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Results 401 - 450 of 4275
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Slim H - - 2011
OBJECTIVES: Compare the outcome of distal (bypass to the crural arteries) versus ultradistal (bypass to the pedal arteries) bypasses in patients with critical leg ischaemia (CLI). DESIGN: Retrospective analysis of prospectively collected data of patients with CLI undergoing infra-popliteal bypass surgery is performed. MATERIALS AND METHODS: Patients undergoing infra-popliteal bypass ...
Tambyraja A L - - 2011
AIMS: The utility of fenestrated-endovascular aneurysm repair (FEVAR) remains uncertain. This study examines the medium term outcomes of patients undergoing FEVAR for asymptomatic juxtarenal abdominal aortic aneurysm (AAA). METHODS: Consecutive patients undergoing elective FEVAR for juxtarenal AAA at a single tertiary centre were studied between October 2005 and March 2010. ...
Shime N - - 2011
The aim of this study was to examine the safety and efficacy of de-escalating antimicrobial therapy in immunocompetent patients presenting with bacteraemia due to antibiotic-sensitive pathogens. We screened 1,350 positive blood cultures identified in a single, 1,065-bed university hospital over 5 years, and retained 310 cases of bacteraemia due to ...
Song Taejong - - 2011
BACKGROUND The aim of this study was to compare the oncologic and reproductive outcomes of patients with borderline ovarian tumours (BOTs) who were treated with cystectomy or unilateral salpingo-oophorectomy (USO). METHODS The medical records of patients with BOTs who were treated between 1997 and 2009 were reviewed retrospectively. The recurrence ...
de Gregorio Miguel A - - 2011
PURPOSE: To describe the use of self-expandable metallic stents to manage malignant colorectal obstructions and to compare the radiation dose between fluoroscopic guidance of stent placement and combined endoscopic and fluoroscopic guidance. MATERIALS AND METHODS: From January 1998 to December 2007, 467 oncology patients undergoing colorectal stent placement in a ...
Staykov Dimitre - - 2011
Background and purpose Intraventricular haemorrhage (IVH) is an independent predictor of poor outcome in spontaneous intracerebral haemorrhage (ICH). Larger IVH volume and increasing number of affected ventricles have been associated with worse prognosis, however, little is known about the prognostic value of blood volume in the different parts of the ...
Wang Shaobai S Bioengineering Lab, Department of Orthopaedic Surgery, MA General Hospital/Harvard Medical School, Boston, MA, - - 2011
Case-control study. To evaluate the effect of lumbar degenerative disc disease (DDD) on the disc deformation at the adjacent level and at the level one above the adjacent level during end ranges of lumbar motion. It has been reported that in patients with DDD, the intervertebral discs adjacent to the ...
Fritz S L - - 2011
BACKGROUND: Limited research exists on rehabilitative techniques focused on reducing disabilities after cerebral hemispherectomy despite persistent hemiparesis. OBJECTIVES: The efficacy of Intensive Mobility Training (IMT) for improving gait, balance and mobility was evaluated in patients after cerebral hemispherectomy and compared with clinical variables for signs of developmental neuroplasticity. METHODS: Participants ...
Della Puppa Alessandro - - 2011
Anticonvulsant therapy is usually recommended before surgery in all patients affected by high grade glioma who are planned to be treated with Carmustine 1,3-bis [2 chloroetyl]-1-nitrosurea, or BCNU) wafers. In fact, phase III studies have reported a risk of seizures higher than 30% in this group of patients. The aim ...
Mihos Christos G - - 2011
BACKGROUND: We evaluated the outcomes of patients with a history of previous sternotomy who underwent minimally invasive mitral valve surgery through a right minithoracotomy approach. METHODS: We reviewed all the isolated mitral valve operations performed at our institution between January 1, 2005, and October 8, 2010, and selected for analysis ...
Aberg Daniel - - 2011
Context and Objective: GH has positive cognitive effects when given to GH-IGF-I-deficient patients. GH and IGF-I exert both neuroprotective and regenerative effects on experimental stroke. We investigated whether the endogenous serum IGF-I (s-IGF-I) levels correlated with recovery of functional independence in patients who had suffered an ischemic stroke. Subjects and ...
Bramer Sander - - 2011
Objective: Given the shortage of small-sized cryopreserved homografts for right ventricle (RV) to pulmonary artery (PA) reconstructions, more readily available larger-sized homografts can be used after size reduction by bicuspidalization. The aim of our study was to determine and compare function over time of standard and bicuspidalized homografts in infants ...
Kim Jin-Tae - - 2011
Despite potential benefits of histidine-tryptophan-ketoglutarate (HTK) solution as a cardioplegic solution, it can cause hyponatremia, especially in pediatric patients. Fluctuations in the sodium concentration during cardiopulmonary bypass (CPB) can adversely affect the central nervous system. We evaluated the relationship between the cardioplegic solution, the fluctuation of sodium concentration, and the ...
Lindsay John R - - 2011
Selective adenomectomy via transsphenoidal surgery induces remission of Cushing's disease (CD) in most patients. Although an undetectable postoperative serum cortisol (<2 μg/dl) has been advocated as an index of remission, there is no consensus on predictors of recurrence. We hypothesized that patients with subnormal cortisol (2-4.9 μg/dl) might achieve long-term ...
Hiromatsu S - - 2011
OBJECTIVES: The objective of this study was to evaluate and compare our perioperative outcomes for open abdominal aortic aneurysm (AAA) between the pre-endovascular aneurysm repair (pre-EVAR) and EVAR eras and to analyse whether the AAA that was excluded from EVAR could affect the perioperative outcome. MATERIALS AND METHODS: The Kurume ...
Vekeman Francis - - 2011
Abstract Background: Total hip and total knee replacement (THR/TKR) patients are at increased risk of developing venous thromboembolism (VTE). VTE prevention using anticoagulation therapy increases the risk of bleeding. Therefore, any assessment of the cost of VTE and its prevention should also take into consideration risks and costs of bleeding. ...
Betts Brian C BC Department of Medicine, University of Minnesota, Minneapolis, Minnesota, - - 2011
Human herpesvirus 6 (HHV6) may be an important pathogen following allogeneic hematopoietic cell transplantation (HCT). We prospectively evaluated weekly HHV6 viremia testing after allogeneic HCT using a quantitative polymerase chain reaction (PCR)-based assay. HHV-6 viremia was detected in 46 of 82 (56%) patients at a median of 23 days post-HCT ...
Ratto C - - 2011
BACKGROUND: Traditional treatment of fourth-degree haemorrhoidal disease (HD) is conventional haemorrhoidectomy and is frequently associated with significant pain and morbidity. In recent years, the use of transanal haemorrhoidal dearterialization (THD) for the treatment of HD has increased. The procedure aims to decrease the arterial blood flow to the haemorrhoids. Moreover, ...
Hijazi E - - 2011
Traditionally, the administration of aspirin is stopped seven days before coronary artery bypass surgery to reduce the risk of postoperative bleeding. The aim of this study was to evaluate the effect of preoperative aspirin on bleeding in these patients. A prospective nonrandomized unblinded study was carried out at the King ...
Nielsen Hans Henrik Møller - - 2011
Abstract Objectives. The use of transcatheter aortic valve implantation (TAVI) for high-risk patients was introduced in the early 2000s for treatment of aortic valve stenosis patients with too high surgical risk. During the last years, there has been a dramatic increase in TAVI procedures. TAVI programs are implemented in numerous ...
Elsharawy Mohamed A - - 2011
BACKGROUND: Persistent high incidence of limb loss resulting from advanced foot gangrene in patients with diabetes prompted an aggressive foot salvage surgery as a final attempt before below-the-knee amputation (BKA). The aim of this study was to evaluate the role of transtarsal amputations in achieving limb salvage at our vascular ...
Agabegi Steven S - - 2011
STUDY DESIGN: Prospective cohortOBJECTIVE: To determine whether preoperative radiographic parameters (translation, angular motion and lateral disc height) can predict fusion status in patients with degenerative spondylolisthesis who underwent a one-level decompression and noninstrumented posterolateral fusion using autogenous iliac crest bone graft.SUMMARY OF BACKGROUND DATA: Noninstrumented posterolateral fusion is sometimes considered ...
Hammerstingl Christoph - - 2011
Objective To assess the risk of bleeding and thromboembolism (TE) of bridging therapy with low molecular weight heparin (LMWH) in patients undergoing pacemaker implantation. Background Current guidelines on peri-procedural management of patients with chronic oral anticoagulation (OAC) give no explicit recommendations on how to treat patients undergoing pacemaker implantations. Methods ...
Chang Mei-Yu - - 2011
BACKGROUND: Chair-sitting may allow for more readily activated scalene, sternocleidomastoid and parasternal intercostals muscles, and may raise and enlarge the upper thoracic cage, thereby enabling the thoracic cage to become more easily compressed. The purpose of this study was to evaluate the effect of chair-sitting training on respiratory muscle function ...
Ahmed Bina - - 2011
The COURAGE (Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation) trial was designed to compare optimal medical therapy alone versus optimal medical therapy and percutaneous coronary intervention (PCI) for treatment of patients with stable coronary artery disease and showed equal efficacy for optimal medical therapy with or without PCI. The ...
Benyahia Hicham - - 2011
The choice of treatment in adult skeletal Class III occlusions often poses a particularly tricky problem for the orthodontist. Faced with the option of either orthodontic camouflage or orthognathic surgery, the clinician's clinical experience is of paramount importance, especially in borderline cases. The aim of our study was to uncover ...
Comelli Ivan - - 2011
Rationale  At present, most patients presenting directly to emergency departments (EDs) do not meet the recommended door-to-balloon goal of less than 90 minutes for ST-elevation myocardial infarction (STEMI) patients. Until the year 2005, the goal of less than 90 minutes door-to-balloon time has been rarely achieved in our hospital (i.e. ...
Gazzera C - - 2011
PURPOSE: We conducted a single-centre retrospective analysis of the results and predictors of early mortality in emergency transjugular intrahepatic portosystemic shunt (TIPS). MATERIALS AND METHODS: Between 1992 and 2009, 82 patients with refractory variceal bleeding underwent emergency TIPS at our Institution. The success and complications of the procedure were assessed ...
Hashem Ahmed M - - 2011
BACKGROUND:: Full-thickness grafting from the ulnar border of the palm is an acceptable choice to cover appropriately sized defects of the volar surface of the hand. The outcome and donor-site morbidity are discussed. PATIENTS:: Twenty-two patients with variably located defects were treated with this technique. Mean age was 26.6 years ...
Pal A - - 2011
Objectives:  The frequency of pituitary tumour regrowth after an episode of classical pituitary apoplexy is unknown. It is thus unclear whether regrowth, if it occurs, does so less frequently than with non apoplectic non functioning pituitary macroadenomas that have undergone surgery without postoperative irradiation. This has important repercussions on follow ...
Horii Arata - - 2011
Abstract Conclusion: Bipolar scissors tonsillectomy followed by cooling down the pharyngeal mucosa has advantages in terms of postoperative pain and intraoperative blood loss compared with cold dissection. Objectives: The purpose of this study was to compare the postoperative pain between bipolar scissors tonsillectomy followed by cooling the pharyngeal mucosa and ...
Zhu Yi-Ming - - 2011
BACKGROUND: Engaging Hill-Sachs lesions are known to be a risk factor for recurrence dislocation after arthroscopic repair in patients with anterior shoulder instability. For a large engaging Hill-Sachs lesion, arthroscopic remplissage is a solution. HYPOTHESIS: Arthroscopic Bankart repair combined with the Hill-Sachs remplissage technique can achieve good results without significant ...
Buellesfeld Lutz - - 2011
The purpose of this study was to evaluate the safety, device performance, and clinical outcome up to 2 years for patients undergoing transcatheter aortic valve implantation (TAVI). The role of TAVI in the treatment of calcific aortic stenosis evolves rapidly, but mid- and long-term results are scarce. We conducted a ...
Polimenakos Anastasios C - - 2011
Objective: Extracorporeal cardiopulmonary resuscitation (ECPR) in children with cardiac arrest refractory to conventional cardiopulmonary resuscitation (CPR) has been reported with encouraging results. We sought to review outcomes of neonates with functional single ventricle (FSV) receiving post-cardiotomy ECPR. Methods: Forty-eight patients who required post-cardiotomy extracorporeal membrane oxygenation (ECMO) since the introduction ...
Li Simon - - 2011
Intracranial arterial dissection is relatively rare and generally considered to have a worse outcome than extracranial arterial dissection. It is a clinically significant entity that can cause severely disabling ischaemic stroke or subarachnoid haemorrhage (SAH). Only a few large case series of intracranial arterial dissection have been reported, particularly in ...
Lee Seung Hwan - - 2011
We aimed to investigate the difference in efficacy of medical treatment of symptomatic benign prostatic hyperplasia (BPH) between normal and obese patients with BPH; obesity was determined by either body mass index (BMI) or waist circumference (WC). In this 12-week prospective observational study, a total of 175 patients aged ≥40 ...
Pascali Maria Paola - - 2011
PURPOSE: Botulinum toxin type A has revolutionized the treatment of neurogenic bladder dysfunction. The original injection technique used a rigid cystoscope and a flexible collagen needle. To date botulinum toxin type A injection techniques have not been standardized. We present our experience in pediatric patients using a new flexible injection ...
Trifanescu Raluca - - 2011
Objective: To clarify the outcome of all cases of Rathke's cleft cysts (RCC) treated surgically and followed-up in Oxford during a long-term period. Subjects and Methods: The records of all patients with RCC seen in the Department of Endocrinology between 1/1978-6/2009 were reviewed. Results: Thirty-three patients (20 females, median age ...
Swanson Gregory P - - 2011
OBJECTIVE: To validate established postoperative nomograms in a patient population with long-term follow-up. There are well-documented risk factors that can help predict for failure after radical prostatectomy for prostate cancer. When combined together, the predictive power is greater than any single factor. It now appears that the most powerful tool ...
Muroi Carl - - 2011
Despite the failure of the international extracranial-intracranial (EC-IC) bypass study in showing the benefit of bypass procedure for prevention of stroke recurrence, it has been regarded to be beneficial in a subgroup of well-selected patients with haemodynamic impairment. This report includes the EC-IC bypass experience of a single centre over ...
Ferrara Pietro - - 2011
Abstract Drug-induced renal injury represents a frequent clinical entity. The most common drugs associated with acute tubular necrosis are aminoglycosides, amphotericin B, radiocontrast agents, and cyclosporine, but no data exist about the potential renal toxicity due to anthelmintics administration. Anthelmintics are commonly considered quite safe agents, and side effects such ...
Kraft Shannon - - 2011
OBJECTIVES: To report survey results of members of the American Society of Pediatric Otolaryngology (ASPO) on the practice patterns of surveillance endoscopy and management of suprastomal granuloma (SSG) in children younger than 2 years with indwelling tracheostomy tubes and to review our internal practice patterns. PATIENTS: All patients younger than ...
Reddy G Kesava - - 2011
BACKGROUND:: Ventriculoperitoneal shunting is the most widely used neurosurgical procedure for the management of hydrocephalus. Objective: To evaluate the long-term single institution experience in the management of adult hydrocephalus patients with ventriculoperitoneal shunts in adult patients. METHODS:: Adult patients who underwent ventriculoperitoneal shunt placement for hydrocephalus from October 1990 to ...
Al-Ghazo Mohammed A - - 2011
This work was conducted to evaluate the safety and efficacy of emergency ureteroscopic lithotripsy in patients with ureteral stones. From May 2003 to December 2010, 244 patients (184 men and 60 women, mean age 45.6 ± 12.7 years (range 22-73 years) were treated with emergency ureteroscopic lithotripsy for ureteral calculi. All patients were divided ...
Pfeiffer Norbert - - 2011
BACKGROUND: To compare the efficacy and safety of timolol 0.5% versus brinzolamide 1.0% when added to travoprost monotherapy in patients with primary open-angle glaucoma or ocular hypertension. METHODS: Patients meeting selection criteria (IOP one eye 19 mmHg and ≤32 mmHg and IOP both eyes ≤32 mmHg at 8:00 h) were switched to travoprost monotherapy ...
Schuman Earl - - 2011
Although more challenging to place, the HeRO device (Hemosphere Inc, Eden Prairie, Minn) provides the dialysis access-challenged patient the opportunity to have an upper extremity graft rather than being dependent on a catheter or requiring a lower extremity access. A major difficulty with the HeRO is the need for a ...
Gregersen Merete - - 2012
Hip fracture is a common cause of long hospital stay in the elderly. Approximately one third of these patients die within the first year. As a consequence geriatric and orthopedic collaboration (orthogeriatrics) has been organized in different ways. The aim of this study is to evaluate the efficiency of a ...
Somoano Brian - - 2011
BACKGROUND: The paramedian forehead flap (PFF) is a common method of reconstruction for large nasal defects. Generally, surgeons divide this flap at 3 weeks. This delay can result in a significant decrease in the quality of life for these patients. OBJECTIVE: We sought to describe the indications and technique for ...
Roohipoor Ramak - - 2011
To evaluate the results of intravitreal bevacizumab in terms of regression of retinopathy of prematurity (ROP). In this interventional case series, 12 eyes from January 2007 to December 2008 were included. Two groups of patients were considered. Group 1 included those ROP patients who did not respond to conventional laser ...
Schrut Gianna Carla Alberti - - 2011
Percutaneous ethanol injection (PEI) is an alternative therapy for thyroid nodules (TN). However, some concern is raised on its carcinogenic effects. To evaluate the cytological and clinical changes caused by PEI in patients with benign TN. Thirty-nine patients with TN (23.1% hyperfunctioning) were submitted to a median of three PEI ...
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