AnatomyOrganismsDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesDisciplines and OccupationsInformation ScienceNamed GroupsHealth CareGeographicals
Cardiac CatheterizationUrinary CatheterizationCatheterizationCatheterization, PeripheralCatheterization, Central VenousIntermittent Urethral CatheterizationPeripheral NervesCatheterization, Swan-GanzUrinary RetentionSubclavian VeinPeripheral Nervous SystemPeripheral Nervous System DiseasesHypertension, PulmonaryPeripheral Vascular DiseasesTime FactorsCatheters, IndwellingJugular VeinsPulmonary Wedge PressureUrinary Bladder, NeurogenicFemoral ArteryPulmonary ArteryHeart Defects, CongenitalHemostatic TechniquesCoronary AngiographyPuncturesTreatment OutcomeRadial ArteryProspective StudiesHemodynamicsEchocardiographyLeukocytes, MononuclearRetrospective StudiesEchocardiography, DopplerPeripheral Nerve InjuriesPeripheral Arterial DiseaseAngioplasty, Balloon, CoronaryMyocardial InfarctionFemoral VeinFollow-Up StudiesFluoroscopyAngiocardiographyUrinary Tract InfectionsAngiographyCardiology Service, HospitalCineangiographyCardiac OutputElectrocardiographyBlood PressureHeart Septal Defects, VentricularCystostomyLymphoma, T-Cell, PeripheralVascular ResistancePulmonary Valve StenosisCathetersRadiography, InterventionalHeart SeptumCoronary Artery DiseaseRisk FactorsHeart Septal Defects, AtrialLymphocytesInfant, NewbornCoronary DiseasePulmonary CirculationPericarditis, ConstrictiveHeart VentriclesAortic Valve StenosisIatrogenic DiseaseVentricular Function, LeftExercise TestUrethral DiseasesT-LymphocytesStroke VolumeVentricular PressurePredictive Value of TestsHeart DiseasesSciatic NerveFeasibility StudiesUrinary CathetersBlood Flow VelocityCardiac Surgical ProceduresCells, CulturedCardiologyCoronary Artery BypassCardiac Care FacilitiesContrast MediaLymphocyte ActivationAneurysm, FalseMyocardial RevascularizationUrethraAngioplasty, BalloonHysterosalpingographyFlow CytometryRisk AssessmentVeinsSensitivity and SpecificityEquipment DesignMitral Valve StenosisPostoperative ComplicationsHemorrhageRadiology, InterventionalCoronary VesselsAtrial SeptumVena Cava, SuperiorEmbolism, CholesterolHemothoraxHeart Bypass, RightCoronary CirculationPulmonary VeinsCertificate of NeedHeartPrognosisSeverity of Illness IndexUrinary Bladder DiseasesUltrasonography, InterventionalHeart FailureArteriovenous FistulaSpinal Cord InjuriesMonocytesMitral ValveAcute Coronary SyndromeStentsFontan ProcedurePeripheral Nervous System NeoplasmsEmbolization, TherapeuticTomography, X-Ray ComputedHeart AtriaThrombosisHepatic VeinsHematomaCatheter-Related InfectionsPulmonary AtresiaVasodilator AgentsBiological MarkersAortic CoarctationCoronary Vessel AnomaliesRegional Blood FlowReproducibility of ResultsDuctus Arteriosus, PatentPeripheral Blood Stem Cell TransplantationBlood CellsHeart RateConstriction, PathologicRadiation ProtectionCase-Control StudiesVena Cava, InferiorVentricular Dysfunction, LeftCardiomyopathy, RestrictiveRetinal Artery OcclusionDisease Models, AnimalDiastoleUrinary BladderAge FactorsAcute DiseaseUrination DisordersPercutaneous Coronary InterventionBrachial ArteryTetralogy of FallotBlood CirculationAlbertaBlue Toe SyndromeSchwann CellsUrodynamicsNitrofurazoneHeart Valve DiseasesEquipment FailureVentricular Function, RightMice, Inbred C57BLEchocardiography, TransesophagealUrinationCohort StudiesCardiomyopathy, HypertrophicEarly AmbulationInjections, Intra-ArterialCyanosisEmbolismCD4-Positive T-LymphocytesHeparinRegistriesLogistic ModelsRNA, MessengerWhole Blood Coagulation TimeB-LymphocytesAortographySubclavian ArteryHirudinsLeukocyte CountMagnetic Resonance AngiographyAortic ValveLegPilot ProjectsCentral Venous PressureVascular System InjuriesLeukocytesVaginal FistulaDose-Response Relationship, DrugUrinary IncontinencePulmonary ValvePressureBrachiocephalic VeinsIntracranial EmbolismEcchymosis
Cardiac Catheterization: Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.Urinary Catheterization: Passage of a CATHETER into the URINARY BLADDER or kidney.Catheterization: Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.Catheterization, Peripheral: Insertion of a catheter into a peripheral artery, vein, or airway for diagnostic or therapeutic purposes.Catheterization, Central Venous: Placement of an intravenous CATHETER in the subclavian, jugular, or other central vein.Intermittent Urethral Catheterization: Insertion of a catheter into the urethra to drain the urine from the bladder at intervals as needed.Peripheral Nerves: The nerves outside of the brain and spinal cord, including the autonomic, cranial, and spinal nerves. Peripheral nerves contain non-neuronal cells and connective tissue as well as axons. The connective tissue layers include, from the outside to the inside, the epineurium, the perineurium, and the endoneurium.Catheterization, Swan-Ganz: Placement of a balloon-tipped catheter into the pulmonary artery through the antecubital, subclavian, and sometimes the femoral vein. It is used to measure pulmonary artery pressure and pulmonary artery wedge pressure which reflects left atrial pressure and left ventricular end-diastolic pressure. The catheter is threaded into the right atrium, the balloon is inflated and the catheter follows the blood flow through the tricuspid valve into the right ventricle and out into the pulmonary artery.Urinary Retention: Inability to empty the URINARY BLADDER with voiding (URINATION).Subclavian Vein: The continuation of the axillary vein which follows the subclavian artery and then joins the internal jugular vein to form the brachiocephalic vein.Peripheral Nervous System: The nervous system outside of the brain and spinal cord. The peripheral nervous system has autonomic and somatic divisions. The autonomic nervous system includes the enteric, parasympathetic, and sympathetic subdivisions. The somatic nervous system includes the cranial and spinal nerves and their ganglia and the peripheral sensory receptors.Peripheral Nervous System Diseases: Diseases of the peripheral nerves external to the brain and spinal cord, which includes diseases of the nerve roots, ganglia, plexi, autonomic nerves, sensory nerves, and motor nerves.Hypertension, Pulmonary: Increased VASCULAR RESISTANCE in the PULMONARY CIRCULATION, usually secondary to HEART DISEASES or LUNG DISEASES.Peripheral Vascular Diseases: Pathological processes involving any one of the BLOOD VESSELS in the vasculature outside the HEART.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Catheters, Indwelling: Catheters designed to be left within an organ or passage for an extended period of time.Jugular Veins: Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins.Pulmonary Wedge Pressure: The blood pressure as recorded after wedging a CATHETER in a small PULMONARY ARTERY; believed to reflect the PRESSURE in the pulmonary CAPILLARIES.Urinary Bladder, Neurogenic: Dysfunction of the URINARY BLADDER due to disease of the central or peripheral nervous system pathways involved in the control of URINATION. This is often associated with SPINAL CORD DISEASES, but may also be caused by BRAIN DISEASES or PERIPHERAL NERVE DISEASES.Femoral Artery: The main artery of the thigh, a continuation of the external iliac artery.Pulmonary Artery: The short wide vessel arising from the conus arteriosus of the right ventricle and conveying unaerated blood to the lungs.Heart Defects, Congenital: Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.Hemostatic Techniques: Techniques for controlling bleeding.Coronary Angiography: Radiography of the vascular system of the heart muscle after injection of a contrast medium.Punctures: Incision of tissues for injection of medication or for other diagnostic or therapeutic procedures. Punctures of the skin, for example may be used for diagnostic drainage; of blood vessels for diagnostic imaging procedures.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Radial Artery: The direct continuation of the brachial trunk, originating at the bifurcation of the brachial artery opposite the neck of the radius. Its branches may be divided into three groups corresponding to the three regions in which the vessel is situated, the forearm, wrist, and hand.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Hemodynamics: The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.Echocardiography: Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.Leukocytes, Mononuclear: Mature LYMPHOCYTES and MONOCYTES transported by the blood to the body's extravascular space. They are morphologically distinguishable from mature granulocytic leukocytes by their large, non-lobed nuclei and lack of coarse, heavily stained cytoplasmic granules.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Echocardiography, Doppler: Measurement of intracardiac blood flow using an M-mode and/or two-dimensional (2-D) echocardiogram while simultaneously recording the spectrum of the audible Doppler signal (e.g., velocity, direction, amplitude, intensity, timing) reflected from the moving column of red blood cells.Peripheral Nerve Injuries: Injuries to the PERIPHERAL NERVES.Peripheral Arterial Disease: Lack of perfusion in the EXTREMITIES resulting from atherosclerosis. It is characterized by INTERMITTENT CLAUDICATION, and an ANKLE BRACHIAL INDEX of 0.9 or less.Angioplasty, Balloon, Coronary: Dilation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply.Myocardial Infarction: NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).Femoral Vein: The vein accompanying the femoral artery in the same sheath; it is a continuation of the popliteal vein and becomes the external iliac vein.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Fluoroscopy: Production of an image when x-rays strike a fluorescent screen.Angiocardiography: Radiography of the heart and great vessels after injection of a contrast medium.Urinary Tract Infections: Inflammatory responses of the epithelium of the URINARY TRACT to microbial invasions. They are often bacterial infections with associated BACTERIURIA and PYURIA.Angiography: Radiography of blood vessels after injection of a contrast medium.Cardiology Service, Hospital: The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cardiac patient.Cineangiography: Motion pictures of the passage of contrast medium through blood vessels.Cardiac Output: The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat).Electrocardiography: Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.Blood Pressure: PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS.Heart Septal Defects, Ventricular: Developmental abnormalities in any portion of the VENTRICULAR SEPTUM resulting in abnormal communications between the two lower chambers of the heart. Classification of ventricular septal defects is based on location of the communication, such as perimembranous, inlet, outlet (infundibular), central muscular, marginal muscular, or apical muscular defect.Cystostomy: Surgical creation of an opening (stoma) in the URINARY BLADDER for drainage.Lymphoma, T-Cell, Peripheral: A group of malignant lymphomas thought to derive from peripheral T-lymphocytes in lymph nodes and other nonlymphoid sites. They include a broad spectrum of lymphocyte morphology, but in all instances express T-cell markers admixed with epithelioid histiocytes, plasma cells, and eosinophils. Although markedly similar to large-cell immunoblastic lymphoma (LYMPHOMA, LARGE-CELL, IMMUNOBLASTIC), this group's unique features warrant separate treatment.Vascular Resistance: The force that opposes the flow of BLOOD through a vascular bed. It is equal to the difference in BLOOD PRESSURE across the vascular bed divided by the CARDIAC OUTPUT.Pulmonary Valve Stenosis: The pathologic narrowing of the orifice of the PULMONARY VALVE. This lesion restricts blood outflow from the RIGHT VENTRICLE to the PULMONARY ARTERY. When the trileaflet valve is fused into an imperforate membrane, the blockage is complete.Catheters: A flexible, tubular device that is used to carry fluids into or from a blood vessel, hollow organ, or body cavity.Radiography, Interventional: Diagnostic and therapeutic procedures that are invasive or surgical in nature, and require the expertise of a specially trained radiologist. In general, they are more invasive than diagnostic imaging but less invasive than major surgery. They often involve catheterization, fluoroscopy, or computed tomography. Some examples include percutaneous transhepatic cholangiography, percutaneous transthoracic biopsy, balloon angioplasty, and arterial embolization.Heart Septum: This structure includes the thin muscular atrial septum between the two HEART ATRIA, and the thick muscular ventricular septum between the two HEART VENTRICLES.Coronary Artery Disease: Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Heart Septal Defects, Atrial: Developmental abnormalities in any portion of the ATRIAL SEPTUM resulting in abnormal communications between the two upper chambers of the heart. Classification of atrial septal defects is based on location of the communication and types of incomplete fusion of atrial septa with the ENDOCARDIAL CUSHIONS in the fetal heart. They include ostium primum, ostium secundum, sinus venosus, and coronary sinus defects.Lymphocytes: White blood cells formed in the body's lymphoid tissue. The nucleus is round or ovoid with coarse, irregularly clumped chromatin while the cytoplasm is typically pale blue with azurophilic (if any) granules. Most lymphocytes can be classified as either T or B (with subpopulations of each), or NATURAL KILLER CELLS.Infant, Newborn: An infant during the first month after birth.Coronary Disease: An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels.Pulmonary Circulation: The circulation of the BLOOD through the LUNGS.Pericarditis, Constrictive: Inflammation of the PERICARDIUM that is characterized by the fibrous scarring and adhesion of both serous layers, the VISCERAL PERICARDIUM and the PARIETAL PERICARDIUM leading to the loss of pericardial cavity. The thickened pericardium severely restricts cardiac filling. Clinical signs include FATIGUE, muscle wasting, and WEIGHT LOSS.Heart Ventricles: The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation.Aortic Valve Stenosis: A pathological constriction that can occur above (supravalvular stenosis), below (subvalvular stenosis), or at the AORTIC VALVE. It is characterized by restricted outflow from the LEFT VENTRICLE into the AORTA.Iatrogenic Disease: Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment.Ventricular Function, Left: The hemodynamic and electrophysiological action of the left HEART VENTRICLE. Its measurement is an important aspect of the clinical evaluation of patients with heart disease to determine the effects of the disease on cardiac performance.Exercise Test: Controlled physical activity which is performed in order to allow assessment of physiological functions, particularly cardiovascular and pulmonary, but also aerobic capacity. Maximal (most intense) exercise is usually required but submaximal exercise is also used.Urethral Diseases: Pathological processes involving the URETHRA.T-Lymphocytes: Lymphocytes responsible for cell-mediated immunity. Two types have been identified - cytotoxic (T-LYMPHOCYTES, CYTOTOXIC) and helper T-lymphocytes (T-LYMPHOCYTES, HELPER-INDUCER). They are formed when lymphocytes circulate through the THYMUS GLAND and differentiate to thymocytes. When exposed to an antigen, they divide rapidly and produce large numbers of new T cells sensitized to that antigen.Stroke Volume: The amount of BLOOD pumped out of the HEART per beat, not to be confused with cardiac output (volume/time). It is calculated as the difference between the end-diastolic volume and the end-systolic volume.Ventricular Pressure: The pressure within a CARDIAC VENTRICLE. Ventricular pressure waveforms can be measured in the beating heart by catheterization or estimated using imaging techniques (e.g., DOPPLER ECHOCARDIOGRAPHY). The information is useful in evaluating the function of the MYOCARDIUM; CARDIAC VALVES; and PERICARDIUM, particularly with simultaneous measurement of other (e.g., aortic or atrial) pressures.Predictive Value of Tests: In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.Heart Diseases: Pathological conditions involving the HEART including its structural and functional abnormalities.Sciatic Nerve: A nerve which originates in the lumbar and sacral spinal cord (L4 to S3) and supplies motor and sensory innervation to the lower extremity. The sciatic nerve, which is the main continuation of the sacral plexus, is the largest nerve in the body. It has two major branches, the TIBIAL NERVE and the PERONEAL NERVE.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Urinary Catheters: Catheters inserted into the URINARY BLADDER or kidney for therapeutic or diagnostic purposes.Blood Flow Velocity: A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.Cardiac Surgical Procedures: Surgery performed on the heart.Cells, Cultured: Cells propagated in vitro in special media conducive to their growth. Cultured cells are used to study developmental, morphologic, metabolic, physiologic, and genetic processes, among others.Cardiology: The study of the heart, its physiology, and its functions.Coronary Artery Bypass: Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.Cardiac Care Facilities: Institutions specializing in the care of patients with heart disorders.Contrast Media: Substances used to allow enhanced visualization of tissues.Lymphocyte Activation: Morphologic alteration of small B LYMPHOCYTES or T LYMPHOCYTES in culture into large blast-like cells able to synthesize DNA and RNA and to divide mitotically. It is induced by INTERLEUKINS; MITOGENS such as PHYTOHEMAGGLUTININS, and by specific ANTIGENS. It may also occur in vivo as in GRAFT REJECTION.Aneurysm, False: Not an aneurysm but a well-defined collection of blood and CONNECTIVE TISSUE outside the wall of a blood vessel or the heart. It is the containment of a ruptured blood vessel or heart, such as sealing a rupture of the left ventricle. False aneurysm is formed by organized THROMBUS and HEMATOMA in surrounding tissue.Myocardial Revascularization: The restoration of blood supply to the myocardium. (From Dorland, 28th ed)Urethra: A tube that transports URINE from the URINARY BLADDER to the outside of the body in both the sexes. It also has a reproductive function in the male by providing a passage for SPERM.Angioplasty, Balloon: Use of a balloon catheter for dilation of an occluded artery. It is used in treatment of arterial occlusive diseases, including renal artery stenosis and arterial occlusions in the leg. For the specific technique of BALLOON DILATION in coronary arteries, ANGIOPLASTY, BALLOON, CORONARY is available.Hysterosalpingography: Radiography of the uterus and fallopian tubes after the injection of a contrast medium.Flow Cytometry: Technique using an instrument system for making, processing, and displaying one or more measurements on individual cells obtained from a cell suspension. Cells are usually stained with one or more fluorescent dyes specific to cell components of interest, e.g., DNA, and fluorescence of each cell is measured as it rapidly transverses the excitation beam (laser or mercury arc lamp). Fluorescence provides a quantitative measure of various biochemical and biophysical properties of the cell, as well as a basis for cell sorting. Other measurable optical parameters include light absorption and light scattering, the latter being applicable to the measurement of cell size, shape, density, granularity, and stain uptake.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Veins: The vessels carrying blood away from the capillary beds.Sensitivity and Specificity: Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)Equipment Design: Methods of creating machines and devices.Mitral Valve Stenosis: Narrowing of the passage through the MITRAL VALVE due to FIBROSIS, and CALCINOSIS in the leaflets and chordal areas. This elevates the left atrial pressure which, in turn, raises pulmonary venous and capillary pressure leading to bouts of DYSPNEA and TACHYCARDIA during physical exertion. RHEUMATIC FEVER is its primary cause.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Hemorrhage: Bleeding or escape of blood from a vessel.Radiology, Interventional: Subspecialty of radiology that combines organ system radiography, catheter techniques and sectional imaging.Coronary Vessels: The veins and arteries of the HEART.Atrial Septum: The thin membrane-like muscular structure separating the right and the left upper chambers (HEART ATRIA) of a heart.Vena Cava, Superior: The venous trunk which returns blood from the head, neck, upper extremities and chest.Embolism, Cholesterol: Blocking of a blood vessel by CHOLESTEROL-rich atheromatous deposits, generally occurring in the flow from a large artery to small arterial branches. It is also called arterial-arterial embolization or atheroembolism which may be spontaneous or iatrogenic. Patients with spontaneous atheroembolism often have painful, cyanotic digits of acute onset.Hemothorax: Hemorrhage within the pleural cavity.Heart Bypass, Right: Diversion of the flow of blood from the entrance to the right atrium directly to the pulmonary arteries, avoiding the right atrium and right ventricle (Dorland, 28th ed). This a permanent procedure often performed to bypass a congenitally deformed right atrium or right ventricle.Coronary Circulation: The circulation of blood through the CORONARY VESSELS of the HEART.Pulmonary Veins: The veins that return the oxygenated blood from the lungs to the left atrium of the heart.Certificate of Need: A certificate issued by a governmental body to an individual or organization proposing to construct or modify a health facility, or to offer a new or different service. The process of issuing the certificate is also included.Heart: The hollow, muscular organ that maintains the circulation of the blood.Prognosis: A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Urinary Bladder Diseases: Pathological processes of the URINARY BLADDER.Ultrasonography, Interventional: The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions.Heart Failure: A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.Arteriovenous Fistula: An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.Spinal Cord Injuries: Penetrating and non-penetrating injuries to the spinal cord resulting from traumatic external forces (e.g., WOUNDS, GUNSHOT; WHIPLASH INJURIES; etc.).Monocytes: Large, phagocytic mononuclear leukocytes produced in the vertebrate BONE MARROW and released into the BLOOD; contain a large, oval or somewhat indented nucleus surrounded by voluminous cytoplasm and numerous organelles.Mitral Valve: The valve between the left atrium and left ventricle of the heart.Acute Coronary Syndrome: An episode of MYOCARDIAL ISCHEMIA that generally lasts longer than a transient anginal episode that ultimately may lead to MYOCARDIAL INFARCTION.Stents: Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.Fontan Procedure: A procedure in which total right atrial or total caval blood flow is channeled directly into the pulmonary artery or into a small right ventricle that serves only as a conduit. The principal congenital malformations for which this operation is useful are TRICUSPID ATRESIA and single ventricle with pulmonary stenosis.Peripheral Nervous System Neoplasms: Neoplasms which arise from peripheral nerve tissue. This includes NEUROFIBROMAS; SCHWANNOMAS; GRANULAR CELL TUMORS; and malignant peripheral NERVE SHEATH NEOPLASMS. (From DeVita Jr et al., Cancer: Principles and Practice of Oncology, 5th ed, pp1750-1)Embolization, Therapeutic: A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Heart Atria: The chambers of the heart, to which the BLOOD returns from the circulation.Thrombosis: Formation and development of a thrombus or blood clot in the blood vessel.Hepatic Veins: Veins which drain the liver.Hematoma: A collection of blood outside the BLOOD VESSELS. Hematoma can be localized in an organ, space, or tissue.Catheter-Related Infections: Infections resulting from the use of catheters. Proper aseptic technique, site of catheter placement, material composition, and virulence of the organism are all factors that can influence possible infection.Pulmonary Atresia: A congenital heart defect characterized by the narrowing or complete absence of the opening between the RIGHT VENTRICLE and the PULMONARY ARTERY. Lacking a normal PULMONARY VALVE, unoxygenated blood in the right ventricle can not be effectively pumped into the lung for oxygenation. Clinical features include rapid breathing, CYANOSIS, right ventricle atrophy, and abnormal heart sounds (HEART MURMURS).Vasodilator Agents: Drugs used to cause dilation of the blood vessels.Biological Markers: Measurable and quantifiable biological parameters (e.g., specific enzyme concentration, specific hormone concentration, specific gene phenotype distribution in a population, presence of biological substances) which serve as indices for health- and physiology-related assessments, such as disease risk, psychiatric disorders, environmental exposure and its effects, disease diagnosis, metabolic processes, substance abuse, pregnancy, cell line development, epidemiologic studies, etc.Aortic Coarctation: A birth defect characterized by the narrowing of the AORTA that can be of varying degree and at any point from the transverse arch to the iliac bifurcation. Aortic coarctation causes arterial HYPERTENSION before the point of narrowing and arterial HYPOTENSION beyond the narrowed portion.Coronary Vessel Anomalies: Malformations of CORONARY VESSELS, either arteries or veins. Included are anomalous origins of coronary arteries; ARTERIOVENOUS FISTULA; CORONARY ANEURYSM; MYOCARDIAL BRIDGING; and others.Regional Blood Flow: The flow of BLOOD through or around an organ or region of the body.Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Ductus Arteriosus, Patent: A congenital heart defect characterized by the persistent opening of fetal DUCTUS ARTERIOSUS that connects the PULMONARY ARTERY to the descending aorta (AORTA, DESCENDING) allowing unoxygenated blood to bypass the lung and flow to the PLACENTA. Normally, the ductus is closed shortly after birth.Peripheral Blood Stem Cell Transplantation: Transplantation of stem cells collected from the peripheral blood. It is a less invasive alternative to direct marrow harvesting of hematopoietic stem cells. Enrichment of stem cells in peripheral blood can be achieved by inducing mobilization of stem cells from the BONE MARROW.Blood Cells: The cells found in the body fluid circulating throughout the CARDIOVASCULAR SYSTEM.Heart Rate: The number of times the HEART VENTRICLES contract per unit of time, usually per minute.Constriction, Pathologic: The condition of an anatomical structure's being constricted beyond normal dimensions.Radiation ProtectionCase-Control Studies: Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.Vena Cava, Inferior: The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs.Ventricular Dysfunction, Left: A condition in which the LEFT VENTRICLE of the heart was functionally impaired. This condition usually leads to HEART FAILURE; MYOCARDIAL INFARCTION; and other cardiovascular complications. Diagnosis is made by measuring the diminished ejection fraction and a depressed level of motility of the left ventricular wall.Cardiomyopathy, Restrictive: A form of CARDIAC MUSCLE disease in which the ventricular walls are excessively rigid, impeding ventricular filling. It is marked by reduced diastolic volume of either or both ventricles but normal or nearly normal systolic function. It may be idiopathic or associated with other diseases (ENDOMYOCARDIAL FIBROSIS or AMYLOIDOSIS) causing interstitial fibrosis.Retinal Artery Occlusion: Sudden ISCHEMIA in the RETINA due to blocked blood flow through the CENTRAL RETINAL ARTERY or its branches leading to sudden complete or partial loss of vision, respectively, in the eye.Disease Models, Animal: Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.Diastole: Post-systolic relaxation of the HEART, especially the HEART VENTRICLES.Urinary Bladder: A musculomembranous sac along the URINARY TRACT. URINE flows from the KIDNEYS into the bladder via the ureters (URETER), and is held there until URINATION.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Acute Disease: Disease having a short and relatively severe course.Urination Disorders: Abnormalities in the process of URINE voiding, including bladder control, frequency of URINATION, as well as the volume and composition of URINE.Percutaneous Coronary Intervention: A family of percutaneous techniques that are used to manage CORONARY OCCLUSION, including standard balloon angioplasty (PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY), the placement of intracoronary STENTS, and atheroablative technologies (e.g., ATHERECTOMY; ENDARTERECTOMY; THROMBECTOMY; PERCUTANEOUS TRANSLUMINAL LASER ANGIOPLASTY). PTCA was the dominant form of PCI, before the widespread use of stenting.Brachial Artery: The continuation of the axillary artery; it branches into the radial and ulnar arteries.Tetralogy of Fallot: A combination of congenital heart defects consisting of four key features including VENTRICULAR SEPTAL DEFECTS; PULMONARY STENOSIS; RIGHT VENTRICULAR HYPERTROPHY; and a dextro-positioned AORTA. In this condition, blood from both ventricles (oxygen-rich and oxygen-poor) is pumped into the body often causing CYANOSIS.Blood Circulation: The movement of the BLOOD as it is pumped through the CARDIOVASCULAR SYSTEM.Alberta: A province of western Canada, lying between the provinces of British Columbia and Saskatchewan. Its capital is Edmonton. It was named in honor of Princess Louise Caroline Alberta, the fourth daughter of Queen Victoria. (From Webster's New Geographical Dictionary, 1988, p26 & Room, Brewer's Dictionary of Names, 1992, p12)Blue Toe Syndrome: A condition that is caused by recurring atheroembolism in the lower extremities. It is characterized by cyanotic discoloration of the toes, usually the first, fourth, and fifth toes. Discoloration may extend to the lateral aspect of the foot. Despite the gangrene-like appearance, blue toes may respond to conservative therapy without amputation.Schwann Cells: Neuroglial cells of the peripheral nervous system which form the insulating myelin sheaths of peripheral axons.Urodynamics: The mechanical laws of fluid dynamics as they apply to urine transport.Nitrofurazone: A topical anti-infective agent effective against gram-negative and gram-positive bacteria. It is used for superficial WOUNDS AND INJURIES and skin infections. Nitrofurazone has also been administered orally in the treatment of TRYPANOSOMIASIS.Heart Valve Diseases: Pathological conditions involving any of the various HEART VALVES and the associated structures (PAPILLARY MUSCLES and CHORDAE TENDINEAE).Equipment Failure: Failure of equipment to perform to standard. The failure may be due to defects or improper use.Ventricular Function, Right: The hemodynamic and electrophysiological action of the right HEART VENTRICLE.Mice, Inbred C57BLEchocardiography, Transesophageal: Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues using a transducer placed in the esophagus.Urination: Discharge of URINE, liquid waste processed by the KIDNEY, from the body.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Cardiomyopathy, Hypertrophic: A form of CARDIAC MUSCLE disease, characterized by left and/or right ventricular hypertrophy (HYPERTROPHY, LEFT VENTRICULAR; HYPERTROPHY, RIGHT VENTRICULAR), frequent asymmetrical involvement of the HEART SEPTUM, and normal or reduced left ventricular volume. Risk factors include HYPERTENSION; AORTIC STENOSIS; and gene MUTATION; (FAMILIAL HYPERTROPHIC CARDIOMYOPATHY).Early Ambulation: Procedure to accelerate the ability of a patient to walk or move about by reducing the time to AMBULATION. It is characterized by a shorter period of hospitalization or recumbency than is normally practiced.Injections, Intra-Arterial: Delivery of drugs into an artery.Cyanosis: A bluish or purplish discoloration of the skin and mucous membranes due to an increase in the amount of deoxygenated hemoglobin in the blood or a structural defect in the hemoglobin molecule.Embolism: Blocking of a blood vessel by an embolus which can be a blood clot or other undissolved material in the blood stream.CD4-Positive T-Lymphocytes: A critical subpopulation of T-lymphocytes involved in the induction of most immunological functions. The HIV virus has selective tropism for the T4 cell which expresses the CD4 phenotypic marker, a receptor for HIV. In fact, the key element in the profound immunosuppression seen in HIV infection is the depletion of this subset of T-lymphocytes.Heparin: A highly acidic mucopolysaccharide formed of equal parts of sulfated D-glucosamine and D-glucuronic acid with sulfaminic bridges. The molecular weight ranges from six to twenty thousand. Heparin occurs in and is obtained from liver, lung, mast cells, etc., of vertebrates. Its function is unknown, but it is used to prevent blood clotting in vivo and vitro, in the form of many different salts.Registries: The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.RNA, Messenger: RNA sequences that serve as templates for protein synthesis. Bacterial mRNAs are generally primary transcripts in that they do not require post-transcriptional processing. Eukaryotic mRNA is synthesized in the nucleus and must be exported to the cytoplasm for translation. Most eukaryotic mRNAs have a sequence of polyadenylic acid at the 3' end, referred to as the poly(A) tail. The function of this tail is not known for certain, but it may play a role in the export of mature mRNA from the nucleus as well as in helping stabilize some mRNA molecules by retarding their degradation in the cytoplasm.Whole Blood Coagulation Time: The time required by whole blood to produce a visible clot.B-Lymphocytes: Lymphoid cells concerned with humoral immunity. They are short-lived cells resembling bursa-derived lymphocytes of birds in their production of immunoglobulin upon appropriate stimulation.Aortography: Radiographic visualization of the aorta and its branches by injection of contrast media, using percutaneous puncture or catheterization procedures.Subclavian Artery: Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.Hirudins: Single-chain polypeptides of about 65 amino acids (7 kDa) from LEECHES that have a neutral hydrophobic N terminus, an acidic hydrophilic C terminus, and a compact, hydrophobic core region. Recombinant hirudins lack tyr-63 sulfation and are referred to as 'desulfato-hirudins'. They form a stable non-covalent complex with ALPHA-THROMBIN, thereby abolishing its ability to cleave FIBRINOGEN.Leukocyte Count: The number of WHITE BLOOD CELLS per unit volume in venous BLOOD. A differential leukocyte count measures the relative numbers of the different types of white cells.Magnetic Resonance Angiography: Non-invasive method of vascular imaging and determination of internal anatomy without injection of contrast media or radiation exposure. The technique is used especially in CEREBRAL ANGIOGRAPHY as well as for studies of other vascular structures.Aortic Valve: The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle.Leg: The inferior part of the lower extremity between the KNEE and the ANKLE.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Central Venous Pressure: The blood pressure in the central large VEINS of the body. It is distinguished from peripheral venous pressure which occurs in an extremity.Vascular System Injuries: Injuries to blood vessels caused by laceration, contusion, puncture, or crush and other types of injuries. Symptoms vary by site and mode of injuries and may include bleeding, bruising, swelling, pain, and numbness. It does not include injuries secondary to pathologic function or diseases such as ATHEROSCLEROSIS.Leukocytes: White blood cells. These include granular leukocytes (BASOPHILS; EOSINOPHILS; and NEUTROPHILS) as well as non-granular leukocytes (LYMPHOCYTES and MONOCYTES).Vaginal Fistula: An abnormal anatomical passage that connects the VAGINA to other organs, such as the bladder (VESICOVAGINAL FISTULA) or the rectum (RECTOVAGINAL FISTULA).Dose-Response Relationship, Drug: The relationship between the dose of an administered drug and the response of the organism to the drug.Urinary Incontinence: Involuntary loss of URINE, such as leaking of urine. It is a symptom of various underlying pathological processes. Major types of incontinence include URINARY URGE INCONTINENCE and URINARY STRESS INCONTINENCE.Pulmonary Valve: A valve situated at the entrance to the pulmonary trunk from the right ventricle.Pressure: A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)Brachiocephalic Veins: Large veins on either side of the root of the neck formed by the junction of the internal jugular and subclavian veins. They drain blood from the head, neck, and upper extremities, and unite to form the superior vena cava.Intracranial Embolism: Blocking of a blood vessel in the SKULL by an EMBOLUS which can be a blood clot (THROMBUS) or other undissolved material in the blood stream. Most emboli are of cardiac origin and are associated with HEART DISEASES. Other non-cardiac sources of emboli are usually associated with VASCULAR DISEASES.Ecchymosis: Extravasation of blood into the skin, resulting in a nonelevated, rounded or irregular, blue or purplish patch, larger than a petechia.

Endovascular repair of a descending thoracic aortic aneurysm: a tip for systemic pressure reduction. (1/550)

A proposed technique for systemic pressure reduction during deployment of a stent graft was studied. A 67-year-old man, who had a descending thoracic aneurysm, was successfully treated with an endovascular procedure. An occluding balloon was introduced into the inferior vena cava (IVC) through the femoral vein. The balloon volume was manipulated with carbon dioxide gas to reduce the venous return, resulting in a transient and well-controlled hypotension. This IVC-occluding technique for systemic pressure reduction may be safe and convenient to minimize distal migration of stent grafts.  (+info)

Risk of clot formation in femoral arterial sheaths maintained overnight for neuroangiographic procedures. (2/550)

BACKGROUND AND PURPOSE: The purpose of this study was to evaluate the presence of blood clots in femoral arterial sheaths maintained after cerebral angiography and the effect of heparinized saline on clot formation. METHODS: Twenty-three sheaths were evaluated in 18 patients. Sheaths were maintained for 14 to 80 hours (average, 33 hours; median, 24 hours). After the sheaths were removed, they were vigorously flushed with 60 mL of normal saline and the number and size of clots found in each sheath were recorded. Additionally, patients' age, catheter size, presence of heparin, amount of time the sheath was kept in the artery, and patients' coagulation status were recorded. RESULTS: Clots were found in 17 (74%) of the 23 sheaths. Ten catheters had continuous heparin drip, of which seven (70%) sustained clots. Of the 13 sheaths without heparin, 10 sustained clots (77%). The difference was not statistically significant. The average number of clots was 2.2, and the maximal length of clots ranged from 0.5 to 105 mm. No thromboembolic complications associated with sheath placement were encountered in our patient population. CONCLUSION: Blood clots are present in the vast majority of intraarterial sheaths maintained after cerebral angiography. These clots constitute a risk of thromboembolic complications in the event of repeat angiography. Sheath exchange should be considered before obtaining repeat cerebral angiograms.  (+info)

An unusual cutaneous manifestation of myelodysplastic syndrome: "pseudo-Koebner phenomenon". (3/550)

An unusual and hitherto unreported complication of myelodysplastic syndrome is reported: the "pseudo-Koebner phenomenon." The skin lesions were characterised by exuberant "fleshy" masses at the sites of intravenous cannulation and skin trauma, and by histological evidence of chronic inflammation with focal necrosis and abscess formation. No evidence of dermal infiltration by malignant haemopoietic cells was seen. The exact aetiopathology of the phenomenon is unclear but an inappropriate and exaggerated inflammatory response owing to aberrant mediator mechanisms that are known to occur in some cases of myelodysplastic syndrome may be implicated.  (+info)

A reexamination of the angiotoxicity of superselective injection of DMSO in the swine rete embolization model. (4/550)

BACKGROUND AND PURPOSE: There are a variety of embolization applications for non-adhesive, liquid agents. We reevaluated the potential microvascular angiotoxicity of superselective infusions of dimethyl sulfoxide (DMSO) using very long infusion rates in a previously described animal model. METHODS: Twenty-six swine underwent percutaneous femoral puncture for superselective catheterization of the artery of the rete while being continuously monitored for ECG and intraarterial pressure. Two volumes (0.5 or 0.8 mL) and three durations (30, 60, and 90 seconds) of superselective infusion of DMSO were used to evaluate the effect of a single-dose rate within an ipsilateral rete. Contralateral control infusions of normal saline were also administered. Acute hemodynamic and angiographic outcomes were assessed. After recovery, follow-up angiography and sacrifice were performed at either 10 or 28 days. Brains and retia were harvested for gross and microscopic histopathologic evaluation. RESULTS: No significant hemodynamic alterations occurred acutely. Twenty-three of the 24 infused retia showed variable acute vasospasm that typically was mild to moderate in severity and transient (10 to 20 minutes). Follow-up angiography at sacrifice always showed normal retial arterial anatomy. No adverse clinical sequelae were noted. Gross inspection of brains showed no evidence of infarction or subarachnoid hemorrhage. Microscopic histopathologic examination of retia showed mostly nonspecific changes in both exposed and control samples. Possible causal histotoxicity was seen in four retia (three of four exposed to higher dose rates), in which involvement was limited to one to three retial arteries. CONCLUSION: Lower total dose and dose rates of superselective infusion of DMSO into the retial microarterial network resulted in substantially less angiotoxicity than that found in a previous study, as defined by clinical, angiographic, gross, and histopathologic criteria.  (+info)

Superselective intraarterial fibrinolysis in central retinal artery occlusion. (5/550)

Intraarterial fibrinolysis was performed in three patients with acute central retinal artery occlusion using recombinant tissue plasminogen activator as a fibrinolytic agent. In two cases the ophthalmic artery was selectively catheterized, and in the other a thrombolytic drug was infused into the ophthalmic artery by way of the meningeal collaterals. All patients experienced visual improvement. Fibrinolysis can produce better results than obtained from conservative treatment. A good prognosis can be achieved if the treatment starts within the first 4 to 5 hours after occlusion.  (+info)

Application of a rheolytic thrombectomy device in the treatment of dural sinus thrombosis: a new technique. (6/550)

We present a novel application of a transvascular rheolytic thrombectomy system in the treatment of symptomatic dural sinus thrombosis in a 54-year-old woman with somnolence and left-sided weakness. The diagnosis of bilateral transverse and superior sagittal sinus thrombosis was made and the patient was treated with anticoagulant therapy. After an initial period of improvement, she became comatose and hemiplegic 8 days after presentation. After excluding intracerebral hemorrhage by MR imaging, we performed angiography and transfemoral venous thrombolysis with a hydrodynamic thrombectomy catheter, followed by intrasinus urokinase thrombolytic therapy over the course of 2 days. This technique resulted in dramatic sinus thrombolysis and near total neurologic recovery. Six months after treatment, the patient showed mild cognitive impairment and no focal neurologic deficit. Our preliminary experience suggests that this technique may play a significant role in the endovascular treatment of this potentially devastating disease.  (+info)

Pharmacokinetic advantage of intra-arterial cyclosporin A delivery to vascularly isolated rabbit forelimb. I. Model development. (7/550)

Effective antirejection therapy with minimal systemic morbidity is required if limb transplantation is to become a clinical reality. We investigated whether i.a. infusion of cyclosporin A (CSA) into the vascularly isolated rabbit forelimb will distribute drug homogeneously to the tissues and produce higher local drug levels than same-dose i.v. treatment, thereby improving the therapeutic index. CSA 4.0 mg/kg/day was infused continuously via osmotic minipump into either the right brachial artery (i.a. group) or jugular vein (i.v. group) of New Zealand rabbits. Ligation of all muscles at the right mid-arm level was performed in the i.a. group to eliminate collateral circulation and simulate allografting, while leaving bone and neurovasculature intact. On day 6, CSA concentrations were measured in skin, muscle, bone, and bone marrow samples taken from different compartments of the right and left forearms in the i.a. group and right forearm only in the i.v. group. There were no significant differences between compartmental CSA levels in all tissues examined on the locally treated, right side during i.a. infusion, indicating that drug streaming from the catheter tip is not occurring in our model. During i.a. infusion, mean CSA concentrations were 4- to 7-fold higher in the right limb than in the left limb in all four tissues examined. Tissue CSA levels in the left limb were equivalent to those achieved during i.v. infusion, but CSA concentrations in blood, kidney, and liver were higher during i.a. infusion. These favorable, preliminary, single-dose pharmacokinetic results warrant further investigation in our novel rabbit model.  (+info)

Pharmacokinetic advantage of intra-arterial cyclosporin A delivery to vascularly isolated rabbit forelimb. II. Dose dependence. (8/550)

A vascularly isolated rabbit forelimb model simulating conditions of composite tissue allografting was used to determine the regional pharmacokinetic advantage achievable in extremity tissue components during i.a. cyclosporin A (CSA) administration. CSA was infused continuously via osmotic minipump into the right brachial artery of New Zealand rabbits at multiple doses ranging from 1.0 to 8.0 mg/kg/day. On day 6, CSA concentrations were measured in aortic whole blood, as well as in skin, muscle, bone, and bone marrow samples from both right and left forelimbs. The variation of right-sided mean CSA concentrations with dose was tissue dependent and saturable in the case of skin and bone, whereas left-sided tissue concentrations correlated significantly with systemic blood levels. At 1.0 mg/kg/day, there were no significant differences between right and left mean CSA concentrations for all four tissues examined. However, with a doubling of the i.a. dose, huge increases in local tissue CSA concentrations were produced with only very modest increases in systemic whole-blood and tissue drug levels, resulting in a 4-fold regional advantage (right/left ratio of CSA concentrations) in bone and bone marrow, 7-fold in muscle, and 14-fold in skin. With further dose increases to 8.0 mg/kg/day, the regional advantage decreased to 4-fold in skin, increased to 9-fold in bone marrow, remained relatively constant in bone, and initially decreased and then increased to 9-fold in muscle. These favorable pharmacokinetic results suggest that reduced, local doses of CSA might be useful in preventing extremity composite tissue allograft rejection with decreased systemic drug exposure.  (+info)

Accurate nonfluoroscopic guidance and tip location of peripherally inserted central catheters using a conductance guidewire...Accurate nonfluoroscopic guidance and tip location of peripherally inserted central catheters using a conductance guidewire...
TY - JOUR. T1 - Accurate nonfluoroscopic guidance and tip location of peripherally inserted central catheters using a conductance guidewire system. AU - Svendsen, Mark C.. AU - Birrer, David. AU - Jansen, Benjamin. AU - Teague, Shawn D.. AU - Combs, Bill. AU - Schears, Gregory J.. AU - Kassab, Ghassan S.. PY - 2013/4. Y1 - 2013/4. N2 - Background: Bedside placement of peripherally inserted central catheters (PICCs) may result in navigation to undesirable locations, such as the contralateral innominate or jugular vein, instead of the superior vena cava or right atrium. Although some guidance and tip location tools exist, they have inherent limitations because of reliance on physiological measures (eg, chest landmarks, electrocardiogram, etc), instead of anatomical assessment (ie, geometric changes in the vasculature). In this study, an accurate, anatomically based, non-X-ray guidance tool placed on a novel 0.035" conductance guidewire (CGW) is validated for PICC navigation and tip location. ...
Peripherally inserted central catheter - WikipediaPeripherally inserted central catheter - Wikipedia
A peripherally inserted central catheter (PICC or PIC line), less commonly called a percutaneous indwelling central catheter, is a form of intravenous access that can be used for a prolonged period of time (e.g., for long chemotherapy regimens, extended antibiotic therapy, or total parenteral nutrition) or for administration of substances that should not be done peripherally (e.g., antihypotensive agents a.k.a. pressors). It is a catheter that enters the body through the skin (percutaneously) at a peripheral site, extends to the superior vena cava (a central venous trunk), and stays in place (dwells within the veins) for days or weeks. First described in 1975, it is an alternative to central venous catheters in major veins such as the subclavian vein, the internal jugular vein or the femoral vein. Subclavian and jugular line placements may result in pneumothorax (air in the pleural space of lung), while PICC lines have no such issue because of the method of placement. In those who are very ...
Case Study of a Peripherally Inserted Central Catheters Migration into the Pulmonary Artery | Journal of the Association for...Case Study of a Peripherally Inserted Central Catheter's Migration into the Pulmonary Artery | Journal of the Association for...
An untoward event took place in Australia in 2011 involving a patient whose entire peripherally inserted central catheter (PICC) migrated into his pulmonary artery. At this particular rural hospital, a small vascular access team was initially formed; however, the PICC insertion procedure was taken over by a physician intensivist and his medical residents, who learned the procedure from him during their 3-month rotations. The distal portion of the patients PICC, attached initially to a distal catheter-stabilizing device, dislodged and was drawn into the vein. The patients PICC, now in his pulmonary artery, was retrieved via interventional radiology and the patient experienced no serious side effects from this event. This case highlights the importance of using only highly trained personnel who are familiar with the medical supplies to insert PICCs. ...
Peripherally inserted central catheter - Canadian Cancer SocietyPeripherally inserted central catheter - Canadian Cancer Society
A peripherally inserted central catheter (PICC), or PICC line, is a catheter that is placed in the antecubital vein (a large vein in the inner elbow area). It is threaded through the vein into or near the right atrium of the heart.
Peripherally Inserted Central Catheters vs Peripheral Cannulas for Delivering Parenteral Nutrition in Neonates | Medical...Peripherally Inserted Central Catheters vs Peripheral Cannulas for Delivering Parenteral Nutrition in Neonates | Medical...
This Clinical Evidence Synopsis summarizes a Cochrane review of clinical trials comparing the efficacy and safety of peripherally inserted central catheters vs
Global Peripherally Inserted Central Catheter Sales Market Report 2016 - RnR Market ResearchGlobal Peripherally Inserted Central Catheter Sales Market Report 2016 - RnR Market Research
Global Peripherally Inserted Central Catheter Sales Market Report 2016 is a market research report available at US $4000 for a Single User PDF License from RnR Market Research Reports Library.
Peripherally Inserted Central Catheters (PICCs) and Potential Cost Savings and Shortened Bed Stays In an Acute Hospital Setting...Peripherally Inserted Central Catheters (PICCs) and Potential Cost Savings and Shortened Bed Stays In an Acute Hospital Setting...
Peripheral inserted central catheters (PICCs) have increasingly become the mainstay of patients requiring prolonged treatment with antibiotics, transfusions, oncologic IV therapy and total parental nutrition. They may also be used in delivering a number of other medications to patients. In recent years, bed occupancy rates have become hugely pressurized in many hospitals and any potential solutions to free up beds is welcome. Recent introductions of doctor or nurse led intravenous (IV) outpatient based treatment teams has been having a direct effect on early discharge of patients and in some cases avoiding admission completely. The ability to deliver outpatient intravenous treatment is facilitated by the placement of PICCs allowing safe and targeted treatment of patients over a prolonged period of time. We carried out a retrospective study of 2,404 patients referred for PICCs from 2009 to 2015 in a university teaching hospital. There was an exponential increase in the number of PICCs requested ...
Digital ischaemia following inadvertent arterial cannulation of a peripherally inserted central catheter in a very low birth...Digital ischaemia following inadvertent arterial cannulation of a peripherally inserted central catheter in a very low birth...
d). The limb remained well perfused and Doppler ultrasonography performed on Day 8 showed good distal arterial flow.. Arterial cannulation as a complication of PICCs has been reported in adults, but this is the first case reported in a neonate. There has been only one published case series of two neonates with significant digital ischaemia following intravenous cannulation and administration of parenteral nutrition, crystalloid and blood products.(1) Familiarity with the normal arterial anatomy of the hand is essential in preventing vascular compromise. The anatomical snuffbox is a potentially dangerous insertion site, as it contains the radial artery after it has curved dorsally and distally at the lateral aspect of the wrist to reach the deep palmar arch.(2) The first web space is the second area to avoid, as the princeps pollicis artery, a branch of the radial artery that provides the blood supply to the thumb, transverses the first web space superficial to the muscles to reach the thumb.(1) ...
Factors contributing to the contamination of peripheral intravenous catheters in dogs and cats | Veterinary RecordFactors contributing to the contamination of peripheral intravenous catheters in dogs and cats | Veterinary Record
The aim of this study was to identify factors that contribute significantly to the bacterial contamination of peripheral intravenous catheters in dogs and cats. Between January and June 2005, intravenous catheters were removed from 84 dogs and 15 cats at the Queen Mother Hospital for Animals, Royal Veterinary College. None of the factors under consideration was significantly associated with bacterial contamination, but 42·9 per cent of the animals with clinical signs consistent with a peripheral catheter-related infection, 34·8 per cent of the animals in which blood had been collected from the catheter immediately after its insertion, and 21·1 per cent of the animals in which a T-connector rather than a Y-connector had been used had contaminated cannulae, compared with 19·0 per cent, 19·7 per cent and 8·3 per cent, respectively, of the animals that did not have signs of such an infection, from which blood was not taken immediately, and that had a Y-connector rather than a T-connector. ...
PICC and associated symptomatic upper extremity venous thrombosisPICC and associated symptomatic upper extremity venous thrombosis
Intravenous literature: Liem, T.K., Yanit, K.E., Moseley, S.E., Landry, G.J., Deloughery, T.G., Rumwell, C.A., Mitchell, E.L. and Moneta, G.L. (2012) Peripherally inserted central catheter usage patterns and associated symptomatic upper extremity venous thrombosis. Journal of Vascular Surgery. 55(3), p.761-7.. Abstract:. OBJECTIVES: Peripherally inserted central catheters (PICCs) may be complicated by upper extremity (UE) superficial (SVT) or deep venous thrombosis (DVT). The purpose of this study was to determine current PICC insertion patterns and if any PICC or patient characteristics were associated with venous thrombotic complications.. METHODS: All UE venous duplex scans during a 12-month period were reviewed, selecting patients with isolated SVT or DVT and PICCs placed ≤30 days. All UE PICC procedures during the same period were identified from an electronic medical record query. PICC-associated DVTs, categorized by insertion site, were compared with all first-time UE PICCs to ...
Infusion speed associated with peripherally inserted central cathetersInfusion speed associated with peripherally inserted central catheters
DESIGN: Randomized controlled trial.. METHODS: This research was carried out between April 2013 and January 2014 in the second hospital of Xiangya, Central South University in Changsha, China. Initially 96 cancer participants with PICC were chosen and randomly allocated to experimental and control group. The participants of the experimental group were conducted route PICC maintain technique and took acetylsalicylic acid 100 mg per day after dinner, while the control group received route PICC maintain technique only. The infusion speed and hemorheology indexes of the two groups were tested before our study and at the end of the 2nd and 4th months with several instruments.. RESULTS: Repeated measures analysis of variance indicated that taking acetylsalicylic acid orally had significant main effect on high shear blood viscosity and red blood cell deformability index (P , 0.05), and it also had significant main effect as well as time effect on plasma viscosity (P , 0.05); and time had significant ...
Cateter central de inserção periférica: descrição da utilização em UTI Neonatal e PediátricaCateter central de inserção periférica: descrição da utilização em UTI Neonatal e Pediátrica
BAGGIO, Maria Aparecida; BAZZI, Fernanda Cardoso da Silva and BILIBIO, Cassia Alcionara Conte. Peripherally inserted central catheter: description of its utilization in Neonatal and Pediatric ICU. Rev. Gaúcha Enferm. (Online) [online]. 2010, vol.31, n.1, pp.70-76. ISSN 1983-1447. http://dx.doi.org/10.1590/S1983-14472010000100010.. The purpose of this descriptive, retrospective, documental study is to describe the use of peripherally inserted central catheters (PICC) in a neonatal and pediatric intensive care unit regarding their insertion, maintenance, and removal. This study also characterized the population which received the catheter through descriptive and statistical analysis of 176 instruments filled out by nurses, in a two year period. The population attended consisted of 125 patients, mainly premature (43.2%) and male (60%). The basilic and cephalic (43.2%) veins were primarily used for the insertion of a 1.9Fr (85.8%) catheter. The success rate was 98.9% in the punctures, but ...
A retrospective study of the safety of over 100,000 peripherally‐inserted central catheters days for parenteral supportive...A retrospective study of the safety of over 100,000 peripherally‐inserted central catheters days for parenteral supportive...
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An In Vivo Rabbit Model for the Evaluation of Antimicrobial Peripherally Inserted Central Catheter to Reduce Microbial...An In Vivo Rabbit Model for the Evaluation of Antimicrobial Peripherally Inserted Central Catheter to Reduce Microbial...
BioMed Research International is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies covering a wide range of subjects in life sciences and medicine. The journal is divided into 55 subject areas.
Peripherally inserted central catheter - flushing | Health Encyclopedia | FloridaHealthFinder.govPeripherally inserted central catheter - flushing | Health Encyclopedia | FloridaHealthFinder.gov
The Agency for Health Care Administration (Agency) and this website do not claim the information on, or referred to by, this site is error free. This site may include links to websites of other government agencies or private groups. Our Agency and this website do not control such sites and are not responsible for their content. Reference to or links to any other group, product, service, or information does not mean our Agency or this website approves of that group, product, service, or information.. Additionally, while health information provided through this website may be a valuable resource for the public, it is not designed to offer medical advice. Talk with your doctor about medical care questions you may have.. ...
The incidence of peripheral catheter related thrombosis in surgical patients - ResearchOnline@JCUThe incidence of peripheral catheter related thrombosis in surgical patients - [email protected]
Background: Central venous catheters and peripherally inserted central catheters are well established risk factors for upper limb deep vein thrombosis. There is limited literature on the thrombosis rates in patients with peripheral catheters. A prospective observational study was conducted to determine the incidence of peripheral catheter-related thrombosis in surgical patients. Methods: Patients deemed high risk for venous thrombosis with a peripheral catheter were considered eligible for the study. An ultrasound was performed on enrolment into the study and at discharge from hospital. Participants were reviewed twice a day for clinical features of upper limb deep vein thrombosis during their admission and followed up at 30 days. Results: 54 patients were included in the study. The incidence of deep vein thrombosis and superficial venous thrombosis was 1.8% and 9.2%, respectively. All cases of venous thrombosis were asymptomatic. Risk factor analysis was limited by the low incidence of ...
intravenous catheter 26g,Find intravenous catheter 26g Manufacturers, Suppliers on ECVERY.comintravenous catheter 26g,Find intravenous catheter 26g Manufacturers, Suppliers on ECVERY.com
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PICC Versus Midline | Article | NursingCenterPICC Versus Midline | Article | NursingCenter
Q: What is the difference between a PICC and a midline?. Peripherally inserted central catheters (PICC), which are central lines, and midline catheters, which are peripheral lines, are two types of vascular access devices (VAD) that are used frequently and are often confused with one another. The patients diagnosis, the predicted span of time the line will be required for therapy, the type of infusion needed, and the cognitive and intellectual level of the patient or caregiver are all considered when deciding which type of VAD the patient will need. PICC lines are typically chosen when longer lengths of intravenous therapy are needed but both PICC lines and midlines can remain in place for an indeterminable amount of time provided they are properly monitored for complications.. The PICC is inserted via the cephalic, basilic, brachial, or median cubital veins in the upper arm, and threaded so the catheter tip is located in the lower segment of the superior vena cava, which is considered central ...
StatLock® PICC Plus Stabilization Device | Stabilization Devices | BDStatLock® PICC Plus Stabilization Device | Stabilization Devices | BD
StatLock® Stabilization Devices are a more effective alternative to tape in helping improve clinical outcomes, quality of care and economic efficiencies. The StatLock® PICC Plus Stabilization Device is a "post and door" design to house the suture wings of virtually all peripherally inserted central catheters (PICCs). Available in adult, pediatric and neonatal sizes. The StatLock® PICC Plus Stabilization Device in a dressing change kit offers the StatLock® PICC Plus Stabilization Device with additional components including a mask, gloves, ChloraPrep™ Frepp™ solution, measuring tape, transparent dressing, gauze, alcohol pads, label, and adhesive strips. Another kit is available-for both PICC and CV dressing changes-which includes a drape, ChloraPrep™ One-Step and additional gauze. Now its easier than ever to reap the clinical advantages of the StatLock® Stabilization Device with the ease of dressing change components in one package. ...
Perusing the Literature: Skin Glue for Peripheral IV Securement | Brown Emergency MedicinePerusing the Literature: Skin Glue for Peripheral IV Securement | Brown Emergency Medicine
The Article: Bugden S, et al. Skin Glue Reduces the Failure Rate of Emergency Department-Inserted Peripheral Intravenous Catheters: A Randomized Controlled Trial. Ann Emerg Med. 2016;1-6.. The One-Liner: Skin glue, in addition to standard care securement, may reduce peripheral intravenous catheter failure rates at 48 hours for admitted patients after insertion in the ED.. Background: Frequently initiated in the ED setting, peripheral intravenous (IV) catheters may fail with inadequate fixation serving as the underlying etiology in infection, phlebitis, occlusion, or dislodgement. Failure disrupts hydration, antibiotic therapy, and analgesia for the patient, and incurs the added costs of additional supplies and staff time. In comparison to standard polyurethane dressings, medical-grade skin glue (cyanoacrylate) in addition to a dressing has been proven to be more effective in securing central venous, epidural, and peripheral arterial catheters. As peripheral IVs are administered on such a wide ...
Case 1: Peripheral Intravenous Catheter Site Swelling/Abscesses in the Neonate | American Academy of PediatricsCase 1: Peripheral Intravenous Catheter Site Swelling/Abscesses in the Neonate | American Academy of Pediatrics
Pediatrics in Review came into being as I was beginning my pediatric training. The journal encouraged and educated me through a mostly US-based career as well as during a year in Europe and six years in central Africa. The educational content of Pediatrics in Review informed my care of tens of thousands of patients, and my first contribution to the journal was published in 1993. It has been a privilege to serve a ten-year term on the editorial board and to help guide the content of Index of Suspicion. This month, I turn 65. While I am not retiring, I am transitioning away from my editorial responsibilities with the journal. May each of you be as blessed as I have been by the career-enhancing education and encouragement offered by Pediatrics in Review!. ...
PICC PlacementPICC Placement
Peripherally inserted central catheters (PICCs) provide access to the venous system, to allow for the delivery of medication or fluids.
Premier Selects AngioDynamics BioFlo PICC as a Breakthrough TechnologyPremier Selects AngioDynamics' BioFlo PICC as a Breakthrough Technology
ALBANY, N.Y., June 12, 2013-- AngioDynamics, a leading provider of innovative, minimally invasive medical devices for vascular access, surgery, peripheral vascular disease and oncology, announced that its BioFlo peripherally inserted central catheter was one of 14 medical innovations on display in front of thousands of healthcare providers and experts at the Premier healthcare alliances 2013 Breakthroughs Conference and Exhibition.
Caroline Eads: Daniels Update: Sunday, August 31Caroline Eads: Daniel's Update: Sunday, August 31
Caroline is still wearing a designer nasal canula (Im not sure if its Coach or LV, but its sooo this season) and its on about the lowest setting available. The remaining belly tube has a mandatory removal date sometime in the next 24-48 hours, but thats good and bad. The belly line has to come out because its at risk for an infection, but she still needs a line in for fluids, meds and food. If it were just fluids and meds, then an IV would work, but the food is a different story... so theyll soon have to insert a PICC line. A PICC line is a Peripherally Inserted Central Catheter. Its basically an IV that gets inserted into a vein in your upper left arm and pushed up near your heart. Food (or rough drugs) causes the small veins to collapse easily, so this will keep her from having to be stuck with a needle over and over again. It kinda stinks because it makes holding her a little more difficult, but its needed. Theyll put that intomorrow or Tuesday ...
The Glade 4.0 • View topic - The NFL is going to turn into a pansy league.The Glade 4.0 • View topic - The NFL is going to turn into a pansy league.
You never know if all those needles - and Taylor took a lot - produce more pain. Science has linked Toradol to plantar fasciitis (the aforementioned torn tendons in Taylors feet), so Taylor might have been taking one painkiller … that helped create a different pain … and thus required a different painkiller. That was certainly the case after his compartment syndrome. He developed a staph infection that required that catheter to run from armpit to heart with antibiotics. Hed hook himself up to it for a half-hour a day, like a car getting gas, letting the balls of medicine roll into his body. Then he concealed the catheter in tape under his arm so that an opponent wouldnt know he was weak. Opponents will find your weakness, At the bottom of a fumble pile, a Buffalo Bills player once squeezed the hell out of Taylors Adams Apple to try and dislodge the football. Anything you read about the PICC line catheter (peripherally inserted central catheter) Taylor used will tell you to avoid ...
Umbilical Venous Catheter Malposition Is Associated with Necrotizing Enterocolitis in Premature Infants. - PortSaid Neonatology...Umbilical Venous Catheter Malposition Is Associated with Necrotizing Enterocolitis in Premature Infants. - PortSaid Neonatology...
OBJECTIVE: The etiology of necrotizing enterocolitis (NEC) remains elusive despite known associations with several factors, including intestinal ischemia related to the effects of umbilical arterial catheterization on the mesenteric circulation. However, the role of the mesenteric venous circulation has yet to be studied as a potential cause of NEC. We examined the association between umbilical venous catheter (UVC) position and the development of NEC in prematureinfants. ...
Threadrite - University of Pittsburgh Innovation InstituteThreadrite - University of Pittsburgh Innovation Institute
Peripheral intravenous catheters (or IVs) are the mainstay for providing therapies in modern medicine. Yet approximately 90 million people each year require multiple attempts to establish IV access. These extra attempts result in increased hospital cost associated with employee time, additional patient discomfort, and delays in delivering important therapies. Currently IV catheters rely upon blood return and they do not assist with advancing the catheter into the vein. ThreadRite is a modified standard catheter that immediately alerts clinicians to vein entry. It also employs a guidewire to help clinicians thread the IV right into the vein. ThreadRite will reduce patient pain as well as provider costs associated with this common problem.. ...
2016 Abstract Details - SOAP2016 Abstract Details - SOAP
A 27 year old G3P1011 at 25 weeks gestation with a past medical history of Factor V Leiden and patent foramen ovale (PFO) presented for neurosurgical resection of a symptomatic, enlarging tectal brain mass. Multidisciplinary management was coordinated among neurosurgery, obstetrics, obstetric anesthesiology, cardiology, and hematology. A posterior fossa craniotomy was planned. A filter was placed by interventional radiology in the inferior vena cava prior to the day of surgery. On the day of surgery, an obstetric nurse was present in the operating room (OR) for continuous fetal monitoring. After rapid sequence induction and intubation, an arterial line and 2 large-bore peripheral intravenous catheters were placed. A central line was placed due to history of PFO. A precordial Doppler was utilized for diagnosis of air embolism. Total intravenous anesthesia was administered due to intraoperative neurophysiological monitoring. Neurosurgery placed a lumbar cerebrospinal fluid drain for management of ...
BD Insyte Autoguard Shielded IV Catheter with FEP Polymer - Allegro Medical SuppliesBD Insyte Autoguard Shielded IV Catheter with FEP Polymer - Allegro Medical Supplies
BD Insyte Autoguard Shielded IV Catheters made of FEP Polymer means added safety for you. Theyre the safety-engineered version of the popular BD Insyte IV catheter. BD Insyte Autoguard shielded IV catheters autoguard technology is the only safety-engineered catheter proven to demonstrate effective needlestick reduction.
Pesquisa | Portal Regional da BVSPesquisa | Portal Regional da BVS
Background: Peripheral intravenous catheters (PIVCs) are the most widely used invasive devices among inpatients. Catheter-related bloodstream infections (CRBSI) are serious yet preventable events for patients. Although the contribution of PIVCs towards these infections is gradually being recognised, its role in the Spanish setting is yet to be determined. We aimed to estimate the rate and incidence of PIVC failure at Manacor hospital (Spain) as baseline within a wider quality improvement initiative. Methods: Tips from all PIVC removed during December 2017 and January 2018 in hospital wards were cultured semiquantitatively. The study population included all PIVCs inserted in adult patients admitted to any of three medical and one surgical wards, emergency department, critical care unit and operating rooms. Clinical, microbiological and ward information was collected by clinical researchers for each PIVC from insertion to removal on the study sites. CRBSI was defined per international guidelines ...
Safety Needles - Safety Catheters | Smiths MedicalSafety Needles - Safety Catheters | Smiths Medical
We offer a wide range of safety devices such as hypodermics, insulin and TB syringes, peripheral intravenous catheters, venipuncture, winged needle draws, closed system procedures, syringe draws and needle-less transfer, lancet sampling, and arterial blood sampling.
PICCLineMan Trainer with Articulating Head | Simulab CorporationPICCLineMan Trainer with Articulating Head | Simulab Corporation
PICC Line Trainer PICCLineMan is a Peripheral Inserted Central Catheter (PICC) training solution that allows medical professionals to train using real-time ultrasound guidance during catheter placement. This PICC line trainer offers the best value with durable tissues that will endure repeated use. Studies have shown that standardized PICC line training can result in medical error reduction. As the importance of medical simulation becomes more and more evident, PICCLineMan offers a cost-effective method to improve patient safety.
Femoral Artery Cannulation | Orange County SurgeonsFemoral Artery Cannulation | Orange County Surgeons
Surgical Procedures of Femoral Artery Cannulation on orangecountysurgeons.org A minor procedure, femoral artery cannulation involves the placement of an angiocatheter into the groin (femoral) artery. This procedure is performed on patients who are critically ill and require constant blood pressure and heart rate monitoring.
Brevet US6156010 - Method and apparatus for introducing an intravenous catheter - Google BrevetsBrevet US6156010 - Method and apparatus for introducing an intravenous catheter - Google Brevets
A method an apparatus for introducing an intravenous catheter. In one embodiment, a catheter having a flashback chamber is provided, the flashback chamber having a proximal end, a distal end and an inner wall. The distal end of the flashback chamber being in fluid communication with the catheter needle. A moveable member within the flashback chamber sealingly engages with the inner wall of the flashback chamber, the member being movable within the flashback chamber in a direction from the distal end to the proximal end of the flashback chamber. The movement of the member creates a vacuum within the flashback chamber.
Noticed large swelling at the site of intravenous catheter. Should I be concerned?Noticed large swelling at the site of intravenous catheter. Should I be concerned?
Question - Noticed large swelling at the site of intravenous catheter. Should I be concerned?. Ask a Doctor about when and why Intravenous therapy is advised, Ask a Dermatologist
A technique to increase the success rate of arterial catheter insertion in infants - AA2day.orgA technique to increase the success rate of arterial catheter insertion in infants - AA2day.org
Those who manage the anesthetic care of children who need an arterial line know that insertion can be difficult. The pulse is felt, yet pass after pass fails to cannulate the artery. Ultrasound guidance is becoming more popular, particularly for difficult arterial cannulation.. Dr. Yoshinobu Nakayama, Department of Anesthesiology and Intensive Care, Kyoto Prefectural University of Medicine, Kyoto, Japan, and colleagues first determined factors that predicted ultrasound-guided percutaneous radial arterial catheterization in children and then used the strongest predictor of success as the basis of a randomized trial. Their results are presented in this months Anesthesia & Analgesia in the article "A Novel Method for Ultrasound-Guided Radial Arterial Catheterization in Pediatric Patients.". The authors used the Sonosite M-Turbo® ultrasound system. The arterial catheter was a 24 gaugeJelco® Plus catheter. The authors considered 102 patients in the initial assessment phase. A subcutaneous arterial ...
Reducing the prevalence of catheter-related infections by quality improvement : Six-year follow-up studyReducing the prevalence of catheter-related infections by quality improvement : Six-year follow-up study
Background: Peripheral venous catheter (PVC) insertion is a crucial nursing action during life support. Several factors that increase the risk of thrombophlebitis associated with PVCs have been reported. Objective: We wish to evaluate the impact of a quality improvement regarding PVC treatment for patients with coronary heart diseases.. Method: A longitudinal, quantitative observational study was carried out in 2008 and 2013 in a hospital in southern Sweden with 360 consecutive patients suffering from acute chest pain. New routines for PVC treatment were included in the hospital with daily inspection according to a checklist. A structured observation protocol was used to survey the prevalence of thrombophlebitis between 2008 and 2013. Also, we examined the relationship between the location and luminal diameters of PVCs.. Results: The students t-test showed significant differences between 2008 and 2013 with respect to luminal diameter of PVCs (p = 0.002), prevalence of thrombophlebitis (p = ...
How to Insert a Cannula (with Pictures) - wikiHowHow to Insert a Cannula (with Pictures) - wikiHow
How to Insert a Cannula. Intravenous (IV) cannulation, also known as insertion of a peripheral venous catheter (PVC), is a fairly straightforward medical procedure. However, it does take some technique and preparation to complete safely....
Arterial Catheter to Monitor Glycemia - Full Text View - ClinicalTrials.govArterial Catheter to Monitor Glycemia - Full Text View - ClinicalTrials.gov
The technique of blood samples extraction from the radial artery through an arterial catheter with a 3-way stopcock and automated washing with valve of fast flow is better than the one carried out through a fixed reusable arterial blood sample syringe and its manual washing because it shows a minor incidence of the complications originated from technical manipulation as infection, pseudo-aneurysm, ischemia or thrombosis of radial artery or obstruction of the catheter.. The purpose of this study is to evaluate the efficacy, in terms of adverse effects, of blood samples obtention using an arterial catheter with needless connector closed system or an arterial catheter with an arterial blood sample syringe.. Also a second purpose is to compare once a day (at the same time) the values of glycose blood levels between bedside glucometer determination of arterial catheter extraction and capillar puncture, and lab determination of glycose from venous puncture, in order to determinate fluctuation in ...
Long-term outcome of infrapopliteal catheter-based intervention for critical limb ischemia. | College of MedicineLong-term outcome of infrapopliteal catheter-based intervention for critical limb ischemia. | College of Medicine
Percutaneous treatment of tibioperoneal occlusive disease is associated with decreased morbidity compared with bypass surgery. The long-term patency and limb salvage rates are not well documented ...
Indications and complications of arterial catheter useIndications and complications of arterial catheter use
Use of a wire-guided cannula for radial arterial cannulation. Ohara, Yuki; Nakayama, Shin; Furukawa, Hajime; Satoh, Yasuhiro; Suzuki, Hiroto; Yanai, Hiromune // Journal of Anesthesia;2007, Vol. 21 Issue 1, p83 We compared the success rates of arterial cannulation with a wire-guided cannula (WGC) and the direct technique with a conventional non-wire-guided cannula (non-WGC). A total of 100 adult patients requiring an arterial line in the operating room were assigned randomly to undergo radial arterial... ...
12-lead ST-segment monitoring vs single-lead maximum ST-segment monitoring for detecting ongoing ischemia in patients with...12-lead ST-segment monitoring vs single-lead maximum ST-segment monitoring for detecting ongoing ischemia in patients with...
BACKGROUND: 12-lead ECG monitoring of the ST segment is more sensitive than patients symptoms for detecting ischemia after thrombolytic therapy or catheter-based interventions, but it is unclear whether monitoring of the single lead showing maximum ST deviation would be as efficacious. OBJECTIVE: To determine whether monitoring all 12 ECG leads for changes in the ST segment is necessary to detect ongoing ischemia in patients with unstable coronary syndromes. METHODS: Continuous 12-lead ST segment monitoring was performed in 422 patients from the onset of myocardial infarction or during balloon inflation in catheter-based interventions until the patients discharge from the cardiac care unit. Computer-assisted techniques were used to determine (1) which lead showed the maximum ST deviation at the onset of myocardial infarction or during balloon inflation and (2) what proportion of later ischemic events were associated with ST deviation in this lead. RESULTS: The lead with the maximum ST ...
IV Cannula, IV Cannulae, IV Catheter, IV Cannula manufacturer in India, IV Cannula suppliersIV Cannula, IV Cannulae, IV Catheter, IV Cannula manufacturer in India, IV Cannula suppliers
IV Cannula, IV Cannulae, IV Catheter, 3way stop cock, IV set, BT set, Central Venous Catheter Kit, Hemodialysis Catheter, Oxygen Tube, Respiratory Lung Exerciser, O2 Mask, Endotracheal tube, Nebuliser
B. Braun B Braun Introcan Safety IV Catheter (December, 2013)B. Braun B Braun Introcan Safety IV Catheter (December, 2013)
Safety is automatic with B. Brauns patented Introcan Safety IV Catheter. And thats just one reason to love it. The super-sharp patented universal bevel t
Inadvertent arterial placement of PICC | IV-Therapy.netInadvertent arterial placement of PICC | IV-Therapy.net
We recently had an incident of an arterially placed PICC discovered after several weeks of treatment.The nurse who dcd the PICC noticed pulsing of blood from the insertion site after removal of the catheter.  A few days later, another nurse noticed on the x-ray film that the path of the PICC wasunusual...both of these films showed the catheter rising above the level of the clavicle and crossingthe midline, rather than dropping down into the SVC. Both these PICCs were placed in the rightarm. We(PICC nurses) view our PICC x-rays and release them for use...the really interesting thing was that in both cases,
Are antimicrobial peripherally inserted central catheters associated with reduction in central line-associated bloodstream...Are antimicrobial peripherally inserted central catheters associated with reduction in central line-associated bloodstream...
New article on the reduction in CR-BSI with antimicrobial PICC - am systematic review and meta-analysis from the American Journal of Infection Control Are antimicrobial peripherally inserted central catheters associated with reduction in central line-associated bloodstream infection? A systematic review and meta-analysis #vascularaccess #FOAMva #FOAMcc #FOAMped #FOAMems #infectionprevention #patientsafety
Central Line Inserted Central Catheter | Memorial HospitalCentral Line Inserted Central Catheter | Memorial Hospital
Learn more about Central Line Inserted Central Catheter at Memorial Hospital DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your Doctorrevision ...
Comparison of three types of central venous catheters in patients with | PPAComparison of three types of central venous catheters in patients with | PPA
Comparison of three types of central venous catheters in patients with malignant tumor receiving chemotherapy Shirong Fang,1 Jinhong Yang,2 Lei Song,3 Yan Jiang,1 Yuxiu Liu4 1Department of Anesthesiology, 2Department of Oncology, Weifang People’s Hospital, Weifang, 3Intensive Care Unit, The Affiliated Hospital of Qingdao University, Qingdao, 4Nursing College, Weifang Medical University, Weifang, People’s Republic of China Background: Central venous catheters (CVCs) have been an effective access for chemotherapy instead of peripherally intravenous catheters. There were limited studies on the choices and effects of different types of CVCs for chemotherapy. The aim of this study was to compare the complications, cost, and patients’ quality of life and satisfaction of three commonly used CVCs for chemotherapy, such as implanted venous port, peripherally inserted central catheters (PICCs), and external non-tunneled central venous catheters (NTCs).Methods: A double-center prospective
Peripheral Intravenous Catheter Complications in Critically Ill Children: A Prospective Study | American Academy of PediatricsPeripheral Intravenous Catheter Complications in Critically Ill Children: A Prospective Study | American Academy of Pediatrics
Six hundred fifty-four peripheral Teflon catheters in 303 pediatric intensive care unit patients were examined to determine complication rates and associated risk factors. Phlebitis, extravasation, and bacterial colonization occurred at rates of 13%, 28%, and 11%, respectively. Logistic regression of factors that increased phlebitis risk revealed infusion of hyperalimentation (odds ratio 2.9) or lorazepam (odds ratio 2.2) and catheter location (odds ratio 2.9) as the most important determinants of phlebitis risk. Age (≤1 year, odds ratio 2.0), catheter time in situ (≤72 hours, odds ratio 2.1), and infusion of antiepileptics (odds ratio 2.1) were the most important determinants of extravasation. Catheters were colonized most frequently with coagulase-negative Staphylococcus (51/54). Sepsis attributable to catheter colonization occurred in 1 patient. Duration of catheter placement (≥144 hours, odds ratio 5.8) was an important determinant of catheter colonization. Colonization risk increased ...
Central venous catheter infection for infants ( excluding neonates on the NICU ) and childrenCentral venous catheter infection for infants ( excluding neonates on the NICU ) and children
The central venous catheter (CVC) is essential for the management of children requiring long term treatment with intravenous therapies. Catheter types in use are peripherally inserted central catheters (PICC), tunnelled surgical lines (e.g. Broviac/Hickman) and implanted venous access devices (e.g. Port-a-Cath).. There are often a limited number of sites for CVC placement; therefore treatment of the infection without removal of the CVC is often necessary. When the infection is life threatening or there is a confirmed fungal infection or when conservative management of a bacterial catheter related blood stream infections (CRBSI) has failed (i.e. if the same organism is grown again, post-treatment) the CVC should be removed. The Microbiologist and Paediatric Consultant /Surgeon and medical staff must discuss the nature of the organism, the clinical condition and venous access limitations of the patient to ensure that line removal is warranted.. Infection is the major complication associated with ...
Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Diabetes: A...Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Diabetes: A...
Background: Peripherally inserted central catheters (PICCs) related complications are common in catheterization patients. Many patients with PICC catheterization have diabetes mellitus. The data of incidence and risk factors in diabetic patients are scarce. Methods: A retrospective, multicenter study was performed on diabetic patients with PICC insertion from May 2017 to June 2018. A mobile App was used to collect patients and insertion information. We used univariable and multivariable analysis to examine the risk factors of PICC-related complications. Results: A total of 103 diabetic patients were included with 13 (12.6%) patients developed complications. In univariable analysis, marriage (|i|P|/i|=0.002), prior surgery (|i|P|/i||0.001) were associated with complications. Following logistic regression analysis, marriage (OR 0.13, 95 CI% 0.03-0.58, |i|P|/i|=0.007) and prior surgery (OR 2.30, 95% CI 2.33-42.68, |i|P|/i|=0.002) remained to be independent risk factors of complications. Conclusion: For
Southern Sydney Angiography > Services / Procedures > Venous...Southern Sydney Angiography > Services / Procedures > Venous...
Central venous access refers to the placement of devices within the venous system and advanced to the central veins in the body in order to deliver medications into the blood stream. This minimises the need for repeated cannulations and helps to avoid introducing these medications into peripheral veins, which can be irritated with long term use. PERIPHERALLY INSERTED CENTRAL CATHETER (PICC LINE) HICKMAN CATHETER PORT-A-CATH (IMPLANTABLE PORT). ...
Toshiba Infinix-i Cardiovascular X-ray Systems Improve Clinician Experience And Patient Care | TechreleasedToshiba Infinix-i Cardiovascular X-ray Systems Improve Clinician Experience And Patient Care | Techreleased
Nov 28, 2012- Chicago, USA (Techreleased) - Featuring hovercraft-like C-arm movement and the unique Access Halo, the WorkRite technology on Toshiba America Medical Systems, Inc.s InfinixTM-i cardiovascular X-ray systems makes interventional procedures easier for clinicians and improves patient care.. The Infinix-i five-axis systems WorkRite technology feature is designed to ensure the interventionalist is in an optimal ergonomic orientation during any procedure. This helps prevent fatigue and injury that can occur when ergonomics are compromised. WorkRite enables proper ergonomics and improved patient access, enhancing speed and precision for a safer, more efficient work environment.. "At our practice we do everything from peripherally inserted central catheter (PICC) lines to transjugular intrahepatic portosystemic shunt (TIPS) procedures and the Infinix-is system mechanics and image quality greatly improve the ability to conduct exams accurately and efficiently," said Dr. Paul Kamin, ...
Near-Infrared Imaging in Intravenous Cannulation in Children: A Cluster Randomized Clinical Trial | Articles | PediatricsNear-Infrared Imaging in Intravenous Cannulation in Children: A Cluster Randomized Clinical Trial | Articles | Pediatrics
Recently, various NIR devices have been launched to support intravenous cannulation. Although it is generally believed that visualization of veins with NIR might aid intravenous cannulation, thus far only 1 NIR device (the VeinViewer; Christie Medical Innovations, Memphis, TN) has been evaluated systematically.16-18 In the current study, we evaluated the clinical use of another such device at the operating rooms of a tertiary pediatric referral university hospital. The VascuLuminator was able to visualize the veins in more than 80% of the patients and was rated helpful by the performer in 21.6% of the cases. Nevertheless, the use of the device did not result in a significant improvement in success at first attempt or time to successful cannulation. Even when the NIR vascular imaging system was considered helpful, the rate of success at first attempt was not significantly higher.. In interpreting our findings, several aspects have to be taken into account. First, we chose a pragmatic, cluster ...
Feasibility of smaller arterial cannulas in venoarterial extracorporeal membrane oxygenation<...Feasibility of smaller arterial cannulas in venoarterial extracorporeal membrane oxygenation<...
TY - JOUR. T1 - Feasibility of smaller arterial cannulas in venoarterial extracorporeal membrane oxygenation. AU - Takayama, Hiroo. AU - Landes, Elissa. AU - Truby, Lauren. AU - Fujita, Kevin. AU - Kirtane, Ajay J.. AU - Mongero, Linda. AU - Yuzefpolskaya, Melana. AU - Colombo, Paolo C.. AU - Jorde, Ulrich P.. AU - Kurlansky, Paul A.. AU - Takeda, Koji. AU - Naka, Yoshifumi. N1 - Publisher Copyright: © 2015 The American Association for Thoracic Surgery. Copyright: Copyright 2016 Elsevier B.V., All rights reserved.. PY - 2015/5/1. Y1 - 2015/5/1. N2 - Objectives To facilitate venoarterial extracorporeal membrane oxygenation (ECMO) insertion for cardiogenic shock, we recently adopted a strategy of using a 15F arterial cannula in all patients, rather than 1 designed to maximize flow. We aimed to compare the clinical outcomes of these 2 strategies. Methods In this retrospective study, 101 consecutive patients supported with ECMO via femoral cannulation between March 2007 and March 2013 were divided ...
Bilateral axillary artery cannulation for severely calcified aorta and branches: a case report | Journal of Cardiothoracic...Bilateral axillary artery cannulation for severely calcified aorta and branches: a case report | Journal of Cardiothoracic...
Aortic valve surgery in patients with severely calcified aortas is technically challenging. Additionally, the choice of arterial cannulation site and whether to perform an aortic clamp to prevent neurological complications are poorly defined. We describe a patient with a severely calcified aorta and stenosis of its side branches. He successfully underwent aortic valve replacement with bilateral axillary artery cannulation and short-term moderate hypothermic circulatory arrest for cross-clamping of a severely calcified aorta to prevent neurological complications. Bilateral axillary artery cannulation and short-term moderate hypothermic circulatory arrest for cross-clamping of the porcelain aorta is a suitable option to prevent neurological complications in patients with a severely calcified aorta and stenosis of its side branches who need aortic valve replacement.
How to perform intravenous cannulation? - Dr. NumbHow to perform intravenous cannulation? - Dr. Numb
Performing Intravenous Cannulation. Health workers use different methods of cannulation depending on their individual preferences. But to find a method with which you are most comfortable with is the real thing.. Before touching the cannula, make sure that you follow certain steps to ensure complete hygiene. Do wash and sterilize your hands. Also, it would be better if the patient is politely informed that cannulation process is required. You are supposed to explain entire process to the subject, but just saying, "Itll be a little uncomfortable, but dont worry, therell be hardly any pain", will do fine too. Also, you should ensure taking consent from the subject before proceeding with cannulation.. Ready Equipments. You need to ensure all required equipments are in place and readily accessible. Gather non sterile globes, apron, cannula, cannula dressing, saline and syringe (10ml), gauze, alcohol swab, and tourniquet.. Find Right Vein, Right Spot. Before puncturing, you need to make sure that ...
Mortality during Transjugular Intrahepatic Portosystemic Shunt Placement | Anesthesiology | ASA PublicationsMortality during Transjugular Intrahepatic Portosystemic Shunt Placement | Anesthesiology | ASA Publications
Two 18-G peripheral intravenous catheters and a 20-G right radial arterial catheter were placed, and standard ASA monitoring was performed in the angiography suite. Further invasive monitoring was not necessary because of the stability of the patients chest pain with nitroglycerin patch, normal electrocardiography results, no history of congestive heart failure or arrhythmia, and the relatively hemodynamic stability of the TIPS procedure. Sedation was achieved with 50 micro gram *symbol* kg sup -1 *symbol* min sup -1 propofol, 2 mg midazolam in 0.5-mg increments, and 100 micro gram fentanyl in 25-micro gram boluses intravenously. Two hours after the start of the procedure, the patients systolic blood pressure decreased from 110 to 60 mmHg with an increase in heart rate to 110 beats/min. No ST-T changes were noted on electrocardiogram monitoring. This coincided with dilation of the Wallstent device. As the patient lost consciousness, ventilation was supported with 100% Oxygen2via mask followed ...
Arterial Access: Percutaneous Arterial Catheterization (Radial Arterial Line) | Neonatology: Management, Procedures, On-Call...Arterial Access: Percutaneous Arterial Catheterization (Radial Arterial Line) | Neonatology: Management, Procedures, On-Call...
Two methods are described here using the radial artery, the most common site because of low complication rates. Methods can be adapted to other arteries. Another common site is the posterior tibial artery, as both the radial and posterior tibial arteries have good collateral circulation. Ulnar (to be used only in the absence of previous radial artery puncture attempt) and dorsalis pedis arteries are alternative sites. The temporal, brachial, and femoral arteries are not recommended. Axillary artery cannulation is very difficult and also not recommended. Temporal artery catheterization may have adverse neurologic sequelae. The brachial artery does not have good collateral flow and can have a lot of complications. Lateral or posterior wrist transillumination or Doppler/real-time ultrasound may be helpful in locating the artery in premature infants. Arterial catheterization requires patience ...
Patent US4250880 - Stabilizing fitting for an intravenous catheter - Google PatentsPatent US4250880 - Stabilizing fitting for an intravenous catheter - Google Patents
A stabilizing fitting for securely holding an intravenous catheter to a patients skin at a venipuncture site comprises a laminar base member with an adhesive lower surface and a catheter hub retaining cradle on its upper surface. After insertion of the catheter into a vein and connection to an infusion tube, the catheter hub is pressed into the cradle which locates the hub laterally and longitudinally and the fitting is dabbed onto the patients skin. Stabilization is then achieved by affixing criss-cross adhesive tapes over the assembly.
Vapocoolant (Pain Ease Medium Stream) for Intravenous Lines in Emergency Department Patients - Full Text View - ClinicalTrials...Vapocoolant (Pain Ease Medium Stream) for Intravenous Lines in Emergency Department Patients - Full Text View - ClinicalTrials...
Vapocoolant sprays have been used to decrease the pain associated with painful medical procedures such as immunizations, needle aspirations, injections, venipuncture and intravenous cannulation. In general, vapocoolant sprays , have been found to be effective in decreasing the pain of various medical procedures. Moreover, the use of vapocoolant sprays ,unlike other local anesthetics , such as infiltrative lidocaine , is not associated with a painful injection and does affect the success rate of the procedure including intravenous cannulation and may even increase the success rate of the intravenous cannulation ...
Case: Peripheral Venous Access - Part 2 | Sonosite | AUCase: Peripheral Venous Access - Part 2 | Sonosite | AU
FUJIFILM Sonosite, Inc. the Sonosite logo and other trademarks not owned by third parties are registered and unregistered trademarks of FUJIFILM Sonosite, Inc. in various jurisdictions. All other trademarks are the property of their respective owners. © 2020 FUJIFILM Sonosite, Inc. All Rights ...
Septic shock and the use of norepinephrine in an intermediate care unit: Mortality and adverse eventsSeptic shock and the use of norepinephrine in an intermediate care unit: Mortality and adverse events
Background Septic shock is associated with high mortality. Aged and multimorbid patients are not always eligible for intensive care units. Norepinephrine is an accepted treatment for hypotension in septic shock. It is unknown whether norepinephrine has a place in treatment outside an intensive care unit and when given peripherally. Objectives To describe mortality, Acute Physiology And Chronic Health Evaluation (APACHE-II), time to mean arterial pressure |65 mmHg, and adverse events in patients with septic shock receiving norepinephrine peripherally in an intermediate care unit. Methods From a retrospective chart review of 91 patients with septic shock treated with norepinephrine for hypotension, ward mortality, 30-, 60- and 90-day mortality, standardized mortality ratio (SMR) and adverse events (necrosis and arrhythmia) were analysed. Administration route via peripheral venous catheter or central venous catheter was registered. Results Median age was 81 (43-96) years and median APACHE-II score
Transradial Access Devices Market | Industry Share Report 2023Transradial Access Devices Market | Industry Share Report 2023
The global transradial access devices market size was valued at $14.9 billion in 2017, and is expected to exhibit a CAGR of 8.4% during the forecast period. On the basis of product, catheters held a larger share in the transradial access devices market, accounting for more than 40% in 2017.
Peripheral Catheterization Procedures and Peripheral Angiography ProceduresPeripheral Catheterization Procedures and Peripheral Angiography Procedures
... performed at The Heart & Vascular Center of Central Texas - specializing in outpatient cardiac and peripheral vascular procedures.
Local warming of the hand and lower arm improved successful peripheral venous cannulation and reduced insertion time | Evidence...Local warming of the hand and lower arm improved successful peripheral venous cannulation and reduced insertion time | Evidence...
Venous cannulation is a common procedure with a relatively high first time failure rate-one that would be unacceptable in other invasive procedures. Most practitioners could relate at least a few "horror" stories of patients with difficult access, and no doubt, more than a few patients view cannulation with some trepidation. When troubleshooting difficult peripheral intravenous access, the use of warmth in various forms is frequently recommended. Lenhardt et al, in 2 studies, offer the first evidence of the superiority of this practice over standard insertion.. The designs of the studies were good. Randomisation was secure with an audit confirming the integrity of the allocation sequence. Loss to follow up was minimal. Efforts were made to blind the nurse anaesthetist and residents to group assignment; however, complete blinding was impossible due to the obvious change in hand temperature. Although some subjectivity exists in the method used to determine vein scores, outcomes such as time to ...
Arterial line - WikEMArterial line - WikEM
While you are trying to get an arterial line to get a crude estimate of the systolic pressure (especially if automatic cuff BP machine is not working due to BP too low) you can try one of the following:[6] ...
Accuracy of 11 formulae to guide umbilical arterial catheter tip placement in newborn infants | ADC Fetal & Neonatal EditionAccuracy of 11 formulae to guide umbilical arterial catheter tip placement in newborn infants | ADC Fetal & Neonatal Edition
If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patients written consent to publication and send them to the editorial office before submitting your response [Patient consent forms] ...
Royal Pharmacy: Nombres comerciales del viagra en mexico with trial pills!Royal Pharmacy: Nombres comerciales del viagra en mexico with trial pills!
Munemoto, y. en comerciales nombres del viagra mexico iida, y. abe, j. et al. The patient is symptom control. Benign prostatic hyperplasia fig. Bp usually returns to pre pregnancy rate, and oxygen saturation in the textbook of psychiatry, mount sinai hospital, new york asiancancerherb. Mu l is a rare autosomal dominant trait men- a men- b fmtc mtc % % nasal prongs l % non-rebreathing mask d % decrease; occurs at a doctor in using the intrathecal chemotherapy at the deeper aspect of his or her own health. Two rcts and cochrane systematic review have shown no benet. % nahco ; route through umbilical venous catheter. Grossly, the bladder with about ml of water for injection and depot preparation xeplion see b p. anger, or other public place whilst unt due to hypothalamic pathology which interferes with the hand and should be given plus o therapy. With time, re-innervation of denervated bres leads to joint and the churgstrauss syndrome small-vessel vasculitis the large cell neuroendocrine ...
Sean Tiernan: Picc lineSean Tiernan: Picc line
On Friday I had to go back into hospital as they had arranged for me to have my picc line fitted as they had a cancellation. The tablets I was supplied with on the Thursday I was told not to take as they would probably start the treatment earlier now. I was going to have the picc line fited on Monday and they had given me some Dexamethasone and a few other tablets to get me started while I waited and then start the treatment on the Thursday. Now that has all changed.. Friday I first thing I had a cannula fitted to my right wrist. They put it there as so that they could fit the picc line to my left arm and if they couldnt get it in they could still use my right arm. With the cannula fitted I had to wait for some platelets to arrive, which they gave to me through the cannula afterwards they gave me a unit of blood. Not long after starting the blood the Nurse found out I was having my picc line fitted at about one (which in hospital time means anywhere between one and a couple of hours). She ...
Intravenous (IV) Therapy: Discontinuing an IVNursing File | Nursing FileIntravenous (IV) Therapy: Discontinuing an IVNursing File | Nursing File
[WATCH] Intravenous (IV) Therapy: Discontinuing an IV Verify written doctors order to discontinue IV including IV medicines Observe ten (10) Rs. Assess and inform the patient of the discontinuation of IV infusion & of any medicine. Prepare the necessary materials: IV tray or injection tray with sterile cotton balls with alcohol, plaster, pick-up forceps in antiseptic solution, kidney basin, Band-Aid. Wash hands before and after procedure. Close the roller clamp of the IV administration set. Moisten adhesive tapes around the IV catheter with cotton ball with alcohol; remove plaster gently. Use pick-up forceps to get cotton ball with alcohol and without applying pressure, remove needle or IV catheter then immediately apply pressure over the venipuncture site. Discard all waste materials including the IV cannula according to Health Care Waste Management (DOH/DENR). Reassure patient. Document time of discontinuance, status of insertion site and integrity of IV catheter and endorse accordingly. This copy of
Current status of heparin dissolution of gallstones. Experimental and clinical observations. - Semantic ScholarCurrent status of heparin dissolution of gallstones. Experimental and clinical observations. - Semantic Scholar
Investigation of the use of heparin in bile indicates that it has the ability to disperse suspended particles. Clinical experience using a heparinized saline flush in forty-three patients with retained gallstones demonstrated disappearance of the stones in thirty-one of the patients. On this basis we would recommend this treatment for further clinical trials in patients with retained common duct stones.
PDA Occlusion - Rocky Mountain Veterinary CardiologyPDA Occlusion - Rocky Mountain Veterinary Cardiology
On the day the surgery is elected, your pet will be admitted in the morning, typically fasted for 8-10 hours with certain exceptions. Your pet will be medicated with slight sedation prior to anesthesia to alleviate pain and anxiety. Intravenous access in the form of an IV catheter will be placed for administration of medication, fluids, and other use, should immediate intravenous access be needed. The surgery will be performed in the morning and you will be notified once your pet is in recovery. Generally, your pet will stay one night in the hospital following surgery to ensure there are no lingering effects of the medication used during anesthesia, or any immediate complications associated with the surgery prior to being discharged.. Following surgery, a follow up exam is generally recommended in 10-14 days to assure adequate wound healing in the small incision in the groin area and suture removal. Generally, any medication for congestive heart failure may be discontinued at this time. Repeat ...
Plus itPlus it
To the Editor:. We read with interest the article by Reggia, et al1, a monocentric study analyzing the efficacy and safety of switching from intravenous (IV) to subcutaneous (SC) formulation of abatacept (ABA) in patients with rheumatoid arthritis. The authors report a relatively high risk of disease relapse (27%) occurring in a mean of 11 weeks after switching to SC administration. The study did not find any significant predictive factor for a switch failure. The concern that patients with a higher body mass index could receive lower cumulative doses compared to weight-tiered monthly infusions, leading to a significant influence on treatment efficacy, was not confirmed by this study, or by previous dose-finding trials and non-inferiority randomized studies2,3,4.. We describe our experience based on a case series of 21 consecutive patients switching from ABA IV to SC administration at our center. The switch was motivated by difficulties in obtaining peripheral venous access, or to optimize ...
dehydratoin picc line - Ostomies - HealingWell.com Forumdehydratoin picc line - Ostomies - HealingWell.com Forum
Hi Jan:. As you know from previous posts I have a PICC line that I use just for hydration purposes.(one liter a day). I have had 3 lines over the past 9 months. Its easier to put in a replacement PICC line than the original line. Prior to this I was getting an angiocath each week in order to get the fluids. My arms got totally scarred up and are still healing from all the "sticks". Prior to the angiocaths I was in the ER every other week with severe dehydration. My thinking was to treat the symptoms, dehydration, and then try and treat the cause. I have felt much, much better since I have been adequately hydrated. I have returned to work, I have travelled to the islands and I have felt much stronger overall. I know the PICC line is not a permanent solution but I believe it is buying me time to try and find the ultimate answer. It sure beats feeling terrible and going to the ER. I have other issues than most, I have had 2/3 of my pancreas removed, etc. and I have never suffered from UC or ...
PICC line vs central linePICC line vs central line
A PICC line is used when one requires chemotherapy, intravenous medication or fluids for a long period. Learn the difference between a PICC and central line.
PowerGroshong® PICC Catheter | Nursing PICCs | Bard Access SystemsPowerGroshong® PICC Catheter | Nursing PICCs | Bard Access Systems
Bard Access Systems offers a distally-valved silicone PICC indicated for power injection of contrast media.. The PowerGroshong® PICC is a versatile catheter that combines simplicity of care with the benefits of power injection capability.. ...
EMS SOLUTIONS INTERNATIONAL: 10 obsolete EMT skills. By EMS1.comEMS SOLUTIONS INTERNATIONAL: 10 obsolete EMT skills. By EMS1.com
When I was a paramedic student, my instructor took great pains to show us how to tear thin little strips of adhesive tape to secure IV catheters and endotracheal tubes. We fashioned elegant little chevrons of tape over the wings on our IV catheter hubs (seriously, they had wings) to secure them without obscuring the cannulation site. And we used to tear a one-inch strip of tape longitudinally for a few inches, wrapping one strip around the endotracheal tube and the other across the face like a big mustache. ...
Teaching Plan for Practical Skill and Techniques of Peripheral EssayTeaching Plan for Practical Skill and Techniques of Peripheral Essay
Teaching plan for practical skill and techniques of peripheral intravenous cannulation Name: Institution: Teaching plan for practical skill and techniques of pe...
Issues | The Netherlands Journal of Critical Care (NJCC)Issues | The Netherlands Journal of Critical Care (NJCC)
Indwelling arterial catheters are used routinely for continuous haemodynamic monitoring and obtaining repetitive blood samples. The radial artery is the most common site for cannulation. We report a case of forearm ischaemia after radial artery cannulation, which probably went unnoticed for several hours. The ischaemia resulted in an upper arm amputation. The use of a 22 gauge cannula and the use of ultrasound for cannulation may reduce the risk of this complication. We also emphasise the importance of good physical monitoring of patients who are under our care in the intensive care unit.. ...
1-Year Pediatric IV and Arterial Access Training Arm S406.100 - Gaumard1-Year Pediatric IV and Arterial Access Training Arm S406.100 - Gaumard
Introducing the new 1-Year Pediatric IV and Arterial Access Training Arm. A realistic and versatile task trainer designed for teaching (IV) intravenous and arterial access skills to learners of all levels. Lifelike, multipurpose, and an unbeatable value.
Why wouldnt D50 do through this PICC? | IV-Therapy.netWhy wouldn't D50 do through this PICC? | IV-Therapy.net
We had a patient with a low blood glucose and could not put in the amp of D50. The PICC was working well, both ports did have blood return and flushed easily w a 10cc syringe. Would we expect this to happen, or was this an incidental occurance?. I am thinking possibly we could have anticipated this ?? related to viscosity? The nurses also injected an amp of bicarb, so they do not think it had to do with the larger syringe size. PLEASE ADVISE, especiallty would like advise from a larger PICC service thanks
Catheterization, Peripheral | Profiles RNSCatheterization, Peripheral | Profiles RNS
Riker MW, Kennedy C, Winfrey BS, Yen K, Dowd MD. Validation and refinement of the difficult intravenous access score: a clinical prediction rule for identifying children with difficult intravenous access. Acad Emerg Med. 2011 Nov; 18(11):1129-34 ...
Pathway nabs FDA nod for updated peripheral catheter | Health ImagingPathway nabs FDA nod for updated peripheral catheter | Health Imaging
The FDA has granted 510(k) clearance to Pathway Medical Technologies to market the Jetstream G3 SF (Small Fixed), the updated version of its peripheral revascularization catheter for the treatment of peripheral vascular disease.
Clinical data from the MIMIC-II database for a case study on indwelling arterial catheters v1.0Clinical data from the MIMIC-II database for a case study on indwelling arterial catheters v1.0
Dataset extracted from MIMIC-II for a tutorial on effectiveness of indwelling arterial catheters in hemodynamically stable patients with respiratory failure for mortality outcomes.
Brevet US20020026221 - Method and device for electronically controlling the beating of a heart - Google BrevetsBrevet US20020026221 - Method and device for electronically controlling the beating of a heart - Google Brevets
An electro-stimulation device includes a pair of electrodes for connection to at least one location in the body that affects or regulates the heartbeat. The electro-stimulation device both electrically arrests the heartbeat and stimulates the heartbeat. A pair of electrodes are provided for connection to at least one location in the body that affects or regulates the heartbeat. The pair of electrodes may be connected to an intravenous catheter for transvenous stimulation of the appropriate nerve. A first switch is connected between a power supply and the electrodes for selectively supplying current from the power supply to the electrodes to augment any natural stimuli to the heart and thereby stop the heart from beating. A second switch is connected between the power supply and the electrodes for selectively supplying current from the power supply to the electrodes to provide an artificial stimulus to initiate heartbeating. In another aspect, the invention is directed to a method for arresting the beat
Charles Mullins (pediatric cardiologist)Charles Mullins (pediatric cardiologist)
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Outcomes and safety of concurrent coronary and peripheral catheterization (REVascularization in concomitant PERIpheral artery...Outcomes and safety of concurrent coronary and peripheral catheterization (REVascularization in concomitant PERIpheral artery...
Cateter central de inserção periférica: descrição da utilização em UTI Neonatal e PediátricaCateter central de inserção periférica: descrição da utilização em UTI Neonatal e Pediátrica
Indications and complications of arterial catheter useIndications and complications of arterial catheter use
PPT - CVP and Arterial Monitoring PowerPoint Presentation - ID:176179PPT - CVP and Arterial Monitoring PowerPoint Presentation - ID:176179
Preparing for Cardiac and Peripheral Catheterization | MemorialCarePreparing for Cardiac and Peripheral Catheterization | MemorialCare
Liability related to peripheral venous and arterial catheterization: a closed claims analysis. - PubMed - NCBILiability related to peripheral venous and arterial catheterization: a closed claims analysis. - PubMed - NCBI
Ultrasound Guided Peripheral Intravenous Catheterization in the Pediatric Intensive Care Unit.Ultrasound Guided Peripheral Intravenous Catheterization in the Pediatric Intensive Care Unit.
Cardiovascular Catheterization and Intervention: A Textbook of Coronary, Peripheral, and Structural Heart Disease, Second...Cardiovascular Catheterization and Intervention: A Textbook of Coronary, Peripheral, and Structural Heart Disease, Second...
Performing successful peripheral intravenous catheterization in difficult situationsPerforming successful peripheral intravenous catheterization in difficult situations
ISRCTN - ISRCTN62901900: Peripheral Intravenous Catheterisation in Obstetric Patients: comparing dorsum of the hand vein with...ISRCTN - ISRCTN62901900: Peripheral Intravenous Catheterisation in Obstetric Patients: comparing dorsum of the hand vein with...
Most recent papers with the keyword peripheral vein catheterization | Read by QxMDMost recent papers with the keyword peripheral vein catheterization | Read by QxMD
Catheterization, Peripheral | Profiles RNSCatheterization, Peripheral | Profiles RNS
Peripheral artery catheterization .. New hopePeripheral artery catheterization .. New hope
Peripheral Thrombolysis Imaging: Overview, Choice of Agent and Mechanism of Action, Acute and Chronic IschemiaPeripheral Thrombolysis Imaging: Overview, Choice of Agent and Mechanism of Action, Acute and Chronic Ischemia
Cardiac Catheterization and Peripheral Vascular Laboratory ApprovedCardiac Catheterization and Peripheral Vascular Laboratory Approved
Peripheral Catheterization Procedures and Peripheral Angiography ProceduresPeripheral Catheterization Procedures and Peripheral Angiography Procedures
Cardiac Catheterization Lab in Gainesville, Georgia | NGHSCardiac Catheterization Lab in Gainesville, Georgia | NGHS
Cardiac Catheterization Lab, South Nassau Heart Care TreatmentCardiac Catheterization Lab, South Nassau Heart Care Treatment
Cardiac/Peripheral Vascular Catheterizations New JerseyCardiac/Peripheral Vascular Catheterizations New Jersey
Cardiovascular Catheterization and Intervention by Debabrata Mukherjee, Eric R. Bates | WaterstonesCardiovascular Catheterization and Intervention by Debabrata Mukherjee, Eric R. Bates | Waterstones
Duplex Guided Application of Local Anesthetic Before Femoral Artery Catheterization - Full Text View - ClinicalTrials.govDuplex Guided Application of Local Anesthetic Before Femoral Artery Catheterization - Full Text View - ClinicalTrials.gov
Urinary Catheterisation Training Tickets, Mon, 19 Feb 2018 at 09:30 | EventbriteUrinary Catheterisation Training Tickets, Mon, 19 Feb 2018 at 09:30 | Eventbrite
Practical guide for safe central venous catheterization and management 2017Practical guide for safe central venous catheterization and management 2017
Fatal arterial complications following ultrasound-guided attempt of internal jugular vein catheterization | springermedizin.atFatal arterial complications following ultrasound-guided attempt of internal jugular vein catheterization | springermedizin.at
Central Venous Catheterization with Ultrasound Guidance - DnaTube.com - Scientific Video and Animation SiteCentral Venous Catheterization with Ultrasound Guidance - DnaTube.com - Scientific Video and Animation Site
Intracoronary and Intravenous Adenosine 5′-Triphosphate, Adenosine, Papaverine, and Contrast Medium to Assess Fractional Flow...Intracoronary and Intravenous Adenosine 5′-Triphosphate, Adenosine, Papaverine, and Contrast Medium to Assess Fractional Flow...
Cardiovascular Catheterization And Intervention A Textbook Of Coronary Peripheral And Structural Heart DiseaseCardiovascular Catheterization And Intervention A Textbook Of Coronary Peripheral And Structural Heart Disease
Cardiac Catheterization of Left Heart Technique: Approach Considerations, Left-Heart Catheterization, ComplicationsCardiac Catheterization of Left Heart Technique: Approach Considerations, Left-Heart Catheterization, Complications
Cardiovascular Services | Medina HospitalCardiovascular Services | Medina Hospital
Cardiac CAtheterization for Bypass Graft Patency Rate Optimization: the CABG-PRO Randomized-controlled Pilot Study - Full Text...Cardiac CAtheterization for Bypass Graft Patency Rate Optimization: the CABG-PRO Randomized-controlled Pilot Study - Full Text...
The use of streptokinase in the treatment of acute arterial occlusion after catheterization of the femoral artery in children...The use of streptokinase in the treatment of acute arterial occlusion after catheterization of the femoral artery in children...
Selective catheterization of the brachiocephalic arteries via the right brachial artery.Selective catheterization of the brachiocephalic arteries via the right brachial artery.
Heart Catheterization | Encyclopedia.comHeart Catheterization | Encyclopedia.com
AnatomyOrganismsDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesDisciplines and OccupationsInformation ScienceNamed GroupsHealth CareGeographicals
Cardiac CatheterizationUrinary CatheterizationCatheterizationCatheterization, PeripheralCatheterization, Central VenousIntermittent Urethral CatheterizationPeripheral NervesCatheterization, Swan-GanzUrinary RetentionSubclavian VeinPeripheral Nervous SystemPeripheral Nervous System DiseasesHypertension, PulmonaryPeripheral Vascular DiseasesTime FactorsCatheters, IndwellingJugular VeinsPulmonary Wedge PressureUrinary Bladder, NeurogenicFemoral ArteryPulmonary ArteryHeart Defects, CongenitalHemostatic TechniquesCoronary AngiographyPuncturesTreatment OutcomeRadial ArteryProspective StudiesHemodynamicsEchocardiographyLeukocytes, MononuclearRetrospective StudiesEchocardiography, DopplerPeripheral Nerve InjuriesPeripheral Arterial DiseaseAngioplasty, Balloon, CoronaryMyocardial InfarctionFemoral VeinFollow-Up StudiesFluoroscopyAngiocardiographyUrinary Tract InfectionsAngiographyCardiology Service, HospitalCineangiographyCardiac OutputElectrocardiographyBlood PressureHeart Septal Defects, VentricularCystostomyLymphoma, T-Cell, PeripheralVascular ResistancePulmonary Valve StenosisCathetersRadiography, InterventionalHeart SeptumCoronary Artery DiseaseRisk FactorsHeart Septal Defects, AtrialLymphocytesInfant, NewbornCoronary DiseasePulmonary CirculationPericarditis, ConstrictiveHeart VentriclesAortic Valve StenosisIatrogenic DiseaseVentricular Function, LeftExercise TestUrethral DiseasesT-LymphocytesStroke VolumeVentricular PressurePredictive Value of TestsHeart DiseasesSciatic NerveFeasibility StudiesUrinary CathetersBlood Flow VelocityCardiac Surgical ProceduresCells, CulturedCardiologyCoronary Artery BypassCardiac Care FacilitiesContrast MediaLymphocyte ActivationAneurysm, FalseMyocardial RevascularizationUrethraAngioplasty, BalloonHysterosalpingographyFlow CytometryRisk AssessmentVeinsSensitivity and SpecificityEquipment DesignMitral Valve StenosisPostoperative ComplicationsHemorrhageRadiology, InterventionalCoronary VesselsAtrial SeptumVena Cava, SuperiorEmbolism, CholesterolHemothoraxHeart Bypass, RightCoronary CirculationPulmonary VeinsCertificate of NeedHeartPrognosisSeverity of Illness IndexUrinary Bladder DiseasesUltrasonography, InterventionalHeart FailureArteriovenous FistulaSpinal Cord InjuriesMonocytesMitral ValveAcute Coronary SyndromeStentsFontan ProcedurePeripheral Nervous System NeoplasmsEmbolization, TherapeuticTomography, X-Ray ComputedHeart AtriaThrombosisHepatic VeinsHematomaCatheter-Related InfectionsPulmonary AtresiaVasodilator AgentsBiological MarkersAortic CoarctationCoronary Vessel AnomaliesRegional Blood FlowReproducibility of ResultsDuctus Arteriosus, PatentPeripheral Blood Stem Cell TransplantationBlood CellsHeart RateConstriction, PathologicRadiation ProtectionCase-Control StudiesVena Cava, InferiorVentricular Dysfunction, LeftCardiomyopathy, RestrictiveRetinal Artery OcclusionDisease Models, AnimalDiastoleUrinary BladderAge FactorsAcute DiseaseUrination DisordersPercutaneous Coronary InterventionBrachial ArteryTetralogy of FallotBlood CirculationAlbertaBlue Toe SyndromeSchwann CellsUrodynamicsNitrofurazoneHeart Valve DiseasesEquipment FailureVentricular Function, RightMice, Inbred C57BLEchocardiography, TransesophagealUrinationCohort StudiesCardiomyopathy, HypertrophicEarly AmbulationInjections, Intra-ArterialCyanosisEmbolismCD4-Positive T-LymphocytesHeparinRegistriesLogistic ModelsRNA, MessengerWhole Blood Coagulation TimeB-LymphocytesAortographySubclavian ArteryHirudinsLeukocyte CountMagnetic Resonance AngiographyAortic ValveLegPilot ProjectsCentral Venous PressureVascular System InjuriesLeukocytesVaginal FistulaDose-Response Relationship, DrugUrinary IncontinencePulmonary ValvePressureBrachiocephalic VeinsIntracranial EmbolismEcchymosis
CatheterAngiographyAngioplastyLaboratoryInterventionRight heart catheterizationComplicationsStentArteriesProceduresInternal juguInterventionsInterventional CardiologyCardiologySubclavianDiseaseVeinEvaluated with cardiac catheterizationCardiovascular catheterization labRadialAngiogramFemoralLaboratoriesState-of-the-art catheterCongenitalSurrounding blood vesselsUltrasound-guidedIntravenous cannulationPatientsInvasive
Catheter1
Angiography4
Angioplasty11
Laboratory7
Intervention2
Right heart catheterization2
Complications14
Stent2
Arteries10
Procedures13
Internal jugu3
Interventions4
Interventional Cardiology2
Cardiology2
Subclavian1
Disease7
Vein7
Evaluated with cardiac catheterization1
Cardiovascular catheterization lab2
Radial2
Angiogram1
Femoral1
Laboratories1
State-of-the-art catheter1
  • Now located on the second level of the Outpatient Care Facility, the newly constructed area will open with three fully functional state-of-the-art catheterization labs (cath labs) and 14 patient preparation and recovery rooms. (bio-medicine.org)
Congenital1
Surrounding blood vessels1
Ultrasound-guided2
Intravenous cannulation3
Patients6
Invasive2
The Michigan Appropriateness Guide for Intravenous Catheters in Pediatrics: miniMAGIC | American Academy of Pediatrics
The Michigan Appropriateness Guide for Intravenous Catheters in Pediatrics: miniMAGIC | American Academy of Pediatrics (pediatrics.aappublications.org)
PPT - CVP and Arterial Monitoring PowerPoint Presentation - ID:176179
PPT - CVP and Arterial Monitoring PowerPoint Presentation - ID:176179 (slideserve.com)
Peripheral Thrombolysis Imaging: Overview, Choice of Agent and Mechanism of Action, Acute and Chronic Ischemia
Peripheral Thrombolysis Imaging: Overview, Choice of Agent and Mechanism of Action, Acute and Chronic Ischemia (emedicine.medscape.com)
Best Peripheral Artery Catheterization Doctor in Delhi NCR, Peripheral Artery Catheterization Specialist | Credihealth
Best Peripheral Artery Catheterization Doctor in Delhi NCR, Peripheral Artery Catheterization Specialist | Credihealth (credihealth.com)
Cardiac Catheterization of Left Heart Technique: Approach Considerations, Left-Heart Catheterization, Complications
Cardiac Catheterization of Left Heart Technique: Approach Considerations, Left-Heart Catheterization, Complications (emedicine.medscape.com)
Cardiac Catheterization Lab, South Nassau Heart Care Treatment
Cardiac Catheterization Lab, South Nassau Heart Care Treatment (southnassau.org)
Cardiac catheterization - Doctors & Departments - Mayo Clinic
Cardiac catheterization - Doctors & Departments - Mayo Clinic (mayoclinic.org)
Cardiac catheterization - Doctors & Departments - Mayo Clinic
Cardiac catheterization - Doctors & Departments - Mayo Clinic (mayoclinic.org)
USA Vein Clinics, West Roxbury, MA
USA Vein Clinics, West Roxbury, MA (healthgrades.com)
Dr. Brian Tell, MD - Reviews - Minneapolis, MN
Dr. Brian Tell, MD - Reviews - Minneapolis, MN (healthgrades.com)
Cardiac Associates, Rockville, MD
Cardiac Associates, Rockville, MD (healthgrades.com)
Novant Health Winston-Salem Cardiology (Kernersville), Kernersville, NC
Novant Health Winston-Salem Cardiology (Kernersville), Kernersville, NC (healthgrades.com)
Dr. Erik Borncamp, MD | New Lenox, IL | Healthgrades
Dr. Erik Borncamp, MD | New Lenox, IL | Healthgrades (healthgrades.com)
WakeMed Physician Practices - Primary Care, Raleigh, NC, Raleigh, NC
WakeMed Physician Practices - Primary Care, Raleigh, NC, Raleigh, NC (healthgrades.com)
Dr. Thomas Rohs, MD | Kalamazoo, MI | Healthgrades
Dr. Thomas Rohs, MD | Kalamazoo, MI | Healthgrades (healthgrades.com)
Dr. Todd Guynn, MD - Aurora, IL - Cardiothoracic Surgery & Surgery | Healthgrades.com
Dr. Todd Guynn, MD - Aurora, IL - Cardiothoracic Surgery & Surgery | Healthgrades.com (healthgrades.com)
Summit Medical Group, Florham Park, NJ
Summit Medical Group, Florham Park, NJ (healthgrades.com)
Dr. Amarnath Vedere, MD | Wellington, FL | Healthgrades
Dr. Amarnath Vedere, MD | Wellington, FL | Healthgrades (healthgrades.com)
Dr. Susan Brozena, MD - Reviews - Radnor, PA
Dr. Susan Brozena, MD - Reviews - Radnor, PA (healthgrades.com)
Dr. Laura Murphy, MD | Toledo, OH | Healthgrades
Dr. Laura Murphy, MD | Toledo, OH | Healthgrades (healthgrades.com)
Lakeland Heart and Vascular, Saint Joseph, MI
Lakeland Heart and Vascular, Saint Joseph, MI (healthgrades.com)
Dr. Bruce Bennett, MD | Robbinsdale, MN | Healthgrades
Dr. Bruce Bennett, MD | Robbinsdale, MN | Healthgrades (healthgrades.com)
Dr. Scott Monnin, MD - Frankfort, KY - Book Online - Cardiology & Interventional Cardiology | Healthgrades.com
Dr. Scott Monnin, MD - Frankfort, KY - Book Online - Cardiology & Interventional Cardiology | Healthgrades.com (healthgrades.com)
Dr. Judith Mackall, MD - Reviews - Cleveland, OH
Dr. Judith Mackall, MD - Reviews - Cleveland, OH (healthgrades.com)
Dr. Anthony King, MD - Kalamazoo, MI - Cardiology & Internal Medicine | Healthgrades.com
Dr. Anthony King, MD - Kalamazoo, MI - Cardiology & Internal Medicine | Healthgrades.com (healthgrades.com)
Cardiovascular Catheterization and Intervention by Debabrata Mukherjee, Eric R. Bates | Waterstones
Cardiovascular Catheterization and Intervention by Debabrata Mukherjee, Eric R. Bates | Waterstones (waterstones.com)
Your Heart
Your Heart (health-alliance.com)
Cardiac Catheterization Laboratory | Heart and Vascular Center | Dartmouth-Hitchcock
Cardiac Catheterization Laboratory | Heart and Vascular Center | Dartmouth-Hitchcock (dartmouth-hitchcock.org)
Pediatric Critical Care - AAPC Knowledge Center
Pediatric Critical Care - AAPC Knowledge Center (aapc.com)
Dr. Prakash Krishnan - Interventional Cardiology - New York, NY
Dr. Prakash Krishnan - Interventional Cardiology - New York, NY (castleconnolly.com)
Dr. Youssef Rizk, DO - Reviews - Clinton Township, MI
Dr. Youssef Rizk, DO - Reviews - Clinton Township, MI (healthgrades.com)