and cystoscopy with bilateral Double-J stent or ureteral ...
Resnick Jessica R - - 2008
OBJECTIVES: The most effective technique for ultrasound-guided peripheral intravenous access (USGPIVA) is unknown. In the traditional short-axis technique (locate, align, puncture [LAP]), the target vessel is aligned in short axis with the center of the transducer. The needle is then directed toward the target under real-time ultrasound (US) guidance. Locate, ...
Onile T G - - 2008
OBJECTIVE: To compare immediate and 24-hour postoperative removal of urethral catheters for elective cesarean delivery. METHOD: A prospective randomized trial of 200 women admitted for elective cesarean delivery where the urethral catheter was removed 24 hours postoperatively or immediately after the procedure. Urine samples were collected preoperatively and 72 hours ...
Bingener Juliane - - 2008
BACKGROUND: Anecdotal reports of natural orifice translumenal endoscopic surgery (NOTES) procedures in patients are emerging. Whether the new procedure truly is less invasive is not known. Perioperative hematologic parameters during NOTES was compared with those during standard laparoscopy. METHODS: For this study, 12 swine were randomized to transgastric peritoneoscopy with ...
Al-Hwiesh Abdulla Khalaf - - 2008
Tunneled cuffed central vein catheters (TCC) are widely used for delivering hemodialysis (HD). Infection is the principal cause of morbidity and mortality associated with central vein catheters in patients on HD. The optimal strategy to combat TCC infection is controversial. This prospective study assesses the efficacy of antibiotic-lock therapy using ...
Rosenthal Melissa A - - 2008
PURPOSE: To compare complications in catheters placed by the fluoroscopically guided percutaneous method versus directly visualized surgery. MATERIALS AND METHODS: A retrospective cohort analysis was performed. Mechanical complication rate data, including catheter leakage, malfunction, malposition, and bleeding, were compared between the two groups over a 1-year follow-up period. Additionally, exit ...
Kuzma Kristin - - 2009
Prior studies have found that > 50% of prehospital intravenous catheters (i.v.s) were unutilized for treatment; however, few data are available regarding which patients benefit. The objective of this study was to examine the association between i.v. utilization in the field, paramedic primary impression, and patient presentation. Prehospital records for ...
Avellanal M - - 2008
BACKGROUND: Epiduroscopy is a relatively new diagnostic and therapeutic technique used in patients with chronic low back pain with or without radiculopathy. We present our experience with a new interlaminar approach in patients with failed back surgery syndrome (FBSS). METHODS: Patients with severe symptoms of FBSS who did not respond ...
Periard D - - 2008
INTRODUCTION: Intravenous (i.v.) therapy may be associated with important catheter-related morbidity and discomfort. The safety, efficacy, comfort, and cost-effectiveness of peripherally inserted central catheters (PICCs) were compared to peripheral catheters (PCs) in a randomized controlled trial. METHODS: Hospitalized patients requiring i.v. therapy >or= five days were randomized 1:1 to PICC ...
Kim Tae-Hyung - - 2008
The purpose of this study was to evaluate the usefulness of a multifunctional gastrointestinal coil catheter for stent placement in 98 patients with colorectal strictures. The catheter was used in 98 consecutive patients for stent placement in the rectum (n = 24), recto-sigmoid (n = 13), sigmoid (n = 38), ...
Shi Hong-Jian - - 2009
PURPOSE: To evaluate the efficacy of percutaneous mechanical thrombectomy (PMT) combined with catheter-directed thrombolysis (CDT) in the treatment of massive symptomatic lower limb deep venous thrombosis (DVT). MATERIALS AND METHODS: One hundred and three clinically confirmed DVT patients were discharged from our institution. Sixteen patients with massive lower limb DVT ...
Sekhavat Leila - - 2008
OBJECTIVE: To assess whether immediate removal of an indwelling catheter after anterior colporrhaphy influences the rate of re-catheterisation and symptomatic urinary tract infections. METHODS: A prospective randomised study conducted on 90 women divided into two groups who underwent anterior repair. The indwelling catheter was removed immediately (early catheter removal), and ...
Taricco Mário Augusto - - 2008
The Chiari malformation (CM) is characterized by variable herniation of one or both cerebellar tonsils, associated or not with displacement of the hindbrain structures into the vertebral canal. This is a retrospective study of 29 patients with CM submitted to surgical procedure between 1990 and 2003. There were 14 females ...
Chow Lorraine - - 2008
Introduction: Epidural catheter migration is a known problem that exists in labour analgesia, and has been reported in some studies to occur in >50% of paturients (1). There have been case reports of previously functioning epidural catheters that have subsequently migrated, leading to catheter failure and other complications (2-3). The ...
Mouw Elisabeth - - 2008
BACKGROUND: Children with short bowel syndrome (SBS) requiring central venous catheters (CVCs) may experience frequent catheter-related infections (CRIs). Treatment strategies include antibiotic- and ethanol-containing locks, with CVC removal if the CRI cannot be cleared. Ethanol lock therapy has been reported for CRI treatment in children but not for CRI prevention. ...
Matiello Maria - - 2008
AIMS: In many laboratories, cooled-tip catheters have replaced 8 mm-tip catheters due to their theoretical advantage of achieving larger lesions and avoiding charring. However, direct comparisons between the catheters in the subset of atrial fibrillation (AF) ablation are scarce. The aim of this study was to compare the efficacy, safety, ...
Pacik Peter T - - 2008
BACKGROUND: In an effort to give patients an additional effective form of analgesia, indwelling catheters for the instillation of a long-acting local anesthetic have been used to alleviate postoperative pain in patients undergoing augmentation mammaplasty. OBJECTIVE: This prospective study analyzes the safety and efficacy of this form of pain control ...
Mercadante Sebastiano - - 2008
INTRODUCTION: Advanced cancer patients with refractory ascites do not often respond to dietary sodium restriction and diuretics. While paracentesis is effective, the condition invariably recurs, necessitating repeated procedures. A continuous peritoneal drainage by an indwelling catheter has been reported to be hugely beneficial symptomatically, avoiding the hazards and disadvantages of ...
Sharma Gyanendra - - 2008
PURPOSE: To evaluate the safety and efficacy of a single instillation in a combination of povidone iodine with contrast agent under fluoroscopy guidance for the treatment of chyluria. MATERIALS AND METHODS: From December 1999 to July 2006 a total of 40 patients with chyluria were treated by renal pelvic instillation ...
Tsai Hsin-Lin - - 2008
Various venous approaches are possible during implanting a totally venous access port. The veins, which are commonly used in pediatric patients are internal and external jugular veins. Comparison of different venous approaches has been discussed in a few reports only. The present study reviews the complication rate, operation time of ...
Cheng Daniel - - 2008
PURPOSE: To determine if alteplase infusion for the treatment of loculated abdominopelvic abscesses requiring percutaneous catheter drainage was superior to saline solution infusion. METHODS AND MATERIALS: This study was a single-center prospective randomized trial. Patients with loculated abdominopelvic abscesses unsuccessfully drained by initial catheter placement were randomized to receive the ...
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