Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
Stents that are covered with materials that are embedded with chemicals that are gradually released into the surrounding milieu.
Recurrent narrowing or constriction of a coronary artery following surgical procedures performed to alleviate a prior obstruction.
A macrolide compound obtained from Streptomyces hygroscopicus that acts by selectively blocking the transcriptional activation of cytokines thereby inhibiting cytokine production. It is bioactive only when bound to IMMUNOPHILINS. Sirolimus is a potent immunosuppressant and possesses both antifungal and antineoplastic properties.
Dilation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply.
The plan and delineation of prostheses in general or a specific prosthesis.
Electropositive chemical elements characterized by ductility, malleability, luster, and conductance of heat and electricity. They can replace the hydrogen of an acid and form bases with hydroxyl radicals. (Grant & Hackh's Chemical Dictionary, 5th ed)
A mixture of metallic elements or compounds with other metallic or metalloid elements in varying proportions.
Biocompatible materials usually used in dental and bone implants that enhance biologic fixation, thereby increasing the bond strength between the coated material and bone, and minimize possible biological effects that may result from the implant itself.
A cyclodecane isolated from the bark of the Pacific yew tree, TAXUS BREVIFOLIA. It stabilizes MICROTUBULES in their polymerized form leading to cell death.
Coagulation of blood in any of the CORONARY VESSELS. The presence of a blood clot (THROMBUS) often leads to MYOCARDIAL INFARCTION.
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.
Agents that affect the rate or intensity of cardiac contraction, blood vessel diameter, or blood volume.
Radiography of the vascular system of the heart muscle after injection of a contrast medium.
Narrowing or constriction of a coronary artery.
Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.
Implants constructed of materials designed to be absorbed by the body without producing an immune response. They are usually composed of plastics and are frequently used in orthopedics and orthodontics.
The veins and arteries of the HEART.
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.
Formation and development of a thrombus or blood clot in the blood vessel.
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.
Obstruction of flow in biological or prosthetic vascular grafts.
Stainless steel. A steel containing Ni, Cr, or both. It does not tarnish on exposure and is used in corrosive environments. (Grant & Hack's Chemical Dictionary, 5th ed)
Small containers or pellets of a solid drug implanted in the body to achieve sustained release of the drug.
Agents that interact with TUBULIN to inhibit or promote polymerization of MICROTUBULES.
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.
The condition of an anatomical structure's being constricted beyond normal dimensions.
NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).
Agents that suppress immune function by one of several mechanisms of action. Classical cytotoxic immunosuppressants act by inhibiting DNA synthesis. Others may act through activation of T-CELLS or by inhibiting the activation of HELPER CELLS. While immunosuppression has been brought about in the past primarily to prevent rejection of transplanted organs, new applications involving mediation of the effects of INTERLEUKINS and other CYTOKINES are emerging.
The new and thickened layer of scar tissue that forms on a PROSTHESIS, or as a result of vessel injury especially following ANGIOPLASTY or stent placement.
Either of two large arteries originating from the abdominal aorta; they supply blood to the pelvis, abdominal wall and legs.
Drugs or agents which antagonize or impair any mechanism leading to blood platelet aggregation, whether during the phases of activation and shape change or following the dense-granule release reaction and stimulation of the prostaglandin-thromboxane system.
The innermost layer of an artery or vein, made up of one layer of endothelial cells and supported by an internal elastic lamina.
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.
Specific alloys not less than 85% chromium and nickel or cobalt, with traces of either nickel or cobalt, molybdenum, and other substances. They are used in partial dentures, orthopedic implants, etc.
Compounds formed by the joining of smaller, usually repeating, units linked by covalent bonds. These compounds often form large macromolecules (e.g., BIOPOLYMERS; PLASTICS).
Elements of limited time intervals, contributing to particular results or situations.
Methods of creating machines and devices.
The therapy of the same disease in a patient, with the same agent or procedure repeated after initial treatment, or with an additional or alternate measure or follow-up. It does not include therapy which requires more than one administration of a therapeutic agent or regimen. Retreatment is often used with reference to a different modality when the original one was inadequate, harmful, or unsuccessful.
Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.
Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.
An increase in the number of cells in a tissue or organ without tumor formation. It differs from HYPERTROPHY, which is an increase in bulk without an increase in the number of cells.
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.
The degree to which BLOOD VESSELS are not blocked or obstructed.
The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.
The restoration of blood supply to the myocardium. (From Dorland, 28th ed)
Tracheal stenosis is a medical condition characterized by an abnormal narrowing or constriction of the lumen of the trachea, which can lead to respiratory distress and other related symptoms.
A stricture of the ESOPHAGUS. Most are acquired but can be congenital.
The return of a sign, symptom, or disease after a remission.
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.
Systems for the delivery of drugs to target sites of pharmacological actions. Technologies employed include those concerning drug preparation, route of administration, site targeting, metabolism, and toxicity.
Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking.
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.
Reconstruction or repair of a blood vessel, which includes the widening of a pathological narrowing of an artery or vein by the removal of atheromatous plaque material and/or the endothelial lining as well, or by dilatation (BALLOON ANGIOPLASTY) to compress an ATHEROMA. Except for ENDARTERECTOMY, usually these procedures are performed via catheterization as minimally invasive ENDOVASCULAR PROCEDURES.
An effective inhibitor of platelet aggregation commonly used in the placement of STENTS in CORONARY ARTERIES.
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.
A nonparametric method of compiling LIFE TABLES or survival tables. It combines calculated probabilities of survival and estimates to allow for observations occurring beyond a measurement threshold, which are assumed to occur randomly. Time intervals are defined as ending each time an event occurs and are therefore unequal. (From Last, A Dictionary of Epidemiology, 1995)
Pathological processes which result in the partial or complete obstruction of ARTERIES. They are characterized by greatly reduced or absence of blood flow through these vessels. They are also known as arterial insufficiency.
Migration of a foreign body from its original location to some other location in the body.
Polymeric materials (usually organic) of large molecular weight which can be shaped by flow. Plastic usually refers to the final product with fillers, plasticizers, pigments, and stabilizers included (versus the resin, the homogeneous polymeric starting material). (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)
Surgical insertion of a prosthesis.
Failure of equipment to perform to standard. The failure may be due to defects or improper use.
Complete blockage of blood flow through one of the CORONARY ARTERIES, usually from CORONARY ATHEROSCLEROSIS.
Works about clinical trials that involve at least one test treatment and one control treatment, concurrent enrollment and follow-up of the test- and control-treated groups, and in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.
Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)
The hindering of output from the STOMACH into the SMALL INTESTINE. This obstruction may be of mechanical or functional origin such as EDEMA from PEPTIC ULCER; NEOPLASMS; FOREIGN BODIES; or AGING.
Any of various animals that constitute the family Suidae and comprise stout-bodied, short-legged omnivorous mammals with thick skin, usually covered with coarse bristles, a rather long mobile snout, and small tail. Included are the genera Babyrousa, Phacochoerus (wart hogs), and Sus, the latter containing the domestic pig (see SUS SCROFA).
Removal of an implanted therapeutic or prosthetic device.
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)
The prototypical analgesic used in the treatment of mild to moderate pain. It has anti-inflammatory and antipyretic properties and acts as an inhibitor of cyclooxygenase which results in the inhibition of the biosynthesis of prostaglandins. Aspirin also inhibits platelet aggregation and is used in the prevention of arterial and venous thrombosis. (From Martindale, The Extra Pharmacopoeia, 30th ed, p5)
The main artery of the thigh, a continuation of the external iliac artery.
Homopolymer of tetrafluoroethylene. Nonflammable, tough, inert plastic tubing or sheeting; used to line vessels, insulate, protect or lubricate apparatus; also as filter, coating for surgical implants or as prosthetic material. Synonyms: Fluoroflex; Fluoroplast; Ftoroplast; Halon; Polyfene; PTFE; Tetron.
Genetically developed small pigs for use in biomedical research. There are several strains - Yucatan miniature, Sinclair miniature, and Minnesota miniature.
Radiography of blood vessels after injection of a contrast medium.
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.
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.
Chronic inflammation and granuloma formation around irritating foreign bodies.
Introduction of a tube into a hollow organ to restore or maintain patency if obstructed. It is differentiated from CATHETERIZATION in that the insertion of a catheter is usually performed for the introducing or withdrawing of fluids from the body.
Pathological processes involving the URETERS.
Endoscopic examination, therapy or surgery performed on the interior of blood vessels.
The evaluation of incidents involving the loss of function of a device. These evaluations are used for a variety of purposes such as to determine the failure rates, the causes of failures, costs of failures, and the reliability and maintainability of devices.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
Conditional probability of exposure to a treatment given observed covariates.
A broad family of synthetic organosiloxane polymers containing a repeating silicon-oxygen backbone with organic side groups attached via carbon-silicon bonds. Depending on their structure, they are classified as liquids, gels, and elastomers. (From Merck Index, 12th ed)
Subspecialty of radiology that combines organ system radiography, catheter techniques and sectional imaging.
Organic polymeric materials which can be broken down by naturally occurring processes. This includes plastics created from bio-based or petrochemical-based materials.
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.
VASCULAR DISEASES that are associated with DIABETES MELLITUS.
Jaundice, the condition with yellowish staining of the skin and mucous membranes, that is due to impaired BILE flow in the BILIARY TRACT, such as INTRAHEPATIC CHOLESTASIS, or EXTRAHEPATIC CHOLESTASIS.
Hindrance of the passage of luminal contents in the DUODENUM. Duodenal obstruction can be partial or complete, and caused by intrinsic or extrinsic factors. Simple obstruction is associated with diminished or stopped flow of luminal contents. Strangulating obstruction is associated with impaired blood flow to the duodenum in addition to obstructed flow of luminal contents.
One of a pair of thick-walled tubes that transports urine from the KIDNEY PELVIS to the URINARY BLADDER.
Fiberoptic endoscopy designed for duodenal observation and cannulation of VATER'S AMPULLA, in order to visualize the pancreatic and biliary duct system by retrograde injection of contrast media. Endoscopic (Vater) papillotomy (SPHINCTEROTOMY, ENDOSCOPIC) may be performed during this procedure.
Statistical models used in survival analysis that assert that the effect of the study factors on the hazard rate in the study population is multiplicative and does not change over time.
The continuation of the femoral artery coursing through the popliteal fossa; it divides into the anterior and posterior tibial arteries.
High energy POSITRONS or ELECTRONS ejected from a disintegrating atomic nucleus.
Abnormal outpouching in the wall of intracranial blood vessels. Most common are the saccular (berry) aneurysms located at branch points in CIRCLE OF WILLIS at the base of the brain. Vessel rupture results in SUBARACHNOID HEMORRHAGE or INTRACRANIAL HEMORRHAGES. Giant aneurysms (>2.5 cm in diameter) may compress adjacent structures, including the OCULOMOTOR NERVE. (From Adams et al., Principles of Neurology, 6th ed, p841)
A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.
An imaging method using LASERS that is used for mapping subsurface structure. When a reflective site in the sample is at the same optical path length (coherence) as the reference mirror, the detector observes interference fringes.
A collective term for interstitial, intracavity, and surface radiotherapy. It uses small sealed or partly-sealed sources that may be placed on or near the body surface or within a natural body cavity or implanted directly into the tissues.
The vein which drains the foot and leg.
Impairment of bile flow due to obstruction in small bile ducts (INTRAHEPATIC CHOLESTASIS) or obstruction in large bile ducts (EXTRAHEPATIC CHOLESTASIS).
Minimally invasive procedures, diagnostic or therapeutic, performed within the BLOOD VESSELS. They may be perfomed via ANGIOSCOPY; INTERVENTIONAL MAGNETIC RESONANCE IMAGING; INTERVENTIONAL RADIOGRAPHY; or INTERVENTIONAL ULTRASONOGRAPHY.
Microscopy in which the object is examined directly by an electron beam scanning the specimen point-by-point. The image is constructed by detecting the products of specimen interactions that are projected above the plane of the sample, such as backscattered electrons. Although SCANNING TRANSMISSION ELECTRON MICROSCOPY also scans the specimen point by point with the electron beam, the image is constructed by detecting the electrons, or their interaction products that are transmitted through the sample plane, so that is a form of TRANSMISSION ELECTRON MICROSCOPY.
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.
Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.
A method in which either the observer(s) or the subject(s) is kept ignorant of the group to which the subjects are assigned.
Agents obtained from higher plants that have demonstrable cytostatic or antineoplastic activity.
An episode of MYOCARDIAL ISCHEMIA that generally lasts longer than a transient anginal episode that ultimately may lead to MYOCARDIAL INFARCTION.
A vein on either side of the body which is formed by the union of the external and internal iliac veins and passes upward to join with its fellow of the opposite side to form the inferior vena cava.
Radiography of the vascular system of the brain after injection of a contrast medium.
Percutaneous transluminal procedure for removing atheromatous plaque from the coronary arteries. Both directional (for removing focal atheromas) and rotational (for removing concentric atheromatous plaque) atherectomy devices have been used.
Tantalum. A rare metallic element, atomic number 73, atomic weight 180.948, symbol Ta. It is a noncorrosive and malleable metal that has been used for plates or disks to replace cranial defects, for wire sutures, and for making prosthetic devices. (Dorland, 28th ed)
Impairment of bile flow in the large BILE DUCTS by mechanical obstruction or stricture due to benign or malignant processes.

PlA polymorphism of platelet glycoprotein IIIa and risk of restenosis after coronary stent placement. (1/7427)

BACKGROUND: Platelets play a central role in the process of restenosis after percutaneous coronary interventions. A polymorphism of platelet glycoprotein IIIa (PlA) has been associated with a higher risk of coronary thrombosis. We designed this prospective study to test the hypothesis that PlA polymorphism of glycoprotein IIIa is associated with an increased risk for restenosis after coronary stent placement. METHODS AND RESULTS: The study included 1150 consecutive patients with successful coronary stent placement and 6-month follow-up with coronary angiography. The end point of the study was the incidence of angiographic restenosis (>/=50% diameter stenosis) at follow-up. Of the 1150 patients, 72.5% were homozygous for PlA1, 24.7% were heterozygous (PlA1/A2), and 2.8% were homozygous for PlA2. Patients with the PlA2 allele demonstrated a significantly higher restenosis rate than did those without (47% versus 38%; OR, 1.42; 95% CI, 1.09 to 1.84). The risk was highest in homozygous carriers of PlA2 (53.1% restenosis rate). After adjustment for several clinical and angiographic characteristics, the presence of the PlA2 allele remained a significantly independent risk factor for restenosis (adjusted OR, 1.35; 95% CI, 1.07 to 1.70). The influence of the PlA2 allele on restenosis was stronger in women. Women with PlA2 had a restenosis rate of 52% compared with the 33% incidence among women homozygous for PlA1 (OR, 2.21; 95% CI, 1.27 to 3.85). CONCLUSIONS: This study showed a significant association between the PlA polymorphism of glycoprotein IIIa and the risk of restenosis after coronary stent placement. The risk was more pronounced in patients homozygous for PlA2 allele and in female patients.  (+info)

In-stent neointimal proliferation correlates with the amount of residual plaque burden outside the stent: an intravascular ultrasound study. (2/7427)

BACKGROUND: The aim of this study was to evaluate the relationship between residual plaque burden after coronary stent implantation and the development of late in-stent neointimal proliferation. METHODS AND RESULTS: Between January 1996 and May 1997, 50 patients underwent intravascular ultrasound (IVUS) interrogation at 6+/-1.2 months after coronary stent implantation in native coronary arteries. IVUS images were acquired with a motorized pullback, and cross-sectional measurements were performed within the stents at 1-mm intervals. The following measurements were obtained: (1) lumen area (LA), (2) stent area (SA), (3) area delimited by the external elastic membrane (EEMA), (4) percent neointimal area calculated as (SA-LA/SA)x100, and (5) percent residual plaque area calculated as (EEMA-SA)/EEMAx100. Volume measurements within the stented segments were calculated by applying Simpson's rule. In the pooled data analysis of 876 cross sections, linear regression showed a significant positive correlation between percent residual plaque area and percent neointimal area (r=0.50, y= 45.03+0.29x, P<0.01). There was significant incremental increase in mean percent neointimal area for stepwise increase in percent residual plaque area. Mean percent neointimal area was 16.3+/-10.3% for lesions with a percent residual plaque area of <50% and 27.7+/-11% for lesions with a percent residual plaque area of >/=50% (P<0.001). The volumetric analysis showed that the percent residual plaque volume was significantly greater in restenotic lesions compared with nonrestenotic lesions (58.7+/-4.3% versus 51.4+/-5.7%, respectively; P<0.01). CONCLUSIONS: Late in-stent neointimal proliferation has a direct correlation with the amount of residual plaque burden after coronary stent implantation, supporting the hypothesis that plaque removal before stent implantation may reduce restenosis.  (+info)

Comparison of quantitative coronary angiography, intravascular ultrasound, and coronary pressure measurement to assess optimum stent deployment. (3/7427)

BACKGROUND: Although intravascular ultrasound (IVUS) is the present standard for the evaluation of optimum stent deployment, this technique is expensive and not routinely feasible in most catheterization laboratories. Coronary pressure-derived myocardial fractional flow reserve (FFRmyo) is an easy, cheap, and rapidly obtainable index that is specific for the conductance of the epicardial coronary artery. In this study, we investigated the usefulness of coronary pressure measurement to predict optimum and suboptimum stent deployment. METHODS AND RESULTS: In 30 patients, a Wiktor-i stent was implanted at different inflation pressures, starting at 6 atm and increasing step by step to 8, 10, 12, and 14 atm, if necessary. After every step, stent deployment was evaluated by quantitative coronary angiography (QCA), IVUS, and coronary pressure measurement. If any of the 3 techniques did not yield an optimum result, the next inflation was performed, and all 3 investigational modalities were repeated until optimum stent deployment was present by all of them or until the treating physician decided to accept the result. Optimum deployment according to QCA was finally achieved in 24 patients, according to IVUS in 17 patients, and also according to coronary pressure measurement in 17 patients. During the step-up, a total of 81 paired IVUS and coronary pressure measurements were performed, of which 91% yielded concordant results (ie, either an optimum or a suboptimum expansion of the stent by both techniques, P<0.00001). On the contrary, QCA showed a low concordance rate with IVUS and FFRmyo (48% and 46%, respectively). CONCLUSIONS: In this study, using a coil stent, both IVUS and coronary pressure measurement were of similar value with respect to the assessment of optimum stent deployment. Therefore, coronary pressure measurement can be used as a cheap and rapid alternative to IVUS for that purpose.  (+info)

The endovascular management of blue finger syndrome. (4/7427)

OBJECTIVES: To review our experience of the endovascular management of upper limb embolisation secondary to an ipsilateral proximal arterial lesion. DESIGN: A retrospective study. MATERIALS AND METHODS: Over 3 years, 17 patients presented with blue fingers secondary to an ipsilateral proximal vascular lesion. These have been managed using transluminal angioplasty (14) and arterial stenting (five), combined with embolectomy (two) and anticoagulation (three)/anti-platelet therapy (14). RESULTS: All the patients were treated successfully. There have been no further symptomatic embolic episodes originating from any of the treated lesions, and no surgical amputations. Complications were associated with the use of brachial arteriotomy for vascular access. CONCLUSIONS: Endovascular techniques are safe and effective in the management of upper limb embolic phenomena associated with an ipsilateral proximal focal vascular lesion.  (+info)

Balloon-artery interactions during stent placement: a finite element analysis approach to pressure, compliance, and stent design as contributors to vascular injury. (5/7427)

Endovascular stents expand the arterial lumen more than balloon angioplasty and reduce rates of restenosis after coronary angioplasty in selected patients. Understanding the factors involved in vascular injury imposed during stent deployment may allow optimization of stent design and stent-placement protocols so as to limit vascular injury and perhaps reduce restenosis. Addressing the hypothesis that a previously undescribed mechanism of vascular injury during stent deployment is balloon-artery interaction, we have used finite element analysis to model how balloon-artery contact stress and area depend on stent-strut geometry, balloon compliance, and inflation pressure. We also examined superficial injury during deployment of stents of varied design in vivo and in a phantom model ex vivo to show that balloon-induced damage can be modulated by altering stent design. Our results show that higher inflation pressures, wider stent-strut openings, and more compliant balloon materials cause markedly larger surface-contact areas and contact stresses between stent struts. Appreciating that the contact stress and contact area are functions of placement pressure, stent geometry, and balloon compliance may help direct development of novel stent designs and stent-deployment protocols so as to minimize vascular injury during stenting and perhaps to optimize long-term outcomes.  (+info)

Surgical transluminal iliac angioplasty with selective stenting: long-term results assessed by means of duplex scanning. (6/7427)

PURPOSE: The safety of iliac angioplasty and selective stenting performed in the operating room by vascular surgeons was evaluated, and the short- and long-term results were assessed by means of serial duplex scanning. METHODS: Between 1989 and 1996, 281 iliac stenotic or occlusive lesions in 235 consecutive patients with chronic limb ischemia were treated by means of percutaneous transluminal angioplasty (PTA) alone (n = 214) or PTA with stent (n = 67, 23.8%). There were 260 primary lesions and 21 restenosis after a first PTA, which were analyzed separately. Stents were implanted in selected cases, either primarily in totally occluded arteries or after suboptimum results of PTA (ie, residual stenosis or a dissection). Data were collected prospectively and analyzed retrospectively. Results were reported in an intention-to-treat basis. Clinical results and patency were evaluated by means of symptom assessment, ankle brachial pressure index, and duplex scanning at discharge and 1, 3, 6, and every 12 months after angioplasty. To identify factors that may affect outcome, 12 clinical and radiological variables, including the four categories of lesions defined by the Standards of Practice Committee of the Society of Cardiovascular and Interventional Radiology, were analyzed separately. The statistical significances of life-table analysis of patency were determined by means of the log-rank test. RESULTS: There were no postoperative deaths or amputations. Local, general, and vascular complications occurred in 2.1%, 1.3% and 4.7% of cases, respectively (total, 8.1%). The mean follow-up period was 29.6 months. The cumulative patency rates +/- SE of the 260 PTAs (including 55 PTAs plus stents) were 92.9% +/- 1.5% at 1 month, 86. 5% +/- 1.7% at 1 year, 81.2% +/- 2.3% at 2 years, 78.8% +/- 2.9% at 3 years, and 75.4% +/- 3.5% at 5 and 6 years. The two-year patency rate of 21 redo PTAs (including 11 PTAs plus stents) was 79.1% +/- 18.2%. Of 12 predictable variables studied in the first PTA group, only the category of the lesion was predictive of long-term patency. The two-year patency rate was 84% +/- 3% for 199 category 1 lesions and 69.7% +/- 6.5% for 61 category 2, 3, and 4 lesions together (P =. 02). There was no difference of patency in the stented and nonstented group. CONCLUSION: Iliac PTA alone or with the use of a stent (in cases of occlusion and/or suboptimal results of PTA) offers an excellent long-term patency rate. Categorization of lesions remains useful in predicting long-term outcome. PTA can be performed safely by vascular surgeons in the operating room and should be considered to be the primary treatment for localized iliac occlusive disease.  (+info)

Relief of obstructive pelvic venous symptoms with endoluminal stenting. (7/7427)

PURPOSE: To select patients for percutaneous transluminal stenting of chronic postthrombotic pelvic venous obstructions (CPPVO), we evaluated the clinical symptoms in a cohort of candidates and in a series of successfully treated patients. METHODS: The symptoms of 42 patients (39 women) with CPPVO (38 left iliac; average history, 18 years) were recorded, and the venous anatomy was studied by means of duplex scanning, subtraction venography, and computed tomography or magnetic resonance imaging. Successfully stented patients were controlled by means of duplex scanning and assessment of symptoms. RESULTS: The typical symptoms of CPPVO were reported spontaneously by 24% of patients and uncovered by means of a targeted interview in an additional 47%. Of 42 patients, 15 had venous claudication, four had neurogenic claudication (caused by dilated veins in the spinal canal that arise from the collateral circulation), and 11 had both symptoms. Twelve patients had no specific symptoms. Placement of a stent was found to be technically feasible in 25 patients (60%), was attempted in 14 patients, and was primarily successful in 12 patients. One stent occluded within the first week. All other stents were fully patent after a mean of 15 months (range, 1 to 43 months). Satisfaction was high in the patients who had the typical symptoms, but low in those who lacked them. CONCLUSION: Venous claudication and neurogenic claudication caused by venous collaterals in the spinal canal are typical clinical features of CPPVO. We recommend searching for these symptoms, because recanalization by means of stenting is often feasible and rewarding.  (+info)

Endovascular repair of a descending thoracic aortic aneurysm: a tip for systemic pressure reduction. (8/7427)

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)

A stent is a small mesh tube that's used to treat narrow or weak arteries. Arteries are blood vessels that carry blood away from your heart to other parts of your body. A stent is placed in an artery as part of a procedure called angioplasty. Angioplasty restores blood flow through narrowed or blocked arteries by inflating a tiny balloon inside the blocked artery to widen it.

The stent is then inserted into the widened artery to keep it open. The stent is usually made of metal, but some are coated with medication that is slowly and continuously released to help prevent the formation of scar tissue in the artery. This can reduce the chance of the artery narrowing again.

Stents are also used in other parts of the body, such as the neck (carotid artery) and kidneys (renal artery), to help maintain blood flow and prevent blockages. They can also be used in the urinary system to treat conditions like ureteropelvic junction obstruction or narrowing of the urethra.

Drug-eluting stents (DES) are medical devices used in the treatment of coronary artery disease. They are small, flexible tubes that are coated with a medication that is slowly released (eluted) over time to prevent the formation of scar tissue and reduce the risk of renarrowing (restenosis) of the artery after it has been treated with angioplasty and stenting.

The stent is typically placed in a narrowed or blocked coronary artery during a percutaneous coronary intervention (PCI) procedure, such as angioplasty, to open up the blood vessel and improve blood flow to the heart muscle. The medication on the DES helps to prevent the growth of smooth muscle cells and the formation of scar tissue in the artery, which can cause restenosis and require additional treatments.

The most commonly used medications on DES are sirolimus, paclitaxel, zotarolimus, and everolimus. These drugs work by inhibiting the growth of smooth muscle cells and reducing inflammation in the artery. While DES have been shown to reduce the risk of restenosis compared to bare-metal stents, they also carry a small increased risk of late stent thrombosis (blood clots forming in the stent), which can lead to serious complications such as heart attack or stroke. Therefore, patients who receive DES are typically prescribed long-term antiplatelet therapy to reduce this risk.

Coronary restenosis is the re-narrowing or re-occlusion of a coronary artery after a previous successful procedure to open or widen the artery, such as angioplasty or stenting. This narrowing is usually caused by the excessive growth of scar tissue or smooth muscle cells in the artery lining, which can occur spontaneously or as a response to the initial procedure. Restenosis can lead to recurrent symptoms of coronary artery disease, such as chest pain or shortness of breath, and may require additional medical intervention.

Sirolimus is a medication that belongs to a class of drugs called immunosuppressants. It is also known as rapamycin. Sirolimus works by inhibiting the mammalian target of rapamycin (mTOR), which is a protein that plays a key role in cell growth and division.

Sirolimus is primarily used to prevent rejection of transplanted organs, such as kidneys, livers, and hearts. It works by suppressing the activity of the immune system, which can help to reduce the risk of the body rejecting the transplanted organ. Sirolimus is often used in combination with other immunosuppressive drugs, such as corticosteroids and calcineurin inhibitors.

Sirolimus is also being studied for its potential therapeutic benefits in a variety of other conditions, including cancer, tuberous sclerosis complex, and lymphangioleiomyomatosis. However, more research is needed to fully understand the safety and efficacy of sirolimus in these contexts.

It's important to note that sirolimus can have significant side effects, including increased risk of infections, mouth sores, high blood pressure, and kidney damage. Therefore, it should only be used under the close supervision of a healthcare provider.

Coronary balloon angioplasty is a minimally invasive medical procedure used to widen narrowed or obstructed coronary arteries (the blood vessels that supply oxygen-rich blood to the heart muscle) and improve blood flow to the heart. This procedure is typically performed in conjunction with the insertion of a stent, a small mesh tube that helps keep the artery open.

During coronary balloon angioplasty, a thin, flexible catheter with a deflated balloon at its tip is inserted into a blood vessel, usually through a small incision in the groin or arm. The catheter is then guided to the narrowed or obstructed section of the coronary artery. Once in position, the balloon is inflated to compress the plaque against the artery wall and widen the lumen (the inner space) of the artery. This helps restore blood flow to the heart muscle.

The procedure is typically performed under local anesthesia and conscious sedation to minimize discomfort. Coronary balloon angioplasty is a relatively safe and effective treatment for many people with coronary artery disease, although complications such as bleeding, infection, or re-narrowing of the artery (restenosis) can occur in some cases.

Prosthesis design is a specialized field in medical device technology that involves creating and developing artificial substitutes to replace a missing body part, such as a limb, tooth, eye, or internal organ. The design process typically includes several stages: assessment of the patient's needs, selection of appropriate materials, creation of a prototype, testing and refinement, and final fabrication and fitting of the prosthesis.

The goal of prosthesis design is to create a device that functions as closely as possible to the natural body part it replaces, while also being comfortable, durable, and aesthetically pleasing for the patient. The design process may involve collaboration between medical professionals, engineers, and designers, and may take into account factors such as the patient's age, lifestyle, occupation, and overall health.

Prosthesis design can be highly complex, particularly for advanced devices such as robotic limbs or implantable organs. These devices often require sophisticated sensors, actuators, and control systems to mimic the natural functions of the body part they replace. As a result, prosthesis design is an active area of research and development in the medical field, with ongoing efforts to improve the functionality, comfort, and affordability of these devices for patients.

In the context of medicine, there is no specific medical definition for 'metals.' However, certain metals have significant roles in biological systems and are thus studied in physiology, pathology, and pharmacology. Some metals are essential to life, serving as cofactors for enzymatic reactions, while others are toxic and can cause harm at certain levels.

Examples of essential metals include:

1. Iron (Fe): It is a crucial component of hemoglobin, myoglobin, and various enzymes involved in energy production, DNA synthesis, and electron transport.
2. Zinc (Zn): This metal is vital for immune function, wound healing, protein synthesis, and DNA synthesis. It acts as a cofactor for over 300 enzymes.
3. Copper (Cu): Copper is essential for energy production, iron metabolism, antioxidant defense, and connective tissue formation. It serves as a cofactor for several enzymes.
4. Magnesium (Mg): Magnesium plays a crucial role in many biochemical reactions, including nerve and muscle function, protein synthesis, and blood pressure regulation.
5. Manganese (Mn): This metal is necessary for bone development, protein metabolism, and antioxidant defense. It acts as a cofactor for several enzymes.
6. Molybdenum (Mo): Molybdenum is essential for the function of certain enzymes involved in the metabolism of nucleic acids, proteins, and drugs.
7. Cobalt (Co): Cobalt is a component of vitamin B12, which plays a vital role in DNA synthesis, fatty acid metabolism, and nerve function.

Examples of toxic metals include:

1. Lead (Pb): Exposure to lead can cause neurological damage, anemia, kidney dysfunction, and developmental issues.
2. Mercury (Hg): Mercury is highly toxic and can cause neurological problems, kidney damage, and developmental issues.
3. Arsenic (As): Arsenic exposure can lead to skin lesions, cancer, neurological disorders, and cardiovascular diseases.
4. Cadmium (Cd): Cadmium is toxic and can cause kidney damage, bone demineralization, and lung irritation.
5. Chromium (Cr): Excessive exposure to chromium can lead to skin ulcers, respiratory issues, and kidney and liver damage.

'Alloys' is not a medical term. It is a term used in materials science and engineering to describe a mixture or solid solution composed of two or more elements, at least one of which is a metal. The components are typically present in significant amounts (>1% by weight). The properties of alloys, such as their strength, durability, and corrosion resistance, often differ from those of the constituent elements.

While not directly related to medicine, some alloys do have medical applications. For example, certain alloys are used in orthopedic implants, dental restorations, and other medical devices due to their desirable properties such as biocompatibility, strength, and resistance to corrosion.

Biocompatible coated materials refer to surfaces or substances that are treated or engineered with a layer or film designed to interact safely and effectively with living tissues or biological systems, without causing harm or adverse reactions. The coating material is typically composed of biomaterials that can withstand the conditions of the specific application while promoting a positive response from the body.

The purpose of these coatings may vary depending on the medical device or application. For example, they might be used to enhance the lubricity and wear resistance of implantable devices, reduce the risk of infection, promote integration with surrounding tissues, control drug release, or prevent the formation of biofilms.

Biocompatible coated materials must undergo rigorous testing and evaluation to ensure their safety and efficacy in various clinical settings. This includes assessing potential cytotoxicity, genotoxicity, sensitization, hemocompatibility, carcinogenicity, and other factors that could impact the body's response to the material.

Examples of biocompatible coating materials include:

1. Hydrogels: Cross-linked networks of hydrophilic polymers that can be used for drug delivery, tissue engineering, or as lubricious coatings on medical devices.
2. Self-assembling monolayers (SAMs): Organosilane or thiol-based molecules that form a stable, well-ordered film on surfaces, which can be further functionalized to promote specific biological interactions.
3. Poly(ethylene glycol) (PEG): A biocompatible polymer often used as a coating material due to its ability to reduce protein adsorption and cell attachment, making it useful for preventing biofouling or thrombosis on medical devices.
4. Bioactive glass: A type of biomaterial composed of silica-based glasses that can stimulate bone growth and healing when used as a coating material in orthopedic or dental applications.
5. Drug-eluting coatings: Biocompatible polymers impregnated with therapeutic agents, designed to release the drug over time to promote healing, prevent infection, or inhibit restenosis in various medical devices.

Paclitaxel is a chemotherapeutic agent derived from the bark of the Pacific yew tree (Taxus brevifolia). It is an antimicrotubule agent that promotes the assembly and stabilization of microtubules, thereby interfering with the normal dynamic reorganization of the microtubule network that is essential for cell division.

Paclitaxel is used in the treatment of various types of cancer including ovarian, breast, lung, and pancreatic cancers. It works by inhibiting the disassembly of microtubules, which prevents the separation of chromosomes during mitosis, leading to cell cycle arrest and apoptosis (programmed cell death).

Common side effects of paclitaxel include neutropenia (low white blood cell count), anemia (low red blood cell count), alopecia (hair loss), peripheral neuropathy (nerve damage causing numbness or tingling in the hands and feet), myalgias (muscle pain), arthralgias (joint pain), and hypersensitivity reactions.

Coronary thrombosis is a medical condition that refers to the formation of a blood clot (thrombus) inside a coronary artery, which supplies oxygenated blood to the heart muscle. The development of a thrombus can partially or completely obstruct blood flow, leading to insufficient oxygen supply to the heart muscle. This can cause chest pain (angina) or a heart attack (myocardial infarction), depending on the severity and duration of the blockage.

Coronary thrombosis often results from the rupture of an atherosclerotic plaque, a buildup of cholesterol, fat, calcium, and other substances in the inner lining (endothelium) of the coronary artery. The ruptured plaque exposes the underlying tissue to the bloodstream, triggering the coagulation cascade and resulting in the formation of a thrombus.

Immediate medical attention is crucial for managing coronary thrombosis, as timely treatment can help restore blood flow, prevent further damage to the heart muscle, and reduce the risk of complications such as heart failure or life-threatening arrhythmias. Treatment options may include medications, such as antiplatelet agents, anticoagulants, and thrombolytic drugs, or interventional procedures like angioplasty and stenting to open the blocked artery. In some cases, surgical intervention, such as coronary artery bypass grafting (CABG), may be necessary.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

Cardiovascular agents are a class of medications that are used to treat various conditions related to the cardiovascular system, which includes the heart and blood vessels. These agents can be further divided into several subcategories based on their specific mechanisms of action and therapeutic effects. Here are some examples:

1. Antiarrhythmics: These drugs are used to treat abnormal heart rhythms or arrhythmias. They work by stabilizing the electrical activity of the heart and preventing irregular impulses from spreading through the heart muscle.
2. Antihypertensives: These medications are used to lower high blood pressure, also known as hypertension. There are several classes of antihypertensive drugs, including diuretics, beta-blockers, calcium channel blockers, and angiotensin-converting enzyme (ACE) inhibitors.
3. Anticoagulants: These drugs are used to prevent blood clots from forming or growing larger. They work by interfering with the coagulation cascade, which is a series of chemical reactions that lead to the formation of a blood clot.
4. Antiplatelet agents: These medications are used to prevent platelets in the blood from sticking together and forming clots. They work by inhibiting the aggregation of platelets, which are small cells in the blood that help form clots.
5. Lipid-lowering agents: These drugs are used to lower cholesterol and other fats in the blood. They work by reducing the production or absorption of cholesterol in the body or increasing the removal of cholesterol from the bloodstream. Examples include statins, bile acid sequestrants, and PCSK9 inhibitors.
6. Vasodilators: These medications are used to widen blood vessels and improve blood flow. They work by relaxing the smooth muscle in the walls of blood vessels, causing them to dilate or widen. Examples include nitrates, calcium channel blockers, and ACE inhibitors.
7. Inotropes: These drugs are used to increase the force of heart contractions. They work by increasing the sensitivity of heart muscle cells to calcium ions, which are necessary for muscle contraction.

These are just a few examples of cardiovascular medications that are used to treat various conditions related to the heart and blood vessels. It is important to note that these medications can have side effects and should be taken under the guidance of a healthcare provider.

Coronary angiography is a medical procedure that uses X-ray imaging to visualize the coronary arteries, which supply blood to the heart muscle. During the procedure, a thin, flexible catheter is inserted into an artery in the arm or groin and threaded through the blood vessels to the heart. A contrast dye is then injected through the catheter, and X-ray images are taken as the dye flows through the coronary arteries. These images can help doctors diagnose and treat various heart conditions, such as blockages or narrowing of the arteries, that can lead to chest pain or heart attacks. It is also known as coronary arteriography or cardiac catheterization.

Coronary stenosis is a medical condition that refers to the narrowing of the coronary arteries, which supply oxygen-rich blood to the heart muscle. This narrowing is typically caused by the buildup of plaque, made up of fat, cholesterol, and other substances, on the inner walls of the arteries. Over time, as the plaque hardens and calcifies, it can cause the artery to become narrowed or blocked, reducing blood flow to the heart muscle.

Coronary stenosis can lead to various symptoms and complications, including chest pain (angina), shortness of breath, irregular heart rhythms (arrhythmias), and heart attacks. Treatment options for coronary stenosis may include lifestyle changes, medications, medical procedures such as angioplasty or bypass surgery, or a combination of these approaches. Regular check-ups and diagnostic tests, such as stress testing or coronary angiography, can help detect and monitor coronary stenosis over time.

Coronary artery disease (CAD) is a medical condition in which the coronary arteries, which supply oxygen-rich blood to the heart muscle, become narrowed or blocked due to the buildup of cholesterol, fatty deposits, and other substances, known as plaque. Over time, this buildup can cause the arteries to harden and narrow (a process called atherosclerosis), reducing blood flow to the heart muscle.

The reduction in blood flow can lead to various symptoms and complications, including:

1. Angina (chest pain or discomfort) - This occurs when the heart muscle doesn't receive enough oxygen-rich blood, causing pain, pressure, or discomfort in the chest, arms, neck, jaw, or back.
2. Shortness of breath - When the heart isn't receiving adequate blood flow, it can't pump blood efficiently to meet the body's demands, leading to shortness of breath during physical activities or at rest.
3. Heart attack - If a piece of plaque ruptures or breaks off in a coronary artery, a blood clot can form and block the artery, causing a heart attack (myocardial infarction). This can damage or destroy part of the heart muscle.
4. Heart failure - Chronic reduced blood flow to the heart muscle can weaken it over time, leading to heart failure, a condition in which the heart can't pump blood efficiently to meet the body's needs.
5. Arrhythmias - Reduced blood flow and damage to the heart muscle can lead to abnormal heart rhythms (arrhythmias), which can be life-threatening if not treated promptly.

Coronary artery disease is typically diagnosed through a combination of medical history, physical examination, and diagnostic tests such as electrocardiograms (ECGs), stress testing, cardiac catheterization, and imaging studies like coronary computed tomography angiography (CCTA). Treatment options for CAD include lifestyle modifications, medications, medical procedures, and surgery.

Absorbable implants are medical devices that are designed to be placed inside the body during a surgical procedure, where they provide support, stabilization, or other functions, and then gradually break down and are absorbed by the body over time. These implants are typically made from materials such as polymers, proteins, or ceramics that have been engineered to degrade at a controlled rate, allowing them to be resorbed and eliminated from the body without the need for a second surgical procedure to remove them.

Absorbable implants are often used in orthopedic, dental, and plastic surgery applications, where they can help promote healing and support tissue regeneration. For example, absorbable screws or pins may be used to stabilize fractured bones during the healing process, after which they will gradually dissolve and be absorbed by the body. Similarly, absorbable membranes may be used in dental surgery to help guide the growth of new bone and gum tissue around an implant, and then be resorbed over time.

It's important to note that while absorbable implants offer several advantages over non-absorbable materials, such as reduced risk of infection and improved patient comfort, they may also have some limitations. For example, the mechanical properties of absorbable materials may not be as strong as those of non-absorbable materials, which could affect their performance in certain applications. Additionally, the degradation products of absorbable implants may cause local inflammation or other adverse reactions in some patients. As with any medical device, the use of absorbable implants should be carefully considered and discussed with a qualified healthcare professional.

Coronary vessels refer to the network of blood vessels that supply oxygenated blood and nutrients to the heart muscle, also known as the myocardium. The two main coronary arteries are the left main coronary artery and the right coronary artery.

The left main coronary artery branches off into the left anterior descending artery (LAD) and the left circumflex artery (LCx). The LAD supplies blood to the front of the heart, while the LCx supplies blood to the side and back of the heart.

The right coronary artery supplies blood to the right lower part of the heart, including the right atrium and ventricle, as well as the back of the heart.

Coronary vessel disease (CVD) occurs when these vessels become narrowed or blocked due to the buildup of plaque, leading to reduced blood flow to the heart muscle. This can result in chest pain, shortness of breath, or a heart attack.

Follow-up studies are a type of longitudinal research that involve repeated observations or measurements of the same variables over a period of time, in order to understand their long-term effects or outcomes. In medical context, follow-up studies are often used to evaluate the safety and efficacy of medical treatments, interventions, or procedures.

In a typical follow-up study, a group of individuals (called a cohort) who have received a particular treatment or intervention are identified and then followed over time through periodic assessments or data collection. The data collected may include information on clinical outcomes, adverse events, changes in symptoms or functional status, and other relevant measures.

The results of follow-up studies can provide important insights into the long-term benefits and risks of medical interventions, as well as help to identify factors that may influence treatment effectiveness or patient outcomes. However, it is important to note that follow-up studies can be subject to various biases and limitations, such as loss to follow-up, recall bias, and changes in clinical practice over time, which must be carefully considered when interpreting the results.

Thrombosis is the formation of a blood clot (thrombus) inside a blood vessel, obstructing the flow of blood through the circulatory system. When a clot forms in an artery, it can cut off the supply of oxygen and nutrients to the tissues served by that artery, leading to damage or tissue death. If a thrombus forms in the heart, it can cause a heart attack. If a thrombus breaks off and travels through the bloodstream, it can lodge in a smaller vessel, causing blockage and potentially leading to damage in the organ that the vessel supplies. This is known as an embolism.

Thrombosis can occur due to various factors such as injury to the blood vessel wall, abnormalities in blood flow, or changes in the composition of the blood. Certain medical conditions, medications, and lifestyle factors can increase the risk of thrombosis. Treatment typically involves anticoagulant or thrombolytic therapy to dissolve or prevent further growth of the clot, as well as addressing any underlying causes.

Interventional ultrasonography is a medical procedure that involves the use of real-time ultrasound imaging to guide minimally invasive diagnostic and therapeutic interventions. This technique combines the advantages of ultrasound, such as its non-ionizing nature (no radiation exposure), relatively low cost, and portability, with the ability to perform precise and targeted procedures.

In interventional ultrasonography, a specialized physician called an interventional radiologist or an interventional sonographer uses high-frequency sound waves to create detailed images of internal organs and tissues. These images help guide the placement of needles, catheters, or other instruments used during the procedure. Common interventions include biopsies (tissue sampling), fluid drainage, tumor ablation, and targeted drug delivery.

The real-time visualization provided by ultrasonography allows for increased accuracy and safety during these procedures, minimizing complications and reducing recovery time compared to traditional surgical approaches. Additionally, interventional ultrasonography can be performed on an outpatient basis, further contributing to its appeal as a less invasive alternative in many clinical scenarios.

Graft occlusion in the context of vascular surgery refers to the complete or partial blockage of a blood vessel that has been surgically replaced or repaired with a graft. The graft can be made from either synthetic materials or autologous tissue (taken from another part of the patient's body).

Graft occlusion can occur due to various reasons, including:

1. Thrombosis: Formation of a blood clot within the graft, which can obstruct blood flow.
2. Intimal hyperplasia: Overgrowth of the inner lining (intima) of the graft or the adjacent native vessel, causing narrowing of the lumen and reducing blood flow.
3. Atherosclerosis: Deposition of cholesterol and other substances in the walls of the graft, leading to hardening and narrowing of the vessel.
4. Infection: Bacterial or fungal infection of the graft can cause inflammation, weakening, and ultimately occlusion of the graft.
5. Mechanical factors: Kinking, twisting, or compression of the graft can lead to obstruction of blood flow.

Graft occlusion is a significant complication following vascular surgery, as it can result in reduced perfusion to downstream tissues and organs, leading to ischemia (lack of oxygen supply) and potential tissue damage or loss.

I'm sorry for any confusion, but "Stainless Steel" is not a medical term. It is a type of steel that contains at least 10.5% chromium content by mass, and usually contains nickel as well. The chromium forms a passive film that protects the metal from corrosion and staining. Stainless steel is widely used in various industries including medicine, for example, in medical equipment and surgical instruments due to its resistance to rust and corrosion.

A drug implant is a medical device that is specially designed to provide controlled release of a medication into the body over an extended period of time. Drug implants can be placed under the skin or in various body cavities, depending on the specific medical condition being treated. They are often used when other methods of administering medication, such as oral pills or injections, are not effective or practical.

Drug implants come in various forms, including rods, pellets, and small capsules. The medication is contained within the device and is released slowly over time, either through diffusion or erosion of the implant material. This allows for a steady concentration of the drug to be maintained in the body, which can help to improve treatment outcomes and reduce side effects.

Some common examples of drug implants include:

1. Hormonal implants: These are small rods that are inserted under the skin of the upper arm and release hormones such as progestin or estrogen over a period of several years. They are often used for birth control or to treat conditions such as endometriosis or uterine fibroids.
2. Intraocular implants: These are small devices that are placed in the eye during surgery to release medication directly into the eye. They are often used to treat conditions such as age-related macular degeneration or diabetic retinopathy.
3. Bone cement implants: These are specially formulated cements that contain antibiotics and are used to fill bone defects or joint spaces during surgery. The antibiotics are released slowly over time, helping to prevent infection.
4. Implantable pumps: These are small devices that are placed under the skin and deliver medication directly into a specific body cavity, such as the spinal cord or the peritoneal cavity. They are often used to treat chronic pain or cancer.

Overall, drug implants offer several advantages over other methods of administering medication, including improved compliance, reduced side effects, and more consistent drug levels in the body. However, they may also have some disadvantages, such as the need for surgical placement and the potential for infection or other complications. As with any medical treatment, it is important to discuss the risks and benefits of drug implants with a healthcare provider.

Tubulin modulators are a class of drugs that target and alter the function or structure of tubulin, which is a key component of microtubules in cells. These drugs can either stabilize or destabilize microtubules by interacting with tubulin, leading to various effects on cell division and other processes that rely on microtubule dynamics.

There are two main types of tubulin modulators:

1. Microtubule stabilizers: These drugs promote the assembly and stability of microtubules by binding to tubulin, preventing its disassembly. Examples include taxanes (e.g., paclitaxel) and vinca alkaloids (e.g., vinblastine). They are primarily used as anticancer agents because they interfere with the division of cancer cells.
2. Microtubule destabilizers: These drugs inhibit the formation and stability of microtubules by binding to tubulin, promoting its disassembly. Examples include colchicine, vinca alkaloids (e.g., vinorelbine), and combretastatins. They can also be used as anticancer agents because they disrupt the mitotic spindle during cell division, leading to cancer cell death.

Tubulin modulators have various other effects on cells beyond their impact on microtubules, such as interfering with intracellular transport and signaling pathways. These diverse actions contribute to their therapeutic potential in treating diseases like cancer, but they can also lead to side effects that limit their clinical use.

Angioplasty, balloon refers to a medical procedure used to widen narrowed or obstructed blood vessels, particularly the coronary arteries that supply blood to the heart muscle. This procedure is typically performed using a catheter-based technique, where a thin, flexible tube called a catheter is inserted into an artery, usually through the groin or wrist, and guided to the site of the narrowing or obstruction in the coronary artery.

Once the catheter reaches the affected area, a small balloon attached to the tip of the catheter is inflated, which compresses the plaque against the artery wall and stretches the artery, thereby restoring blood flow. The balloon is then deflated and removed, along with the catheter.

Balloon angioplasty is often combined with the placement of a stent, a small metal mesh tube that helps to keep the artery open and prevent it from narrowing again. This procedure is known as percutaneous coronary intervention (PCI) or coronary angioplasty and stenting.

Overall, balloon angioplasty is a relatively safe and effective treatment for coronary artery disease, although complications such as bleeding, infection, or re-narrowing of the artery can occur in some cases.

Pathological constriction refers to an abnormal narrowing or tightening of a body passage or organ, which can interfere with the normal flow of blood, air, or other substances through the area. This constriction can occur due to various reasons such as inflammation, scarring, or abnormal growths, and can affect different parts of the body, including blood vessels, airways, intestines, and ureters. Pathological constriction can lead to a range of symptoms and complications depending on its location and severity, and may require medical intervention to correct.

Myocardial infarction (MI), also known as a heart attack, is a medical condition characterized by the death of a segment of heart muscle (myocardium) due to the interruption of its blood supply. This interruption is most commonly caused by the blockage of a coronary artery by a blood clot formed on the top of an atherosclerotic plaque, which is a buildup of cholesterol and other substances in the inner lining of the artery.

The lack of oxygen and nutrients supply to the heart muscle tissue results in damage or death of the cardiac cells, causing the affected area to become necrotic. The extent and severity of the MI depend on the size of the affected area, the duration of the occlusion, and the presence of collateral circulation.

Symptoms of a myocardial infarction may include chest pain or discomfort, shortness of breath, nausea, lightheadedness, and sweating. Immediate medical attention is necessary to restore blood flow to the affected area and prevent further damage to the heart muscle. Treatment options for MI include medications, such as thrombolytics, antiplatelet agents, and pain relievers, as well as procedures such as percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG).

Immunosuppressive agents are medications that decrease the activity of the immune system. They are often used to prevent the rejection of transplanted organs and to treat autoimmune diseases, where the immune system mistakenly attacks the body's own tissues. These drugs work by interfering with the immune system's normal responses, which helps to reduce inflammation and damage to tissues. However, because they suppress the immune system, people who take immunosuppressive agents are at increased risk for infections and other complications. Examples of immunosuppressive agents include corticosteroids, azathioprine, cyclophosphamide, mycophenolate mofetil, tacrolimus, and sirolimus.

Neointima is a term used in pathology and refers to the layer of tissue that forms inside a blood vessel as part of the healing process after an injury, such as angioplasty or stenting. This new tissue is composed mainly of smooth muscle cells and extracellular matrix and can grow inward, potentially causing restenosis (re-narrowing) of the vessel lumen.

In simpler terms, Neointima is a type of scar tissue that forms inside blood vessels as part of the healing process after an injury, but its growth can sometimes cause problems by narrowing the vessel and restricting blood flow.

The iliac arteries are major branches of the abdominal aorta, the large artery that carries oxygen-rich blood from the heart to the rest of the body. The iliac arteries divide into two branches, the common iliac arteries, which further bifurcate into the internal and external iliac arteries.

The internal iliac artery supplies blood to the lower abdomen, pelvis, and the reproductive organs, while the external iliac artery provides blood to the lower extremities, including the legs and feet. Together, the iliac arteries play a crucial role in circulating blood throughout the body, ensuring that all tissues and organs receive the oxygen and nutrients they need to function properly.

Platelet aggregation inhibitors are a class of medications that prevent platelets (small blood cells involved in clotting) from sticking together and forming a clot. These drugs work by interfering with the ability of platelets to adhere to each other and to the damaged vessel wall, thereby reducing the risk of thrombosis (blood clot formation).

Platelet aggregation inhibitors are often prescribed for people who have an increased risk of developing blood clots due to various medical conditions such as atrial fibrillation, coronary artery disease, peripheral artery disease, stroke, or a history of heart attack. They may also be used in patients undergoing certain medical procedures, such as angioplasty and stenting, to prevent blood clot formation in the stents.

Examples of platelet aggregation inhibitors include:

1. Aspirin: A nonsteroidal anti-inflammatory drug (NSAID) that irreversibly inhibits the enzyme cyclooxygenase, which is involved in platelet activation and aggregation.
2. Clopidogrel (Plavix): A P2Y12 receptor antagonist that selectively blocks ADP-induced platelet activation and aggregation.
3. Prasugrel (Effient): A third-generation thienopyridine P2Y12 receptor antagonist, similar to clopidogrel but with faster onset and greater potency.
4. Ticagrelor (Brilinta): A direct-acting P2Y12 receptor antagonist that does not require metabolic activation and has a reversible binding profile.
5. Dipyridamole (Persantine): An antiplatelet agent that inhibits platelet aggregation by increasing cyclic adenosine monophosphate (cAMP) levels in platelets, which leads to decreased platelet reactivity.
6. Iloprost (Ventavis): A prostacyclin analogue that inhibits platelet aggregation and causes vasodilation, often used in the treatment of pulmonary arterial hypertension.
7. Cilostazol (Pletal): A phosphodiesterase III inhibitor that increases cAMP levels in platelets, leading to decreased platelet activation and aggregation, as well as vasodilation.
8. Ticlopidine (Ticlid): An older P2Y12 receptor antagonist with a slower onset of action and more frequent side effects compared to clopidogrel or prasugrel.

Tunica intima, also known as the intima layer, is the innermost layer of a blood vessel, including arteries and veins. It is in direct contact with the flowing blood and is composed of simple squamous endothelial cells that form a continuous, non-keratinized, stratified epithelium. These cells play a crucial role in maintaining vascular homeostasis by regulating the passage of molecules and immune cells between the blood and the vessel wall, as well as contributing to the maintenance of blood fluidity and preventing coagulation.

The tunica intima is supported by a thin layer of connective tissue called the basement membrane, which provides structural stability and anchorage for the endothelial cells. Beneath the basement membrane lies a loose network of elastic fibers and collagen, known as the internal elastic lamina, that separates the tunica intima from the middle layer, or tunica media.

In summary, the tunica intima is the innermost layer of blood vessels, primarily composed of endothelial cells and a basement membrane, which regulates various functions to maintain vascular homeostasis.

Percutaneous Coronary Intervention (PCI), also known as coronary angioplasty, is a non-surgical procedure that opens up clogged coronary arteries to improve blood flow to the heart. It involves inserting a thin, flexible catheter into an artery in the groin or wrist and guiding it to the blocked artery in the heart. A small balloon is then inflated to widen the narrowed or blocked artery, and sometimes a stent (a tiny mesh tube) is placed to keep the artery open. This procedure helps to restore and maintain blood flow to the heart muscle, reducing symptoms of angina and improving overall cardiac function.

Chromium alloys are materials made by combining chromium with other metals, such as nickel, cobalt, or iron. The addition of chromium to these alloys enhances their properties, making them resistant to corrosion and high temperatures. These alloys have a wide range of applications in various industries, including automotive, aerospace, and medical devices.

Chromium alloys can be classified into two main categories: stainless steels and superalloys. Stainless steels are alloys that contain at least 10.5% chromium by weight, which forms a passive oxide layer on the surface of the material, protecting it from corrosion. Superalloys, on the other hand, are high-performance alloys designed to operate in extreme environments, such as jet engines and gas turbines. They contain significant amounts of chromium, along with other elements like nickel, cobalt, and molybdenum.

Chromium alloys have several medical applications due to their excellent properties. For instance, they are used in surgical instruments, dental implants, and orthopedic devices because of their resistance to corrosion and biocompatibility. Additionally, some chromium alloys exhibit superelasticity, a property that allows them to return to their original shape after being deformed, making them suitable for use in stents and other medical devices that require flexibility and durability.

In the context of medical definitions, polymers are large molecules composed of repeating subunits called monomers. These long chains of monomers can have various structures and properties, depending on the type of monomer units and how they are linked together. In medicine, polymers are used in a wide range of applications, including drug delivery systems, medical devices, and tissue engineering scaffolds. Some examples of polymers used in medicine include polyethylene, polypropylene, polystyrene, polyvinyl chloride (PVC), and biodegradable polymers such as polylactic acid (PLA) and polycaprolactone (PCL).

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

Equipment design, in the medical context, refers to the process of creating and developing medical equipment and devices, such as surgical instruments, diagnostic machines, or assistive technologies. This process involves several stages, including:

1. Identifying user needs and requirements
2. Concept development and brainstorming
3. Prototyping and testing
4. Design for manufacturing and assembly
5. Safety and regulatory compliance
6. Verification and validation
7. Training and support

The goal of equipment design is to create safe, effective, and efficient medical devices that meet the needs of healthcare providers and patients while complying with relevant regulations and standards. The design process typically involves a multidisciplinary team of engineers, clinicians, designers, and researchers who work together to develop innovative solutions that improve patient care and outcomes.

In medical terms, "retreatment" refers to the process of providing additional treatment or courses of therapy to an individual who has previously undergone a medical intervention but has not achieved the desired outcomes or has experienced a recurrence of symptoms. This may apply to various medical conditions and treatments, including dental procedures, cancer therapies, mental health treatments, and more.

In the context of dentistry, specifically endodontics (root canal treatment), retreatment is the process of repeating the root canal procedure on a tooth that has already been treated before. This may be necessary if the initial treatment was not successful in eliminating infection or if reinfection has occurred. The goal of retreatment is to preserve the natural tooth and alleviate any persistent pain or discomfort.

A blood vessel prosthesis is a medical device that is used as a substitute for a damaged or diseased natural blood vessel. It is typically made of synthetic materials such as polyester, Dacron, or ePTFE (expanded polytetrafluoroethylene) and is designed to mimic the function of a native blood vessel by allowing the flow of blood through it.

Blood vessel prostheses are used in various surgical procedures, including coronary artery bypass grafting, peripheral arterial reconstruction, and the creation of arteriovenous fistulas for dialysis access. The choice of material and size of the prosthesis depends on several factors, such as the location and diameter of the vessel being replaced, the patient's age and overall health status, and the surgeon's preference.

It is important to note that while blood vessel prostheses can be effective in restoring blood flow, they may also carry risks such as infection, thrombosis (blood clot formation), and graft failure over time. Therefore, careful patient selection, surgical technique, and postoperative management are crucial for the success of these procedures.

Blood vessel prosthesis implantation is a surgical procedure in which an artificial blood vessel, also known as a vascular graft or prosthetic graft, is inserted into the body to replace a damaged or diseased native blood vessel. The prosthetic graft can be made from various materials such as Dacron (polyester), PTFE (polytetrafluoroethylene), or bovine/human tissue.

The implantation of a blood vessel prosthesis is typically performed to treat conditions that cause narrowing or blockage of the blood vessels, such as atherosclerosis, aneurysms, or traumatic injuries. The procedure may be used to bypass blocked arteries in the legs (peripheral artery disease), heart (coronary artery bypass surgery), or neck (carotid endarterectomy). It can also be used to replace damaged veins for hemodialysis access in patients with kidney failure.

The success of blood vessel prosthesis implantation depends on various factors, including the patient's overall health, the location and extent of the vascular disease, and the type of graft material used. Possible complications include infection, bleeding, graft thrombosis (clotting), and graft failure, which may require further surgical intervention or endovascular treatments.

Hyperplasia is a medical term that refers to an abnormal increase in the number of cells in an organ or tissue, leading to an enlargement of the affected area. It's a response to various stimuli such as hormones, chronic irritation, or inflammation. Hyperplasia can be physiological, like the growth of breast tissue during pregnancy, or pathological, like in the case of benign or malignant tumors. The process is generally reversible if the stimulus is removed. It's important to note that hyperplasia itself is not cancerous, but some forms of hyperplasia can increase the risk of developing cancer over time.

Coronary artery disease, often simply referred to as coronary disease, is a condition in which the blood vessels that supply oxygen-rich blood to the heart become narrowed or blocked due to the buildup of fatty deposits called plaques. This can lead to chest pain (angina), shortness of breath, or in severe cases, a heart attack.

The medical definition of coronary artery disease is:

A condition characterized by the accumulation of atheromatous plaques in the walls of the coronary arteries, leading to decreased blood flow and oxygen supply to the myocardium (heart muscle). This can result in symptoms such as angina pectoris, shortness of breath, or arrhythmias, and may ultimately lead to myocardial infarction (heart attack) or heart failure.

Risk factors for coronary artery disease include age, smoking, high blood pressure, high cholesterol, diabetes, obesity, physical inactivity, and a family history of the condition. Lifestyle changes such as quitting smoking, exercising regularly, eating a healthy diet, and managing stress can help reduce the risk of developing coronary artery disease. Medical treatments may include medications to control blood pressure, cholesterol levels, or irregular heart rhythms, as well as procedures such as angioplasty or bypass surgery to improve blood flow to the heart.

Vascular patency is a term used in medicine to describe the state of a blood vessel (such as an artery or vein) being open, unobstructed, and allowing for the normal flow of blood. It is an important concept in the treatment and management of various cardiovascular conditions, such as peripheral artery disease, coronary artery disease, and deep vein thrombosis.

Maintaining vascular patency can help prevent serious complications like tissue damage, organ dysfunction, or even death. This may involve medical interventions such as administering blood-thinning medications to prevent clots, performing procedures to remove blockages, or using devices like stents to keep vessels open. Regular monitoring of vascular patency is also crucial for evaluating the effectiveness of treatments and adjusting care plans accordingly.

A registry in the context of medicine is a collection or database of standardized information about individuals who share a certain condition or attribute, such as a disease, treatment, exposure, or demographic group. These registries are used for various purposes, including:

* Monitoring and tracking the natural history of diseases and conditions
* Evaluating the safety and effectiveness of medical treatments and interventions
* Conducting research and generating hypotheses for further study
* Providing information to patients, clinicians, and researchers
* Informing public health policy and decision-making

Registries can be established for a wide range of purposes, including disease-specific registries (such as cancer or diabetes registries), procedure-specific registries (such as joint replacement or cardiac surgery registries), and population-based registries (such as birth defects or cancer registries). Data collected in registries may include demographic information, clinical data, laboratory results, treatment details, and outcomes.

Registries can be maintained by a variety of organizations, including hospitals, clinics, academic medical centers, professional societies, government agencies, and industry. Participation in registries is often voluntary, although some registries may require informed consent from participants. Data collected in registries are typically de-identified to protect the privacy of individuals.

Myocardial revascularization is a medical term that refers to the restoration of blood flow to the heart muscle (myocardium), typically through a surgical or interventional procedure. This is often performed in patients with coronary artery disease, where the buildup of plaque in the coronary arteries restricts blood flow to the heart muscle, causing symptoms such as chest pain (angina) or shortness of breath, and increasing the risk of a heart attack (myocardial infarction).

There are two main types of myocardial revascularization:

1. Coronary artery bypass grafting (CABG): This is a surgical procedure in which a healthy blood vessel from another part of the body is used to create a detour around the blocked or narrowed coronary artery, allowing blood to flow more freely to the heart muscle.
2. Percutaneous coronary intervention (PCI), also known as angioplasty and stenting: This is a minimally invasive procedure in which a thin catheter is inserted into an artery in the groin or arm and threaded up to the blocked or narrowed coronary artery. A balloon is then inflated to widen the artery, and a stent may be placed to keep it open.

Both procedures aim to improve symptoms, reduce the risk of heart attack, and prolong survival in appropriately selected patients with coronary artery disease.

Tracheal stenosis is a medical condition characterized by the abnormal narrowing of the trachea (windpipe), which can lead to difficulty breathing. This narrowing can be caused by various factors such as inflammation, scarring, or the growth of abnormal tissue in the airway. Symptoms may include wheezing, coughing, shortness of breath, and chest discomfort, particularly during physical activity. Treatment options for tracheal stenosis depend on the severity and underlying cause of the condition and may include medications, bronchodilators, corticosteroids, or surgical interventions such as laser surgery, stent placement, or tracheal reconstruction.

Esophageal stenosis is a medical condition characterized by the narrowing or constriction of the esophagus, which is the muscular tube that connects the throat to the stomach. This narrowing can make it difficult to swallow food and liquids, leading to symptoms such as dysphagia (difficulty swallowing), pain or discomfort while swallowing, regurgitation, and weight loss.

Esophageal stenosis can be caused by a variety of factors, including:

1. Scarring or fibrosis due to prolonged acid reflux or gastroesophageal reflux disease (GERD)
2. Radiation therapy for cancer treatment
3. Ingestion of corrosive substances
4. Eosinophilic esophagitis, an allergic condition that affects the esophagus
5. Esophageal tumors or cancers
6. Surgical complications

Depending on the underlying cause and severity of the stenosis, treatment options may include medications to manage symptoms, dilation procedures to widen the narrowed area, or surgery to remove the affected portion of the esophagus. It is important to seek medical attention if you experience any difficulty swallowing or other symptoms related to esophageal stenosis.

Recurrence, in a medical context, refers to the return of symptoms or signs of a disease after a period of improvement or remission. It indicates that the condition has not been fully eradicated and may require further treatment. Recurrence is often used to describe situations where a disease such as cancer comes back after initial treatment, but it can also apply to other medical conditions. The likelihood of recurrence varies depending on the type of disease and individual patient factors.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Drug delivery systems (DDS) refer to techniques or technologies that are designed to improve the administration of a pharmaceutical compound in terms of its efficiency, safety, and efficacy. A DDS can modify the drug release profile, target the drug to specific cells or tissues, protect the drug from degradation, and reduce side effects.

The goal of a DDS is to optimize the bioavailability of a drug, which is the amount of the drug that reaches the systemic circulation and is available at the site of action. This can be achieved through various approaches, such as encapsulating the drug in a nanoparticle or attaching it to a biomolecule that targets specific cells or tissues.

Some examples of DDS include:

1. Controlled release systems: These systems are designed to release the drug at a controlled rate over an extended period, reducing the frequency of dosing and improving patient compliance.
2. Targeted delivery systems: These systems use biomolecules such as antibodies or ligands to target the drug to specific cells or tissues, increasing its efficacy and reducing side effects.
3. Nanoparticle-based delivery systems: These systems use nanoparticles made of polymers, lipids, or inorganic materials to encapsulate the drug and protect it from degradation, improve its solubility, and target it to specific cells or tissues.
4. Biodegradable implants: These are small devices that can be implanted under the skin or into body cavities to deliver drugs over an extended period. They can be made of biodegradable materials that gradually break down and release the drug.
5. Inhalation delivery systems: These systems use inhalers or nebulizers to deliver drugs directly to the lungs, bypassing the digestive system and improving bioavailability.

Overall, DDS play a critical role in modern pharmaceutical research and development, enabling the creation of new drugs with improved efficacy, safety, and patient compliance.

Prosthesis failure is a term used to describe a situation where a prosthetic device, such as an artificial joint or limb, has stopped functioning or failed to meet its intended purpose. This can be due to various reasons, including mechanical failure, infection, loosening of the device, or a reaction to the materials used in the prosthesis.

Mechanical failure can occur due to wear and tear, manufacturing defects, or improper use of the prosthetic device. Infection can also lead to prosthesis failure, particularly in cases where the prosthesis is implanted inside the body. The immune system may react to the presence of the foreign material, leading to inflammation and infection.

Loosening of the prosthesis can also cause it to fail over time, as the device becomes less stable and eventually stops working properly. Additionally, some people may have a reaction to the materials used in the prosthesis, leading to tissue damage or other complications that can result in prosthesis failure.

In general, prosthesis failure can lead to decreased mobility, pain, and the need for additional surgeries or treatments to correct the problem. It is important for individuals with prosthetic devices to follow their healthcare provider's instructions carefully to minimize the risk of prosthesis failure and ensure that the device continues to function properly over time.

Catheterization is a medical procedure in which a catheter (a flexible tube) is inserted into the body to treat various medical conditions or for diagnostic purposes. The specific definition can vary depending on the area of medicine and the particular procedure being discussed. Here are some common types of catheterization:

1. Urinary catheterization: This involves inserting a catheter through the urethra into the bladder to drain urine. It is often performed to manage urinary retention, monitor urine output in critically ill patients, or assist with surgical procedures.
2. Cardiac catheterization: A procedure where a catheter is inserted into a blood vessel, usually in the groin or arm, and guided to the heart. This allows for various diagnostic tests and treatments, such as measuring pressures within the heart chambers, assessing blood flow, or performing angioplasty and stenting of narrowed coronary arteries.
3. Central venous catheterization: A catheter is inserted into a large vein, typically in the neck, chest, or groin, to administer medications, fluids, or nutrition, or to monitor central venous pressure.
4. Peritoneal dialysis catheterization: A catheter is placed into the abdominal cavity for individuals undergoing peritoneal dialysis, a type of kidney replacement therapy.
5. Neurological catheterization: In some cases, a catheter may be inserted into the cerebrospinal fluid space (lumbar puncture) or the brain's ventricular system (ventriculostomy) to diagnose or treat various neurological conditions.

These are just a few examples of catheterization procedures in medicine. The specific definition and purpose will depend on the medical context and the particular organ or body system involved.

Angioplasty is a medical procedure used to open narrowed or blocked blood vessels, often referred to as coronary angioplasty when it involves the heart's blood vessels (coronary arteries). The term "angio" refers to an angiogram, which is a type of X-ray image that reveals the inside of blood vessels.

The procedure typically involves the following steps:

1. A thin, flexible catheter (tube) is inserted into a blood vessel, usually through a small incision in the groin or arm.
2. The catheter is guided to the narrowed or blocked area using real-time X-ray imaging.
3. Once in place, a tiny balloon attached to the tip of the catheter is inflated to widen the blood vessel and compress any plaque buildup against the artery walls.
4. A stent (a small mesh tube) may be inserted to help keep the blood vessel open and prevent it from narrowing again.
5. The balloon is deflated, and the catheter is removed.

Angioplasty helps improve blood flow, reduce symptoms such as chest pain or shortness of breath, and lower the risk of heart attack in patients with blocked arteries. It's important to note that angioplasty is not a permanent solution for coronary artery disease, and lifestyle changes, medications, and follow-up care are necessary to maintain long-term cardiovascular health.

Ticlopidine is defined as a platelet aggregation inhibitor drug, which works by preventing certain types of blood cells (platelets) from sticking together to form clots. It is used to reduce the risk of stroke and heart attack in patients who have already had a stroke or have peripheral arterial disease.

Ticlopidine is a thienopyridine derivative that selectively inhibits platelet activation and aggregation by blocking the ADP (adenosine diphosphate) receptor on the platelet surface. This action prevents the formation of platelet plugs, which can lead to the development of blood clots in the arteries.

Ticlopidine is available in oral form as tablets and is typically taken twice daily. Common side effects include diarrhea, skin rash, and itching. More serious side effects, such as neutropenia (low white blood cell count), thrombotic thrombocytopenic purpura (TTP), and aplastic anemia, are rare but can be life-threatening.

Due to the risk of serious side effects, ticlopidine is usually reserved for use in patients who cannot tolerate or have failed other antiplatelet therapies, such as aspirin or clopidogrel. It is important to monitor patients taking ticlopidine closely for signs of adverse reactions and to follow the prescribing instructions carefully.

Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.

The Kaplan-Meier estimate is a statistical method used to calculate the survival probability over time in a population. It is commonly used in medical research to analyze time-to-event data, such as the time until a patient experiences a specific event like disease progression or death. The Kaplan-Meier estimate takes into account censored data, which occurs when some individuals are lost to follow-up before experiencing the event of interest.

The method involves constructing a survival curve that shows the proportion of subjects still surviving at different time points. At each time point, the survival probability is calculated as the product of the conditional probabilities of surviving from one time point to the next. The Kaplan-Meier estimate provides an unbiased and consistent estimator of the survival function, even when censoring is present.

In summary, the Kaplan-Meier estimate is a crucial tool in medical research for analyzing time-to-event data and estimating survival probabilities over time while accounting for censored observations.

Arterial occlusive diseases are medical conditions characterized by the blockage or narrowing of the arteries, which can lead to a reduction in blood flow to various parts of the body. This reduction in blood flow can cause tissue damage and may result in serious complications such as tissue death (gangrene), organ dysfunction, or even death.

The most common cause of arterial occlusive diseases is atherosclerosis, which is the buildup of plaque made up of fat, cholesterol, calcium, and other substances in the inner lining of the artery walls. Over time, this plaque can harden and narrow the arteries, restricting blood flow. Other causes of arterial occlusive diseases include blood clots, emboli (tiny particles that travel through the bloodstream and lodge in smaller vessels), inflammation, trauma, and certain inherited conditions.

Symptoms of arterial occlusive diseases depend on the location and severity of the blockage. Common symptoms include:

* Pain, cramping, or fatigue in the affected limb, often triggered by exercise and relieved by rest (claudication)
* Numbness, tingling, or weakness in the affected limb
* Coldness or discoloration of the skin in the affected area
* Slow-healing sores or wounds on the toes, feet, or legs
* Erectile dysfunction in men

Treatment for arterial occlusive diseases may include lifestyle changes such as quitting smoking, exercising regularly, and eating a healthy diet. Medications to lower cholesterol, control blood pressure, prevent blood clots, or manage pain may also be prescribed. In severe cases, surgical procedures such as angioplasty, stenting, or bypass surgery may be necessary to restore blood flow.

Foreign-body migration is a medical condition that occurs when a foreign object, such as a surgical implant, tissue graft, or trauma-induced fragment, moves from its original position within the body to a different location. This displacement can cause various complications and symptoms depending on the type of foreign body, the location it migrated to, and the individual's specific physiological response.

Foreign-body migration may result from insufficient fixation or anchoring of the object during implantation, inadequate wound healing, infection, or an inflammatory reaction. Symptoms can include pain, swelling, redness, or infection at the new location, as well as potential damage to surrounding tissues and organs. Diagnosis typically involves imaging techniques like X-rays, CT scans, or MRIs to locate the foreign body, followed by a surgical procedure to remove it and address any resulting complications.

"Plastics" is not a term that has a specific medical definition. However, in a broader context, plastics can refer to a wide range of synthetic or semi-synthetic materials that are used in various medical applications due to their durability, flexibility, and ability to be molded into different shapes. Some examples include:

1. Medical devices such as catheters, implants, and surgical instruments.
2. Packaging for medical supplies and pharmaceuticals.
3. Protective barriers like gloves and gowns used in medical settings.
4. Intraocular lenses and other ophthalmic applications.

It's important to note that the term "plastics" is not a medical term per se, but rather a general category of materials with diverse uses across different industries, including healthcare.

Prosthesis implantation is a surgical procedure where an artificial device or component, known as a prosthesis, is placed inside the body to replace a missing or damaged body part. The prosthesis can be made from various materials such as metal, plastic, or ceramic and is designed to perform the same function as the original body part.

The implantation procedure involves making an incision in the skin to create a pocket where the prosthesis will be placed. The prosthesis is then carefully positioned and secured in place using screws, cement, or other fixation methods. In some cases, tissue from the patient's own body may be used to help anchor the prosthesis.

Once the prosthesis is in place, the incision is closed with sutures or staples, and the area is bandaged. The patient will typically need to undergo rehabilitation and physical therapy to learn how to use the new prosthesis and regain mobility and strength.

Prosthesis implantation is commonly performed for a variety of reasons, including joint replacement due to arthritis or injury, dental implants to replace missing teeth, and breast reconstruction after mastectomy. The specific procedure and recovery time will depend on the type and location of the prosthesis being implanted.

Equipment failure is a term used in the medical field to describe the malfunction or breakdown of medical equipment, devices, or systems that are essential for patient care. This can include simple devices like syringes and thermometers, as well as complex machines such as ventilators, infusion pumps, and imaging equipment.

Equipment failure can have serious consequences for patients, including delayed or inappropriate treatment, injury, or even death. It is therefore essential that medical equipment is properly maintained, tested, and repaired to ensure its safe and effective operation.

There are many potential causes of equipment failure, including:

* Wear and tear from frequent use
* Inadequate cleaning or disinfection
* Improper handling or storage
* Power supply issues
* Software glitches or bugs
* Mechanical failures or defects
* Human error or misuse

To prevent equipment failure, healthcare facilities should have established policies and procedures for the acquisition, maintenance, and disposal of medical equipment. Staff should be trained in the proper use and handling of equipment, and regular inspections and testing should be performed to identify and address any potential issues before they lead to failure.

Coronary occlusion is the medical term used to describe a complete blockage in one or more of the coronary arteries, which supply oxygenated blood to the heart muscle. This blockage is usually caused by the buildup of fatty deposits, called plaques, inside the artery walls, a condition known as atherosclerosis. Over time, these plaques can rupture, leading to the formation of blood clots that completely obstruct the flow of blood through the coronary artery.

Coronary occlusion can lead to serious complications, such as a heart attack (myocardial infarction), angina (chest pain), or even sudden cardiac death, depending on the severity and duration of the blockage. Immediate medical attention is required in case of coronary occlusion to restore blood flow to the affected areas of the heart and prevent further damage. Treatment options may include medications, minimally invasive procedures like angioplasty and stenting, or surgical interventions such as coronary artery bypass grafting (CABG).

A randomized controlled trial (RCT) is a type of clinical study in which participants are randomly assigned to receive either the experimental intervention or the control condition, which may be a standard of care, placebo, or no treatment. The goal of an RCT is to minimize bias and ensure that the results are due to the intervention being tested rather than other factors. This design allows for a comparison between the two groups to determine if there is a significant difference in outcomes. RCTs are often considered the gold standard for evaluating the safety and efficacy of medical interventions, as they provide a high level of evidence for causal relationships between the intervention and health outcomes.

Palliative care is a type of medical care that focuses on relieving the pain, symptoms, and stress of serious illnesses. The goal is to improve quality of life for both the patient and their family. It is provided by a team of doctors, nurses, and other specialists who work together to address the physical, emotional, social, and spiritual needs of the patient. Palliative care can be provided at any stage of an illness, alongside curative treatments, and is not dependent on prognosis.

The World Health Organization (WHO) defines palliative care as: "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychological and spiritual."

Gastric outlet obstruction (GOO) is a medical condition that refers to the blockage of the passage from the stomach to the small intestine, also known as the pylorus. This blockage can be caused by various factors, including tumors, scar tissue, or gallstones. As a result, food and digestive enzymes cannot pass through the pylorus into the small intestine, leading to symptoms such as vomiting, abdominal pain, bloating, and weight loss. In severe cases, GOO can lead to malnutrition, dehydration, and other complications if left untreated. Treatment options for GOO depend on the underlying cause of the obstruction and may include medication, endoscopic procedures, or surgery.

"Swine" is a common term used to refer to even-toed ungulates of the family Suidae, including domestic pigs and wild boars. However, in a medical context, "swine" often appears in the phrase "swine flu," which is a strain of influenza virus that typically infects pigs but can also cause illness in humans. The 2009 H1N1 pandemic was caused by a new strain of swine-origin influenza A virus, which was commonly referred to as "swine flu." It's important to note that this virus is not transmitted through eating cooked pork products; it spreads from person to person, mainly through respiratory droplets produced when an infected person coughs or sneezes.

"Device Removal" in a medical context generally refers to the surgical or nonsurgical removal of a medical device that has been previously implanted in a patient's body. The purpose of removing the device may vary, depending on the individual case. Some common reasons for device removal include infection, malfunction, rejection, or when the device is no longer needed.

Examples of medical devices that may require removal include pacemakers, implantable cardioverter-defibrillators (ICDs), artificial joints, orthopedic hardware, breast implants, cochlear implants, and intrauterine devices (IUDs). The procedure for device removal will depend on the type of device, its location in the body, and the reason for its removal.

It is important to note that device removal carries certain risks, such as bleeding, infection, damage to surrounding tissues, or complications related to anesthesia. Therefore, the decision to remove a medical device should be made carefully, considering both the potential benefits and risks of the procedure.

Risk assessment in the medical context refers to the process of identifying, evaluating, and prioritizing risks to patients, healthcare workers, or the community related to healthcare delivery. It involves determining the likelihood and potential impact of adverse events or hazards, such as infectious diseases, medication errors, or medical devices failures, and implementing measures to mitigate or manage those risks. The goal of risk assessment is to promote safe and high-quality care by identifying areas for improvement and taking action to minimize harm.

Aspirin is the common name for acetylsalicylic acid, which is a medication used to relieve pain, reduce inflammation, and lower fever. It works by inhibiting the activity of an enzyme called cyclooxygenase (COX), which is involved in the production of prostaglandins, hormone-like substances that cause inflammation and pain. Aspirin also has an antiplatelet effect, which means it can help prevent blood clots from forming. This makes it useful for preventing heart attacks and strokes.

Aspirin is available over-the-counter in various forms, including tablets, capsules, and chewable tablets. It is also available in prescription strengths for certain medical conditions. As with any medication, aspirin should be taken as directed by a healthcare provider, and its use should be avoided in children and teenagers with viral infections due to the risk of Reye's syndrome, a rare but serious condition that can affect the liver and brain.

The femoral artery is the major blood vessel that supplies oxygenated blood to the lower extremity of the human body. It is a continuation of the external iliac artery and becomes the popliteal artery as it passes through the adductor hiatus in the adductor magnus muscle of the thigh.

The femoral artery is located in the femoral triangle, which is bound by the sartorius muscle anteriorly, the adductor longus muscle medially, and the biceps femoris muscle posteriorly. It can be easily palpated in the groin region, making it a common site for taking blood samples, measuring blood pressure, and performing surgical procedures such as femoral artery catheterization and bypass grafting.

The femoral artery gives off several branches that supply blood to the lower limb, including the deep femoral artery, the superficial femoral artery, and the profunda femoris artery. These branches provide blood to the muscles, bones, skin, and other tissues of the leg, ankle, and foot.

Polytetrafluoroethylene (PTFE) is not inherently a medical term, but it is a chemical compound with significant uses in the medical field. Medically, PTFE is often referred to by its brand name, Teflon. It is a synthetic fluoropolymer used in various medical applications due to its unique properties such as high resistance to heat, electrical and chemical interaction, and exceptional non-reactivity with body tissues.

PTFE can be found in medical devices like catheters, where it reduces friction, making insertion easier and minimizing trauma. It is also used in orthopedic and dental implants, drug delivery systems, and sutures due to its biocompatibility and non-adhesive nature.

"Miniature Swine" is not a medical term per se, but it is commonly used in the field of biomedical research to refer to certain breeds or types of pigs that are smaller in size compared to traditional farm pigs. These miniature swine are often used as animal models for human diseases due to their similarities with humans in terms of anatomy, genetics, and physiology. Examples of commonly used miniature swine include the Yucatan, Sinclair, and Göttingen breeds. It is important to note that while these animals are often called "miniature," they can still weigh between 50-200 pounds depending on the specific breed or age.

Angiography is a medical procedure in which an x-ray image is taken to visualize the internal structure of blood vessels, arteries, or veins. This is done by injecting a radiopaque contrast agent (dye) into the blood vessel using a thin, flexible catheter. The dye makes the blood vessels visible on an x-ray image, allowing doctors to diagnose and treat various medical conditions such as blockages, narrowing, or malformations of the blood vessels.

There are several types of angiography, including:

* Cardiac angiography (also called coronary angiography) - used to examine the blood vessels of the heart
* Cerebral angiography - used to examine the blood vessels of the brain
* Peripheral angiography - used to examine the blood vessels in the limbs or other parts of the body.

Angiography is typically performed by a radiologist, cardiologist, or vascular surgeon in a hospital setting. It can help diagnose conditions such as coronary artery disease, aneurysms, and peripheral arterial disease, among others.

Coronary artery bypass surgery, also known as coronary artery bypass grafting (CABG), is a surgical procedure used to improve blood flow to the heart in patients with severe coronary artery disease. This condition occurs when the coronary arteries, which supply oxygen-rich blood to the heart muscle, become narrowed or blocked due to the buildup of fatty deposits, called plaques.

During CABG surgery, a healthy blood vessel from another part of the body is grafted, or attached, to the coronary artery, creating a new pathway for oxygen-rich blood to flow around the blocked or narrowed portion of the artery and reach the heart muscle. This bypass helps to restore normal blood flow and reduce the risk of angina (chest pain), shortness of breath, and other symptoms associated with coronary artery disease.

There are different types of CABG surgery, including traditional on-pump CABG, off-pump CABG, and minimally invasive CABG. The choice of procedure depends on various factors, such as the patient's overall health, the number and location of blocked arteries, and the presence of other medical conditions.

It is important to note that while CABG surgery can significantly improve symptoms and quality of life in patients with severe coronary artery disease, it does not cure the underlying condition. Lifestyle modifications, such as regular exercise, a healthy diet, smoking cessation, and medication therapy, are essential for long-term management and prevention of further progression of the disease.

Medical Definition:

"Risk factors" are any attribute, characteristic or exposure of an individual that increases the likelihood of developing a disease or injury. They can be divided into modifiable and non-modifiable risk factors. Modifiable risk factors are those that can be changed through lifestyle choices or medical treatment, while non-modifiable risk factors are inherent traits such as age, gender, or genetic predisposition. Examples of modifiable risk factors include smoking, alcohol consumption, physical inactivity, and unhealthy diet, while non-modifiable risk factors include age, sex, and family history. It is important to note that having a risk factor does not guarantee that a person will develop the disease, but rather indicates an increased susceptibility.

A foreign-body reaction is an immune response that occurs when a non-native substance, or "foreign body," is introduced into the human body. This can include things like splinters, surgical implants, or even injected medications. The immune system recognizes these substances as foreign and mounts a response to try to eliminate them.

The initial response to a foreign body is often an acute inflammatory reaction, characterized by the release of chemical mediators that cause vasodilation, increased blood flow, and the migration of white blood cells to the site. This can result in symptoms such as redness, swelling, warmth, and pain.

If the foreign body is not eliminated, a chronic inflammatory response may develop, which can lead to the formation of granulation tissue, fibrosis, and encapsulation of the foreign body. In some cases, this reaction can cause significant tissue damage or impede proper healing.

It's worth noting that not all foreign bodies necessarily elicit a strong immune response. The nature and size of the foreign body, as well as its location in the body, can all influence the severity of the reaction.

Intubation is a medical procedure in which a flexible plastic tube called an endotracheal tube (ETT) is inserted into the patient's windpipe (trachea) through the mouth or nose. This procedure is performed to maintain an open airway and ensure adequate ventilation and oxygenation of the lungs during surgery, critical illness, or trauma.

The ETT is connected to a breathing circuit and a ventilator, which delivers breaths and removes carbon dioxide from the lungs. Intubation allows healthcare professionals to manage the patient's airway, control their breathing, and administer anesthesia during surgical procedures. It is typically performed by trained medical personnel such as anesthesiologists, emergency medicine physicians, or critical care specialists.

There are two main types of intubation: oral and nasal. Oral intubation involves inserting the ETT through the patient's mouth, while nasal intubation involves passing the tube through the nostril and into the trachea. The choice of technique depends on various factors, including the patient's medical condition, anatomy, and the reason for intubation.

Ureteral diseases refer to a range of conditions that affect the ureters, which are the thin tubes that carry urine from the kidneys to the bladder. These diseases can cause various symptoms such as pain in the side or back, fever, and changes in urinary patterns. Here are some examples of ureteral diseases:

1. Ureteral stricture: A narrowing of the ureter that can be caused by scarring, inflammation, or tumors. This can lead to a backup of urine, which can cause kidney damage or infection.
2. Ureteral stones: Small, hard mineral deposits that form in the ureters and can cause pain, nausea, and blood in the urine.
3. Ureteral cancer: A rare type of cancer that affects the ureters and can cause symptoms such as abdominal pain, weight loss, and bloody urine.
4. Ureteral reflux: A condition in which urine flows backward from the bladder into the ureters, causing infection and kidney damage.
5. Ureteral trauma: Injury to the ureters can occur due to accidents, surgeries, or other medical procedures. This can lead to bleeding, scarring, or blockages in the ureters.

Treatment for ureteral diseases depends on the specific condition and its severity. Treatment options may include medications, surgery, or minimally invasive procedures such as stenting or balloon dilation.

Angioscopy is a medical diagnostic procedure that uses a small fiber-optic scope, called an angioscope, to directly visualize the interior of blood vessels. The angioscope is inserted into the vessel through a small incision or catheter and allows physicians to examine the vessel walls for abnormalities such as plaque buildup, inflammation, or damage. This procedure can be used to diagnose and monitor conditions such as coronary artery disease, peripheral artery disease, and vasculitis. It can also be used during surgical procedures to assist with the placement of stents or other devices in the blood vessels.

Equipment Failure Analysis is a process of identifying the cause of failure in medical equipment or devices. This involves a systematic examination and evaluation of the equipment, its components, and operational history to determine why it failed. The analysis may include physical inspection, chemical testing, and review of maintenance records, as well as assessment of design, manufacturing, and usage factors that may have contributed to the failure.

The goal of Equipment Failure Analysis is to identify the root cause of the failure, so that corrective actions can be taken to prevent similar failures in the future. This is important in medical settings to ensure patient safety and maintain the reliability and effectiveness of medical equipment.

A feasibility study is a preliminary investigation or analysis conducted to determine the viability of a proposed project, program, or product. In the medical field, feasibility studies are often conducted before implementing new treatments, procedures, equipment, or facilities. These studies help to assess the practicality and effectiveness of the proposed intervention, as well as its potential benefits and risks.

Feasibility studies in healthcare typically involve several steps:

1. Problem identification: Clearly define the problem that the proposed project, program, or product aims to address.
2. Objectives setting: Establish specific, measurable, achievable, relevant, and time-bound (SMART) objectives for the study.
3. Literature review: Conduct a thorough review of existing research and best practices related to the proposed intervention.
4. Methodology development: Design a methodology for data collection and analysis that will help answer the research questions and achieve the study's objectives.
5. Resource assessment: Evaluate the availability and adequacy of resources, including personnel, time, and finances, required to carry out the proposed intervention.
6. Risk assessment: Identify potential risks and challenges associated with the implementation of the proposed intervention and develop strategies to mitigate them.
7. Cost-benefit analysis: Estimate the costs and benefits of the proposed intervention, including direct and indirect costs, as well as short-term and long-term benefits.
8. Stakeholder engagement: Engage relevant stakeholders, such as patients, healthcare providers, administrators, and policymakers, to gather their input and support for the proposed intervention.
9. Decision-making: Based on the findings of the feasibility study, make an informed decision about whether or not to proceed with the proposed project, program, or product.

Feasibility studies are essential in healthcare as they help ensure that resources are allocated efficiently and effectively, and that interventions are evidence-based, safe, and beneficial for patients.

A propensity score is a statistical concept used in epidemiology and biostatistics to reduce bias and confounding in observational studies. It is a predicted probability of being exposed to a certain treatment or intervention, based on a set of observed covariates or characteristics.

The propensity score is calculated by estimating the probability of exposure (i.e., treatment or intervention) for each individual in the study sample, using logistic regression or other statistical models. The resulting scores are then used to match individuals with similar propensities for exposure, creating a balanced comparison group that more closely resembles a randomized controlled trial.

Propensity score methods can help to account for confounding variables and improve the internal validity of observational studies, making them a useful tool in medical research where randomized controlled trials may not be feasible or ethical. However, it is important to note that propensity score matching is not a panacea and has its own limitations, such as the potential for unmeasured confounding and the need for sufficient sample size.

Silicones are not a medical term, but they are commonly used in the medical field, particularly in medical devices and healthcare products. Silicones are synthetic polymers made up of repeating units of siloxane, which is a chain of alternating silicon and oxygen atoms. They can exist in various forms such as oils, gels, rubbers, and resins.

In the medical context, silicones are often used for their unique properties, including:

1. Biocompatibility - Silicones have a low risk of causing an adverse reaction when they come into contact with living tissue.
2. Inertness - They do not react chemically with other substances, making them suitable for use in medical devices that need to remain stable over time.
3. Temperature resistance - Silicones can maintain their flexibility and elasticity even under extreme temperature conditions.
4. Gas permeability - Some silicone materials allow gases like oxygen and water vapor to pass through, which is useful in applications where maintaining a moist environment is essential.
5. Durability - Silicones have excellent resistance to aging, weathering, and environmental factors, ensuring long-lasting performance.

Examples of medical applications for silicones include:

1. Breast implants
2. Contact lenses
3. Catheters
4. Artificial joints and tendons
5. Bandages and wound dressings
6. Drug delivery systems
7. Medical adhesives
8. Infant care products (nipples, pacifiers)

Interventional radiology (IR) is a subspecialty of radiology that uses minimally invasive image-guided procedures to diagnose and treat various medical conditions. The main goal of interventional radiology is to offer patients less invasive options for treatment, which can result in smaller incisions, reduced recovery time, and fewer complications compared to traditional open surgeries.

Interventional radiologists use a variety of imaging techniques, such as X-rays, fluoroscopy, computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound, to guide catheters, wires, needles, and other small instruments through the body to target specific areas. These targeted interventions can be used for both diagnostic and therapeutic purposes, including:

1. Biopsies: Obtaining tissue samples from organs or tumors to determine a diagnosis.
2. Drainage procedures: Removing fluid from abscesses, cysts, or blocked areas to alleviate symptoms and promote healing.
3. Stent placements: Opening narrowed or obstructed blood vessels, bile ducts, or airways using small mesh tubes called stents.
4. Embolization: Blocking abnormal blood vessels or reducing blood flow to tumors, aneurysms, or other problematic areas.
5. Tumor ablation: Destroying tumors using heat (radiofrequency ablation, microwave ablation), cold (cryoablation), or other energy sources.
6. Pain management: Treating chronic pain by targeting specific nerves and blocking their transmission of pain signals.
7. Vascular access: Creating secure pathways to blood vessels for dialysis, chemotherapy, or other long-term treatments.
8. Aneurysm repair: Reinforcing weakened or bulging blood vessel walls using coils, stents, or flow diverters.
9. Vertebroplasty and kyphoplasty: Stabilizing fractured vertebrae in the spine to alleviate pain and improve mobility.
10. Uterine fibroid embolization: Reducing the size and symptoms of uterine fibroids by blocking their blood supply.

These are just a few examples of interventional radiology procedures. The field is constantly evolving, with new techniques and technologies being developed to improve patient care and outcomes. Interventional radiologists work closely with other medical specialists to provide minimally invasive treatment options for a wide range of conditions.

Biodegradable plastics are a type of plastic that can be broken down naturally by microorganisms, such as bacteria and fungi, into water, carbon dioxide, and biomass under specific conditions. This process of breakdown is known as biodegradation. The term "biodegradable" does not necessarily mean that the plastic will break down quickly or safely in all environments, and it is important to note that some plastics marketed as biodegradable may still take a long time to degrade and can still have negative impacts on the environment if not disposed of properly.

Biodegradable plastics are often made from renewable resources such as corn starch, sugarcane, or other plant-based materials, although some may also be made from petroleum-based materials. They are designed to break down more quickly and safely than traditional plastics, which can take hundreds of years to degrade and can persist in the environment, causing harm to wildlife and ecosystems.

Biodegradable plastics have potential applications in a variety of industries, including packaging, agriculture, and medical devices. However, it is important to consider the specific conditions required for biodegradation and the potential impacts on the environment when using these materials.

Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:

1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.

Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.

Diabetic angiopathies refer to a group of vascular complications that occur due to diabetes mellitus. Prolonged exposure to high blood sugar levels can damage the blood vessels, leading to various types of angiopathies such as:

1. Diabetic retinopathy: This is a condition where the small blood vessels in the retina get damaged due to diabetes, leading to vision loss or blindness if left untreated.
2. Diabetic nephropathy: In this condition, the kidneys' glomeruli (the filtering units) become damaged due to diabetes, leading to protein leakage and eventually kidney failure if not managed properly.
3. Diabetic neuropathy: This is a type of nerve damage caused by diabetes that can affect various parts of the body, including the legs, feet, and hands, causing numbness, tingling, or pain.
4. Diabetic cardiomyopathy: This is a condition where the heart muscle becomes damaged due to diabetes, leading to heart failure.
5. Diabetic peripheral arterial disease (PAD): In this condition, the blood vessels that supply the legs and feet become narrowed or blocked due to diabetes, leading to pain, cramping, or even gangrene in severe cases.

Overall, diabetic angiopathies are serious complications of diabetes that can significantly impact a person's quality of life and overall health. Therefore, it is crucial for individuals with diabetes to manage their blood sugar levels effectively and undergo regular check-ups to detect any early signs of these complications.

Obstructive Jaundice is a medical condition characterized by the yellowing of the skin, sclera (whites of the eyes), and mucous membranes due to the accumulation of bilirubin in the bloodstream. This occurs when there is an obstruction or blockage in the bile ducts that transport bile from the liver to the small intestine.

Bile, which contains bilirubin, aids in digestion and is usually released from the liver into the small intestine. When the flow of bile is obstructed, bilirubin builds up in the blood, causing jaundice. The obstruction can be caused by various factors, such as gallstones, tumors, or strictures in the bile ducts.

Obstructive jaundice may present with additional symptoms like dark urine, light-colored stools, itching, abdominal pain, and weight loss, depending on the cause and severity of the obstruction. It is essential to seek medical attention if jaundice is observed, as timely diagnosis and management can prevent potential complications, such as liver damage or infection.

Duodenal obstruction is a medical condition characterized by the blockage or impediment of the normal flow of contents through the duodenum, which is the first part of the small intestine. This blockage can be partial or complete and can be caused by various factors such as:

1. Congenital abnormalities: Duodenal atresia or stenosis, where there is a congenital absence or narrowing of a portion of the duodenum.
2. Inflammatory conditions: Duodenitis, Crohn's disease, or tumors that cause swelling and inflammation in the duodenum.
3. Mechanical obstructions: Gallstones, tumors, strictures, or adhesions (scar tissue) from previous surgeries can physically block the duodenum.
4. Neuromuscular disorders: Conditions like progressive systemic sclerosis or amyloidosis that affect the neuromuscular function of the intestines can lead to duodenal obstruction.

Symptoms of duodenal obstruction may include nausea, vomiting (often with bilious or fecal matter), abdominal pain, distention, and decreased bowel movements. Diagnosis typically involves imaging studies such as X-rays, CT scans, or upper gastrointestinal series to visualize the blockage. Treatment depends on the underlying cause but may involve surgery, endoscopic procedures, or medications to manage symptoms and address the obstruction.

A ureter is a thin, muscular tube that transports urine from the kidney to the bladder. In humans, there are two ureters, one for each kidney, and they are typically about 10-12 inches long. The ureters are lined with a special type of cells called transitional epithelium that can stretch and expand as urine passes through them. They are located in the retroperitoneal space, which is the area behind the peritoneum, the membrane that lines the abdominal cavity. The ureters play a critical role in the urinary system by ensuring that urine flows from the kidneys to the bladder for storage and eventual elimination from the body.

Endoscopic retrograde cholangiopancreatography (ERCP) is a medical procedure that combines upper gastrointestinal (GI) endoscopy and fluoroscopy to diagnose and treat certain problems of the bile ducts and pancreas.

During ERCP, a flexible endoscope (a long, thin, lighted tube with a camera on the end) is passed through the patient's mouth and throat, then through the stomach and into the first part of the small intestine (duodenum). A narrow plastic tube (catheter) is then inserted through the endoscope and into the bile ducts and/or pancreatic duct. Contrast dye is injected through the catheter, and X-rays are taken to visualize the ducts.

ERCP can be used to diagnose a variety of conditions affecting the bile ducts and pancreas, including gallstones, tumors, strictures (narrowing of the ducts), and chronic pancreatitis. It can also be used to treat certain conditions, such as removing gallstones from the bile duct or placing stents to keep the ducts open in cases of stricture.

ERCP is an invasive procedure that carries a risk of complications, including pancreatitis, infection, bleeding, and perforation (a tear in the lining of the GI tract). It should only be performed by experienced medical professionals in a hospital setting.

Proportional hazards models are a type of statistical analysis used in medical research to investigate the relationship between covariates (predictor variables) and survival times. The most common application of proportional hazards models is in the Cox regression model, which is named after its developer, Sir David Cox.

In a proportional hazards model, the hazard rate or risk of an event occurring at a given time is assumed to be proportional to the hazard rate of a reference group, after adjusting for the covariates. This means that the ratio of the hazard rates between any two individuals remains constant over time, regardless of their survival times.

Mathematically, the hazard function h(t) at time t for an individual with a set of covariates X can be expressed as:

h(t|X) = h0(t) \* exp(β1X1 + β2X2 + ... + βpXp)

where h0(t) is the baseline hazard function, X1, X2, ..., Xp are the covariates, and β1, β2, ..., βp are the regression coefficients that represent the effect of each covariate on the hazard rate.

The assumption of proportionality is crucial in the interpretation of the results from a Cox regression model. If the assumption is violated, then the estimated regression coefficients may be biased and misleading. Therefore, it is important to test for the proportional hazards assumption before interpreting the results of a Cox regression analysis.

The popliteal artery is the continuation of the femoral artery that passes through the popliteal fossa, which is the area behind the knee. It is the major blood vessel that supplies oxygenated blood to the lower leg and foot. The popliteal artery divides into the anterior tibial artery and the tibioperoneal trunk at the lower border of the popliteus muscle. Any damage or blockage to this artery can result in serious health complications, including reduced blood flow to the leg and foot, which may lead to pain, cramping, numbness, or even tissue death (gangrene) if left untreated.

Beta particles, also known as beta rays, are a type of ionizing radiation that consist of high-energy electrons or positrons emitted from the nucleus of certain radioactive isotopes during their decay process. When a neutron in the nucleus decays into a proton, it results in an excess energy state and one electron is ejected from the atom at high speed. This ejected electron is referred to as a beta particle.

Beta particles can have both positive and negative charges, depending on the type of decay process. Negative beta particles (β−) are equivalent to electrons, while positive beta particles (β+) are equivalent to positrons. They possess kinetic energy that varies in range, with higher energies associated with greater penetrating power.

Beta particles can cause ionization and excitation of atoms and molecules they encounter, leading to chemical reactions and potential damage to living tissues. Therefore, appropriate safety measures must be taken when handling materials that emit beta radiation.

An intracranial aneurysm is a localized, blood-filled dilation or bulging in the wall of a cerebral artery within the skull (intracranial). These aneurysms typically occur at weak points in the arterial walls, often at branching points where the vessel divides into smaller branches. Over time, the repeated pressure from blood flow can cause the vessel wall to weaken and balloon out, forming a sac-like structure. Intracranial aneurysms can vary in size, ranging from a few millimeters to several centimeters in diameter.

There are three main types of intracranial aneurysms:

1. Saccular (berry) aneurysm: This is the most common type, characterized by a round or oval shape with a narrow neck and a bulging sac. They usually develop at branching points in the arteries due to congenital weaknesses in the vessel wall.
2. Fusiform aneurysm: These aneurysms have a dilated segment along the length of the artery, forming a cigar-shaped or spindle-like structure. They are often caused by atherosclerosis and can affect any part of the cerebral arteries.
3. Dissecting aneurysm: This type occurs when there is a tear in the inner lining (intima) of the artery, allowing blood to flow between the layers of the vessel wall. It can lead to narrowing or complete blockage of the affected artery and may cause subarachnoid hemorrhage if it ruptures.

Intracranial aneurysms can be asymptomatic and discovered incidentally during imaging studies for other conditions. However, when they grow larger or rupture, they can lead to severe complications such as subarachnoid hemorrhage, stroke, or even death. Treatment options include surgical clipping, endovascular coiling, or flow diversion techniques to prevent further growth and potential rupture of the aneurysm.

The Chi-square distribution is a continuous probability distribution that is often used in statistical hypothesis testing. It is the distribution of a sum of squares of k independent standard normal random variables. The resulting quantity follows a chi-square distribution with k degrees of freedom, denoted as χ²(k).

The probability density function (pdf) of the Chi-square distribution with k degrees of freedom is given by:

f(x; k) = (1/ (2^(k/2) * Γ(k/2))) \* x^((k/2)-1) \* e^(-x/2), for x > 0 and 0, otherwise.

Where Γ(k/2) is the gamma function evaluated at k/2. The mean and variance of a Chi-square distribution with k degrees of freedom are k and 2k, respectively.

The Chi-square distribution has various applications in statistical inference, including testing goodness-of-fit, homogeneity of variances, and independence in contingency tables.

Optical coherence tomography (OCT) is a non-invasive imaging technique that uses low-coherence light to capture high-resolution cross-sectional images of biological tissues, particularly the retina and other ocular structures. OCT works by measuring the echo time delay of light scattered back from different depths within the tissue, creating a detailed map of the tissue's structure. This technique is widely used in ophthalmology to diagnose and monitor various eye conditions such as macular degeneration, diabetic retinopathy, and glaucoma.

Brachytherapy is a type of cancer treatment that involves placing radioactive material directly into or near the tumor site. The term "brachy" comes from the Greek word for "short," which refers to the short distance that the radiation travels. This allows for a high dose of radiation to be delivered directly to the tumor while minimizing exposure to healthy surrounding tissue.

There are two main types of brachytherapy:

1. Intracavitary brachytherapy: The radioactive material is placed inside a body cavity, such as the uterus or windpipe.
2. Interstitial brachytherapy: The radioactive material is placed directly into the tumor or surrounding tissue using needles, seeds, or catheters.

Brachytherapy can be used alone or in combination with other cancer treatments such as surgery, external beam radiation therapy, and chemotherapy. It may be recommended for a variety of cancers, including prostate, cervical, vaginal, vulvar, head and neck, and skin cancers. The specific type of brachytherapy used will depend on the size, location, and stage of the tumor.

The advantages of brachytherapy include its ability to deliver a high dose of radiation directly to the tumor while minimizing exposure to healthy tissue, which can result in fewer side effects compared to other forms of radiation therapy. Additionally, brachytherapy is often a shorter treatment course than external beam radiation therapy, with some treatments lasting only a few minutes or hours.

However, there are also potential risks and side effects associated with brachytherapy, including damage to nearby organs and tissues, bleeding, infection, and pain. Patients should discuss the benefits and risks of brachytherapy with their healthcare provider to determine if it is an appropriate treatment option for them.

The saphenous vein is a term used in anatomical description to refer to the great or small saphenous veins, which are superficial veins located in the lower extremities of the human body.

The great saphenous vein (GSV) is the longest vein in the body and originates from the medial aspect of the foot, ascending along the medial side of the leg and thigh, and drains into the femoral vein at the saphenofemoral junction, located in the upper third of the thigh.

The small saphenous vein (SSV) is a shorter vein that originates from the lateral aspect of the foot, ascends along the posterior calf, and drains into the popliteal vein at the saphenopopliteal junction, located in the popliteal fossa.

These veins are often used as conduits for coronary artery bypass grafting (CABG) surgery due to their consistent anatomy and length.

Cholestasis is a medical condition characterized by the interruption or reduction of bile flow from the liver to the small intestine. Bile is a digestive fluid produced by the liver that helps in the breakdown and absorption of fats. When the flow of bile is blocked or reduced, it can lead to an accumulation of bile components, such as bilirubin, in the blood, which can cause jaundice, itching, and other symptoms.

Cholestasis can be caused by various factors, including liver diseases (such as hepatitis, cirrhosis, or cancer), gallstones, alcohol abuse, certain medications, pregnancy, and genetic disorders. Depending on the underlying cause, cholestasis may be acute or chronic, and it can range from mild to severe in its symptoms and consequences. Treatment for cholestasis typically involves addressing the underlying cause and managing the symptoms with supportive care.

Endovascular procedures are minimally invasive medical treatments that involve accessing and repairing blood vessels or other interior parts of the body through small incisions or punctures. These procedures typically use specialized catheters, wires, and other tools that are inserted into the body through an artery or vein, usually in the leg or arm.

Endovascular procedures can be used to treat a wide range of conditions, including aneurysms, atherosclerosis, peripheral artery disease, carotid artery stenosis, and other vascular disorders. Some common endovascular procedures include angioplasty, stenting, embolization, and thrombectomy.

The benefits of endovascular procedures over traditional open surgery include smaller incisions, reduced trauma to surrounding tissues, faster recovery times, and lower risks of complications such as infection and bleeding. However, endovascular procedures may not be appropriate for all patients or conditions, and careful evaluation and consideration are necessary to determine the best treatment approach.

Scanning electron microscopy (SEM) is a type of electron microscopy that uses a focused beam of electrons to scan the surface of a sample and produce a high-resolution image. In SEM, a beam of electrons is scanned across the surface of a specimen, and secondary electrons are emitted from the sample due to interactions between the electrons and the atoms in the sample. These secondary electrons are then detected by a detector and used to create an image of the sample's surface topography. SEM can provide detailed images of the surface of a wide range of materials, including metals, polymers, ceramics, and biological samples. It is commonly used in materials science, biology, and electronics for the examination and analysis of surfaces at the micro- and nanoscale.

Interventional radiography is a subspecialty of radiology that uses imaging guidance (such as X-ray fluoroscopy, ultrasound, CT, or MRI) to perform minimally invasive diagnostic and therapeutic procedures. These procedures typically involve the insertion of needles, catheters, or other small instruments through the skin or a natural body opening, allowing for targeted treatment with reduced risk, trauma, and recovery time compared to traditional open surgeries.

Examples of interventional radiography procedures include:

1. Angiography: Imaging of blood vessels to diagnose and treat conditions like blockages, narrowing, or aneurysms.
2. Biopsy: The removal of tissue samples for diagnostic purposes.
3. Drainage: The removal of fluid accumulations (e.g., abscesses, cysts) or the placement of catheters to drain fluids continuously.
4. Embolization: The blocking of blood vessels to control bleeding, tumor growth, or reduce the size of an aneurysm.
5. Stenting and angioplasty: The widening of narrowed or blocked vessels using stents (small mesh tubes) or balloon catheters.
6. Radiofrequency ablation: The use of heat to destroy tumors or abnormal tissues.
7. Cryoablation: The use of extreme cold to destroy tumors or abnormal tissues.

Interventional radiologists are medical doctors who have completed specialized training in both diagnostic imaging and interventional procedures, allowing them to provide comprehensive care for patients requiring image-guided treatments.

Intestinal obstruction, also known as bowel obstruction, is a medical condition characterized by a blockage that prevents the normal flow of contents through the small intestine or large intestine (colon). This blockage can be caused by various factors such as tumors, adhesions (scar tissue), hernias, inflammation, or impacted feces.

The obstruction can be mechanical, where something physically blocks the intestinal lumen, or functional, where the normal muscular contractions of the bowel are impaired. Mechanical obstructions are more common than functional ones.

Symptoms of intestinal obstruction may include abdominal pain and cramping, nausea and vomiting, bloating, inability to pass gas or have a bowel movement, and abdominal distention. If left untreated, intestinal obstruction can lead to serious complications such as tissue death (necrosis), perforation of the intestine, and sepsis. Treatment typically involves hospitalization, intravenous fluids, nasogastric decompression, and possibly surgery to remove the obstruction.

A single-blind method in medical research is a study design where the participants are unaware of the group or intervention they have been assigned to, but the researchers conducting the study know which participant belongs to which group. This is done to prevent bias from the participants' expectations or knowledge of their assignment, while still allowing the researchers to control the study conditions and collect data.

In a single-blind trial, the participants do not know whether they are receiving the active treatment or a placebo (a sham treatment that looks like the real thing but has no therapeutic effect), whereas the researcher knows which participant is receiving which intervention. This design helps to ensure that the participants' responses and outcomes are not influenced by their knowledge of the treatment assignment, while still allowing the researchers to assess the effectiveness or safety of the intervention being studied.

Single-blind methods are commonly used in clinical trials and other medical research studies where it is important to minimize bias and control for confounding variables that could affect the study results.

Antineoplastic agents, phytogenic, also known as plant-derived anticancer drugs, are medications that are derived from plants and used to treat cancer. These agents have natural origins and work by interfering with the growth and multiplication of cancer cells, helping to slow or stop the spread of the disease. Some examples of antineoplastic agents, phytogenic include paclitaxel (Taxol), vincristine, vinblastine, and etoposide. These drugs are often used in combination with other treatments such as surgery, radiation therapy, and other medications to provide a comprehensive approach to cancer care.

Acute Coronary Syndrome (ACS) is a term used to describe a range of conditions associated with sudden, reduced blood flow to the heart muscle. This reduction in blood flow, commonly caused by blood clots forming in coronary arteries, can lead to damage or death of the heart muscle and is often characterized by symptoms such as chest pain, shortness of breath, and fatigue.

There are three main types of ACS:

1. Unstable Angina: This occurs when there is reduced blood flow to the heart muscle, causing chest pain or discomfort, but the heart muscle is not damaged. It can be a warning sign for a possible future heart attack.
2. Non-ST Segment Elevation Myocardial Infarction (NSTEMI): This type of heart attack occurs when there is reduced blood flow to the heart muscle, causing damage or death of some of the muscle cells. However, the electrical activity of the heart remains relatively normal.
3. ST Segment Elevation Myocardial Infarction (STEMI): This is a serious and life-threatening type of heart attack that occurs when there is a complete blockage in one or more of the coronary arteries, causing extensive damage to the heart muscle. The electrical activity of the heart is significantly altered, which can lead to dangerous heart rhythms and even cardiac arrest.

Immediate medical attention is required for anyone experiencing symptoms of ACS, as prompt treatment can help prevent further damage to the heart muscle and reduce the risk of complications or death. Treatment options may include medications, lifestyle changes, and procedures such as angioplasty or bypass surgery.

The iliac veins are a pair of large veins in the human body that carry deoxygenated blood from the lower extremities and the pelvic area back to the heart. They are formed by the union of the common iliac veins, which receive blood from the lower abdomen and legs, at the level of the fifth lumbar vertebra.

The combined iliac vein is called the inferior vena cava, which continues upward to the right atrium of the heart. The iliac veins are located deep within the pelvis, lateral to the corresponding iliac arteries, and are accompanied by the iliac lymphatic vessels.

The left common iliac vein is longer than the right because it must cross the left common iliac artery to join the right common iliac vein. The external and internal iliac veins are the two branches of the common iliac vein, with the external iliac vein carrying blood from the lower limbs and the internal iliac vein carrying blood from the pelvic organs.

It is essential to maintain proper blood flow in the iliac veins to prevent deep vein thrombosis (DVT), a condition that can lead to serious complications such as pulmonary embolism.

Cerebral angiography is a medical procedure that involves taking X-ray images of the blood vessels in the brain after injecting a contrast dye into them. This procedure helps doctors to diagnose and treat various conditions affecting the blood vessels in the brain, such as aneurysms, arteriovenous malformations, and stenosis (narrowing of the blood vessels).

During the procedure, a catheter is inserted into an artery in the leg and threaded through the body to the blood vessels in the neck or brain. The contrast dye is then injected through the catheter, and X-ray images are taken to visualize the blood flow through the brain's blood vessels.

Cerebral angiography provides detailed images of the blood vessels in the brain, allowing doctors to identify any abnormalities or blockages that may be causing symptoms or increasing the risk of stroke. Based on the results of the cerebral angiography, doctors can develop a treatment plan to address these issues and prevent further complications.

Atherectomy, coronary, is a medical procedure used to treat narrowed or blocked coronary arteries due to the buildup of plaque (atherosclerosis). The goal of coronary atherectomy is to improve blood flow to the heart muscle by removing the obstructive material within the vessel.

During the procedure, a specialized catheter with a cutting device on its tip is inserted into a peripheral artery, usually in the groin or arm, and advanced to the affected coronary artery. The cutting device can be a rotating blade, a high-speed spinning burr, or a laser fiber that is used to shave, drill, or vaporize the plaque, respectively. The removed material is collected in a chamber within the catheter or washed away by blood flow.

There are different types of coronary atherectomy devices, including:

1. Directional atherectomy (DCA): A rotating blade cuts and removes the plaque in a targeted direction.
2. Rotational atherectomy (Rotablator): A high-speed spinning burr is used to abrade and pulverize the plaque into tiny particles that can be safely carried away by blood flow.
3. Laser atherectomy: A laser fiber is used to vaporize or break down the plaque into gaseous or small particle form.

Coronary atherectomy is typically performed in conjunction with angioplasty and stenting, as it helps prepare the narrowed artery for these procedures by creating a larger lumen and reducing the risk of complications like dissections or restenosis (re-narrowing). However, its use may be limited to specific cases due to the potential risks, such as vessel trauma, distal embolization, or perforation.

It is essential to consult with a medical professional for detailed information and personalized treatment recommendations regarding coronary atherectomy.

Tantalum is not a medical term, but a chemical element with the symbol Ta and atomic number 73. It is a rare, hard, blue-gray, lustrous transition metal that is highly corrosion-resistant. In the field of medicine, tantalum is often used in the production of medical implants such as surgical pins, screws, plates, and stents due to its biocompatibility and resistance to corrosion. For example, tantalum mesh is used in hernia repair and tantalum rods are used in spinal fusion surgery.

Extrahepatic cholestasis is a medical condition characterized by the impaired flow of bile outside of the liver. Bile is a digestive fluid produced by the liver that helps in the absorption and digestion of fats. When the flow of bile is obstructed or blocked, it can lead to an accumulation of bile components, such as bilirubin, in the bloodstream, resulting in jaundice, dark urine, light-colored stools, and itching.

Extrahepatic cholestasis can be caused by various factors, including gallstones, tumors, strictures, or inflammation of the bile ducts. It is essential to diagnose and treat extrahepatic cholestasis promptly to prevent further complications, such as liver damage or infection. Treatment options may include medications, endoscopic procedures, or surgery, depending on the underlying cause of the condition.

Look up stent in Wiktionary, the free dictionary. Coronary Stent Drug-Eluting Stents - Angioplasty.Org Cardiovascular and ... and stenting is the placement of a stent. A wide variety of stents are used for different purposes, from expandable coronary, ... vascular and biliary stents, to simple plastic stents that allow urine to flow between kidney and bladder. Stent is also used ... According to the author, from the use of Stent's compound as a support for facial tissues evolved the use of a stent to hold ...
Calidris mauri or Erolia mauri Red-necked stint, Calidris ruficollis or Erolia ruficollis Little stint, Calidris minuta or ... A stint is one of several very small waders in the paraphyletic "Calidris" assemblage - often separated in Erolia - which in ... Erolia minuta Temminck's stint, Calidris temminckii or Erolia temminckii Long-toed stint, Calidris subminuta or Erolia ...
Malcolm John Stent BEM (born 14 June 1945, Saltley, Birmingham, England) is an English actor, musical performer and playwright ...
... is 2,010 m (6,590 ft) mountain at the southern extreme of the Wallabies Nunataks, west of the Churchill Mountains. ... It was named in honor of N. E. Stent, a member of the 1961 Cape Hallett winter-over team, working as a technician on the ... This article incorporates public domain material from "Mount Stent". Geographic Names Information System. United States ...
Look up stint in Wiktionary, the free dictionary. A stint is a small wader in the bird genus Calidris. Stint may also refer to ... see Oss rail accident Stint, a limit on the number of animals allowed on a stinted pasture Stint, a term in motor racing; see ... Northern shoveler, a species of duck Stint (producer), a Canadian music producer Stint (electric cart), a type of four-wheeled ... Glossary of motorsport terms#S Stent (disambiguation) This disambiguation page lists articles associated with the title Stint. ...
Sirolimus: Anti-proliferative effects "Learn about CYPHER Stent, the latest advance in stent technology". Cordis Corporation. ... The Cypher stent was approved for use by the FDA in 2003. Following claims of inconsistent manufacturing processes and poor ... During a balloon angioplasty, the stent is inserted into the artery to provide a "scaffold" to open the artery. An anti- ... "CYPHER™ Sirolimus-eluting Coronary Stent - P020026". FDA.gov. U.S. Food and Drug Administration. Retrieved 1 Aug 2016. "J&J to ...
... (died 1912) was an architect in New York City. He assisted Alexander Saeltzer on the Astor Public Library and was ... Stent and Laver also won the competition to build San Francisco City Hall, which was completed in 1898 but destroyed by an ... Stent was trained and practised in England before coming to London, Canada West in 1855. In 1858, he moved to Ottawa. He ... the team of Thomas Stent and Augustus Laver, under the pseudonym of Stat nomen in umbra, won the prize for the second category ...
Stint Remix)" Q-Tip - "Work It Out (Stint Remix)" The Belle Game - "Wait Up For You (Stint Remix)" "Q-Tip - "Work It Out (Stint ... FRENSHIP & Emily Warren - "Capsize (Stint Remix)" Sebell - "Promiseland (Stint Remix)" Nila - "Body (Stint Remix)" Christina ... "STINT's Remix Of Kent Jones's "Don't Mind" Is A Gospel Rave". The Fader September 14, 2016. Retrieved February 20, 2017. "STINT ... Perri - "Burning Gold (Stint Remix)" Young The Giant - "Mind Over Matter (Stint Remix)" Lana Del Rey - "West Coast (Stint Remix ...
After Trident, Stent worked at Olympic Studios in Barnes, South London. While at Olympic, Stent worked with artists such as ... Spike Stent on his mix of Muse's album The Resistance Spike Stent discography at Discogs (CS1 maint: others in cite AV media ( ... Stent grew up in Hampshire, England and first gained experience as an engineer at Jacob Studios as a teenager before a two-year ... Stent works at two studios: Mix Suite LA in EastWest Studios and Mix Suite UK. 2020: Marilyn Manson - We Are Chaos 2020: 5 ...
Drug-eluting stents are most often sold as a unit, with the stent in its collapsed form attached to the outside of a balloon ... In development are stents with biocompatible surface coatings which do not elute drugs, and also absorbable stents (metal or ... Outside the US, physicians may perform "direct stenting", where the stent is threaded through the lesion and expanded. Common ... Patients were randomized to either CABG surgery or a drug-eluting stent (the Boston Scientific TAXUS paclitaxel-eluting stent ...
A bioresorbable stent (also called bioresorbable scaffold, biodegradable stent or naturally-dissolving stent) serves the same ... Metal stent candidates are iron, magnesium, zinc and their alloys. Iron stents were shown using an in vivo evaluation method ... Like metal stents, placement of a bioresorbable stent will restore blood flow and support the vessel through the healing ... However, in the case of a bioresorbable stent, the stent will gradually resorb and be benignly cleared from the body, enabling ...
... this is called a JJ stent, double J stent or pig-tail stent. Ureteral stents are used to ensure the openness of a ureter, which ... Sexual activity is also possible with a stent, but stents with a thread may significantly hinder sex. The stent also can rest ... The stent is usually inserted with the aid of a cystoscope. One or both ends of the stent may be coiled to prevent it from ... A ureteral stent (pronounced you-REE-ter-ul), or ureteric stent, is a thin tube inserted into the ureter to prevent or treat ...
Stent & Stent 1972. Laurie, K. W. J. (1914). Register of S. Andrew's College, Grahamstown, from 1855 to 1914. Grahamstown: ... Stent, Sally; Stent, Betty (1972). The Forthright Man. Howard Timmins. ISBN 978-0-86978-032-9. Morrison, Heidi (2012). The ... Vere was the son of the architect Sydney Stent, and the brother of the actor Lionel B. Stent.[citation needed] He attended St. ... Stent was also known as an art, theatre and literature critic. As a playwright he wrote one play, entitled War and a Woman, ...
"Angela Stent Bio". Georgetown University. Retrieved 16 December 2013. "AP People". Atlantic Partnership. "Stent Bio, Brookings ... Stent argues that "as the Trump team accelerates the U.S. retreat from the Middle East, Mr. Putin has been quick to spot and ... At one, Stent asked Putin whether Russia was an energy superpower. He said that "superpower" was "a word we used during the ... Stent played a key role in WIIS's conferences in Tallinn and Prague. In 2008 she received a Fulbright Fellowship to teach at ...
Stent migration: Stent may move causing symptoms to recur or lead to other complications. Stent obstruction: Blockage can occur ... Pros of Esophageal Stent There are several potential benefits of an esophageal stent procedure: Symptoms relief: stents can ... Common complications include chest pain, overgrowth of tissue around the stent and stent migration. Esophageal stents are ... requiring additional treatment or adjustment of the stent. Stent removal: Check with your doctor on the stent type used for the ...
A stent is a tube or truss used in medicine to keep an anatomical passageway open. Stent may also refer to: Stent (surname), a ... a TV series Stint (disambiguation) This disambiguation page lists articles associated with the title Stent. If an internal link ... Look up stent in Wiktionary, the free dictionary. ... surname (including a list of people with the name) Mount Stent ...
Stent originally was an engraver himself. Edward Calver wrote verses to a set of Stent's plates from 1635. He then sold works ... Stent died in the Great Plague of London. His business was taken over by John Overton. Alexander Globe (1985). Peter Stent, ... Peter Stent (c. 1613-1665) was a seventeenth-century London printseller, who from the early 1640s until his death ran one of ... Subscription or UK public library membership required.) Alexander Globe, 'Stent, Peter (b. in or before 1613, d. 1665)', Oxford ...
Calidris temminckii in Field Guide: Birds of the World on Flickr temmincks-stint/calidris-temminckii Temminck's stint media ... BirdLife species factsheet for Calidris temminckii "Temminck's stint media". Internet Bird Collection. Temminck's stint photo ... This stint's breeding habitat is bogs and marshes in the taiga of Arctic northern Europe and Asia. It will breed in southern ... Temminck's stint is one of the species to which the Agreement on the Conservation of African-Eurasian Migratory Waterbirds ( ...
A prostatic stent is a stent used to keep open the male urethra and allow the passing of urine in cases of prostatic ... The only FDA approved permanent stent is the Urolume. Usually, permanent stents are used only for men who are unwilling or ... The open, diamond-shape cell design of the stent allows the stent to eventually become embedded in the urethra, thus minimizing ... Some patients prefer a temporary stent to Foley catheter use. A temporary stent will not provide voiding function if the ...
English dentist for whom the medical stent is named Sydney Margaret Stent (1875-1942), South African botanist Gunther Stent ( ... Stent is a surname. Notable people with the surname include: Peter Stent (c. 1642 - 1665), London printmaker and seller Charles ... Stent This page lists people with the surname Stent. If an internal link intending to refer to a specific person led you to ... 1924-2008), German-American molecular geneticist Angela Stent (born 1947), American foreign-affairs educator Mark Stent (born ...
... particularly for transfemoral stenting in patients over age 70. Carotid stenting involves the placement of a stent across the ... Carotid artery stenting is an endovascular procedure where a stent is deployed within the lumen of the carotid artery to treat ... While rates of stroke and death after both surgery and stenting are low, rates of stroke and death after stenting may be higher ... "Safety and Efficacy of Carotid Artery Stenting with the CGuard Double-layer Stent in Acute Ischemic Stroke". Clinical ...
Some complications of metallic stents are: stent migration (occurring in 20 to 40% of the cases). Stents with anchoring flaps ... There are various types of endoscopic stents: plastic stents, uncovered self-expandable metallic stents, partially covered self ... Endoscopic stenting is a medical procedure by which a stent, a hollow device designed to prevent constriction or collapse of a ... Cholecystitis can be a complication for stenting of malignant biliary stricture. Stent occlusion may occur from tumor or tissue ...
Stent, G. S. (1977). Genetica molecolare. Bologna, Italy: Zanichelli. Russian translation: Stent, G. S., Calendar, R., & Stent ... Japanese translation: Stent, G. S., Calendar, R., & Nagano, K. (1983). 分子遺伝学. Bunshi idengaku 岩波書店. Stent, G. S. 1963. ... Spanish translation: Stent, G. S. (1986). Las paradojas del progreso. Barcelona: Salvat. Stent, G. S. (1969). The coming of the ... Stent, G. S. (1971). Molecular Genetics; an Introductory Narrative. San Francisco: W.H. Freeman. Italian translation: Stent, G ...
In 2023, Stent appeared on Guy Montgomery's Guy Mont-Spelling Bee. "Brynley Stent , Auckland Actors". www.aucklandactors.co.nz ... Stent came third overall at the end of the series. In August 2021, it was announced that she would feature in Celebrity ... Brynley Alexandra Stent (born 1989) is a New Zealand actor, comedian and scriptwriter. She appeared on the first season of the ... Stent studied drama at Toi Whakaari in Wellington, New Zealand, graduating in 2013 with a Bachelor of Performing Arts in Acting ...
The medical device called a stent is thought to derive its name from him. Charles Thomas Stent was born at Royal Crescent, ... Charles Stent (1807-1885) was a 19th-century English dentist notable for his advances in the field of denture making. In 1847, ... In 1856, Stent added several other materials to the gutta-percha, notably stearine, which markedly improved the plasticity of ... He was the 6th son of William and Hannah (née Jenkin) Stent. He had 2 sons, Charles Robert and Howard and a daughter, Fanny. ...
... species text in The Atlas of Southern African Birds Little stint photos at Oiseaux.net Ageing and sexing (PDF; 1.2 ... "Little stint media". Internet Bird Collection. Little stint photo gallery at VIREO (Drexel University) Interactive range map of ... The little stint (Calidris minuta or Erolia minuta) is a very small wader. It breeds in arctic Europe and Asia, and is a long- ... The little stint is one of the species to which the Agreement on the Conservation of African-Eurasian Migratory Waterbirds ( ...
Drug-eluting stents also have been shown to be superior to bare-metal stents in reducing short-term complications of stenting ... One of the major benefits of drug-eluting stents (DES) to bare-metal stents (BMS) is the prevention of in-stent restenosis (ISR ... A drug-eluting stent (DES) is a peripheral or coronary stent (a scaffold) placed into narrowed, diseased peripheral or coronary ... Drug-eluting stents (DES) have been extensively studied, and are generally superior to bare-metal stents concerning the ...
The long-toed stint is a very small wader measuring just 13 to 16 cm (5.1 to 6.3 in) in length with a wingspan of 26.5 to 30.5 ... The long-toed stint (Calidris subminuta) is a small wader. The genus name is from Ancient Greek kalidris or skalidris, a term ... The long-toed stint has a very wide range and it is estimated that there are somewhere between 10,000 and 100,000 individuals ... The long-toed stint breeds in Siberia during the Northern Hemisphere summer. Little is known of its breeding habits but its ...
"Red-necked stint media". Internet Bird Collection. Red-necked stint photo gallery at VIREO (Drexel University) Interactive ... very similar to the little stint, Calidris minuta, with which they were once considered conspecific. The red-necked stint's ... The red-necked stint (Calidris ruficollis) is a small migratory wader. The genus name is from Ancient Greek kalidris or ... Selected red-necked stint images at Oriental Bird Images BirdLife species factsheet for Calidris ruficollis "Calidris ...
A bare-metal stent is a stent made of thin, uncoated (bare) metal wire that has been formed into a mesh-like tube. The first ... Drug-eluting stents are often preferred over bare-metal stents because the latter carry a higher risk of restenosis, the growth ... Stainless steel: R stent (OrbusNeich), Genous Bio-engineered R stent (OrbusNeich), (J&J, Cordis) BxVelocity, (Medtronic) ... More recent "second generation" bare-metal stents have been made of cobalt chromium alloy. While plastic stents were first used ...
Look up stent in Wiktionary, the free dictionary. Coronary Stent Drug-Eluting Stents - Angioplasty.Org Cardiovascular and ... and stenting is the placement of a stent. A wide variety of stents are used for different purposes, from expandable coronary, ... vascular and biliary stents, to simple plastic stents that allow urine to flow between kidney and bladder. Stent is also used ... According to the author, from the use of Stents compound as a support for facial tissues evolved the use of a stent to hold ...
... if they chose a drug eluding stent. Doctors also need to inform the patient about bare metal stents/pros and cons as both types ... Bare metal stents does not require long term use of Plavix, the article stated. My sister was on Plavix for 2 years with her 2 ... Plavix is causing havoc with my stomach but with drug eluding stents (5 of them) I am d_ _ _ if I do and d_ _ _ if I dont. ... Many patients are 65 and over who need stenting and the Part D medicare drug plan charges $59.00 a month as a co-pay for Plavix ...
... and whether two stents are better than one. ... A meta-analysis looking at the addition of trabecular stent ... "We also know any additional stent would reduce the medication. For us, on average, each stent reduces the need for about one ... About half the patients in the phacoemulsification-stent group had one stent, and 40% had two. The number of patients with ... the mean reduction in intraocular pressure was significantly better with two stents than with one stent (5.28 vs 4.75 mm Hg; P ...
To place the stent, a small sheath, plastic tube, is placed in the groin or wrist ... To place the stent, a small sheath, plastic tube, is placed in the groin or wrist ... A coronary artery stent is a small, metal mesh tube that is placed inside a coronary artery to help keep the artery open. ... A coronary artery stent is a small, metal mesh tube that is placed inside a coronary artery to help keep the artery open. ...
"I was a bit puzzled by that." Predilatation was performed in 68.2% of Slender stents and in 72.2% of Xience and Promos stents ( ... Many PCI operators "are not sold on direct stenting" because predilatation can improve stenting results in calcified lesions ... its exceedingly slim profile meant to facilitate transradial access as well as direct stenting, that is, stenting without ... But direct stenting "is feasible with this device. Its more feasible with this device than many other devices because of the ...
... although most agreed that stent design likely plays a factor in making some stents more vulnerable than others. ... Its not a class effect that applies to all stents. Medtronics Integrity stent platform, which employs an engineering advance ... Separately, in an "elongation test," whereby the same stents were pulled using a little hook, the Cypher stent required the ... Most agreed, however, that stent design may play a factor in making some stents more vulnerable than others. ...
The Flexima Biliary Stent System is intended for delivery of the stent to the biliary tract for drainage of the bile ducts, for ... Flexima Biliary Stent System Devices were packaged with Tyvek tray lids that had incorrect adhesive, resulting in sterile ... FLEXIMA Biliary Stent System, 11.5Fr-12cm, M00539380, Sterile EO, Boston Scientific, Spencer, IN. ...
The covered stent Tailor-Made for AV patients. The Covera™ Vascular Covered Stent builds upon proven technologies from the ... This covered stent platform is designed to balance the flexibility and strength required to address challenging lesions from ... At 30 days, freedom from primary safety events was 96.4% in AVeVa and 95.0% (Covera™ Vascular Covered Stent) vs. 96.4% (PTA ... 130 of the 142 (91.5%) subjects randomized to the Covera™ Vascular Stent group and 123 of the 138 (89.1%) randomized to PTA ...
A review by a team of Italian researchers compares the available therapies for reducing stent thrombosis in patients with acute ... Older stents were often plagued with post-intervention complications, including stent thrombosis (ST). Newer, second-generation ... ST may develop due to procedural complications such as stent underexpansion, dissection at the stent edge, plaque rupture in ... Other causes of ST can include delayed arterial healing, hypersensitivity reactions to the stent itself, stent malapposition, ...
Joe Bidens comprehensive US immigration bill has been delayed amid fears that it may not pass, according to several sources. House Democrats have postponed plans to vote on the US Presidents bill ...
Stents are used as primary treatment for lumen collapse or to stabilize a reconstructive effort of the larynx or trachea to ... Laryngeal and tracheal stents are solid or hollow absorbable or nonabsorbable tubes of various shapes, sizes, and materials. ... Short-term stenting is defined as stenting for less than 6 weeks. Long-term stenting is defined as stenting for more than 6 ... Stents for these indications include Aboulker stents, silicone stents, Montgomery laryngeal stents, endotracheal tubes, and ...
The Wingspan Stent System is authorized under a Humanitarian Device Exemption (HDE). IRB approval is required prior to use. ... The Wingspan Stent System is designed to facilitate access through challenging neurovascular anatomy. ... The Wingspan Stent System with the Gateway PTA Balloon Catheter is designed to facilitate access through challenging ...
Flashbacks: AneuGraft Stent from ITGI Medical Wins Approval in Europe ; Over and Under Pericardium Covered Stent from ITGI ... for the firms two coronary stenting systems. The pericardium covered stents include the AneuGraft (pictured), already approved ... Two Pericardium Covered Stents Get HUD Designation. April 27th, 2009 Medgadget Editors Cardiology ...
Jenner opens up to Kendall over Im a Celeb stint Updated / Thursday, 12 Dec 2019 18:38 ...
Lindsay Lohans Jail Stint: From 90 Days to Two Weeks. According to booking form, Lohan is due to be released from jail on Aug ... July 20, 2010 — -- Lindsay Lohans stint in the slammer could be as short as two weeks. ...
This structure can be an artery, a vein, or another structure, such as the tube that carries urine (ureter). The stent holds ... A stent is a tiny tube placed into a hollow structure in your body. ... When a stent is placed into the body, the procedure is called stenting. There are different kinds of stents. Most are made of a ... This stent prevents the artery from re-closing.. A drug-eluting stent is coated with a medicine. This medicine helps further ...
Carotid Artery Stenting in Post-Approval Studies (CAG-00259N). ... Carotid Artery Stenting in Post-Approval Studies. CAG-00259N. ... Page Help for NCA - Carotid Artery Stenting in Post-Approval Studies (CAG-00259N). ...
Vascular Stent is the only FDA-approved stent for the SFA and full popliteal artery. The LifeStent™ Vascular Stent is available ... The LifeStent™ Vascular Stent is a peripheral stent intended to improve luminal diameter in the treatment of symptomatic de- ... The LifeStent™ Vascular Stent Systems, in varying sizes, have been studied in more than ten clinical trials in the United ... The LifeStent™ Vascular Stent System has achieved lasting results over the long term, with sustained effectiveness up to three ...
Either plastic or metal stents may be used. Plastic stents usually occlude in 3 months and require replacement. Metal stents ... Stent Placement. Stents can be placed via endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic ... Palliative procedures are required if internal stenting cannot be accomplished and/or external stenting is not desirable or ... Endoscopic management of malignant biliary obstruction by means of covered metallic stents: primary stent placement vs. re- ...
Deployment of drug-eluting stents instead of bare-metal stents has dramatically reduced restenosis rates, but rates of very ... The incompetent endothelium leads to late stent thrombosis and the development of in-stent neoatherosclerosis. The process of ... proximal and distal segments of stented coronary arteries is more severe with drug-eluting stents than bare-metal stents, and ... and very late stent thrombosis following implantation of drug-eluting stents. Impairment of vasorelaxation in nonstented ...
... high performance and precision weighing balances are the perfect choice for drug eluting stent manufacturers in the medical ... Customized stent holder solutions for Cubis® II balances. Ensuring patient safety is of the utmost importance for a stent ... Sartorius provides customized stent holders for:. *Small coronary, neuro-vascular and small vascular stents (length up to 38 mm ... Manage your stent weighing workflows with Back-weighing QApp software - test it with free trial. For stent weighing processes ...
... and warnings for the Resolute Integrity Coronary Stent System. ... Stent deformation, collapse, or fracture • Stent migration (or ... Only physicians who have received adequate training should perform implantation of the stent. • Stent placement should only be ... including stent thrombosis, stent embolization, myocardial infarction (MI), or death • Care should be taken to control the ... When drug-eluting stents (DES) are used outside the specified Indications for Use, patient outcomes may differ from the results ...
This scarce stint is often difficult to connect with. Find out the sites where you can increase your chances, and learn the key ... Temmincks Stint is similar in size to Little Stint, but with a distinctly longer silhouette than Little Stint, with an ... Focus On: Temmincks Stint. a0a23a6d-4535-437d-9fba-7e9643712613 Temmincks Stint: China Markings on the upperparts are ... The bill is finer than Little Stint and slightly decurved. Legs are pale, unlike the dark legs of Little Stint, and vary from ...
... Circulation. 2010 Jun 29;121(25):2705-7. doi: 10.1161/CIRCULATIONAHA. ...
Tracheal stents can be lifesavers for people who have trouble breathing because of a constriction due to a tumor, congenital ... stent coatings that will both help in securing the stents in place as well as help goblet and cilia cells settle on the stent ... These types of stents have been known to slip out of place as well as help develop pneumonia because they typically lack any ... The scientists used stents lined with a polyurethane (PU) film, which were produced by Aachen-based Leufen Medical GmbH. In the ...
... the gradual renarrowing of the area inside the stent, known as restenosis, and the formation of clots inside the stent, called ... Two main complications can occur with coronary stents: ... As a result, blood clots could form on the stent (stent ... Stent thrombosis can happen at any time, but most clots form within the first month of receiving a stent. Skipping or stopping ... The stent holds the artery open, restoring blood flow.. Originally, stents were made of bare metal. But sometimes, cells from ...
New Glasgow signing Richie Vernon says the lure of rejoining Gregor Townsends side was too good to turn down.
Cordis hires Edelman to handle consumer offering of stents. From PR Week ... Cordis hires Edelman to handle consumer offering of stents. NEW YORK: Cordis Corporation has hired Edelman to handle PR for the ... companys drug-coated stent Cypher, as the device maker attempts to market the stents directly to consumers for the first time. ...
  • To further reduce the incidence of restenosis, the drug-eluting stent was introduced in 2003. (wikipedia.org)
  • The last I knew, my cardiologist at Mayo Clinic swears by the Cypher drug-eluting stent, from his personal experience and studies he's familiar with. (healingwell.com)
  • A drug-eluting stent is coated with a medicine. (medlineplus.gov)
  • Cubis ® II is a perfect ultra-micro, micro and high capacity micro balance for drug eluting stent manufacturers needing the most reliable weighing results and the highest weighing throughput. (sartorius.com)
  • He also had a drug eluting stent inserted in the mid RCA, two years back. (hindawi.com)
  • BSX ) today announced U.S. Food and Drug Administration (FDA) approval and launch of the ION™ Paclitaxel-Eluting Platinum Chromium Coronary Stent System, the Company's third-generation drug-eluting stent technology. (prnewswire.com)
  • We believe the PtCr platform sets a new standard for drug-eluting stent performance and represents the future of coronary stenting. (prnewswire.com)
  • However, white patients were more likely than black patients to receive a drug-eluting stent. (cdc.gov)
  • In medicine, a stent is a metal or plastic tube inserted into the lumen of an anatomic vessel or duct to keep the passageway open, and stenting is the placement of a stent. (wikipedia.org)
  • Stent is also used as a verb to describe the placement of such a device, particularly when a disease such as atherosclerosis has pathologically narrowed a structure such as an artery. (wikipedia.org)
  • A stent can be used to stabilize the cricoid plate once it has been divided anteriorly or posteriorly, with or without cartilage placement, to keep the complex in an expanded formation during healing. (medscape.com)
  • For anterior graft placement only, stenting commonly lasts for a week or less, which usually occurs while a patient is endotracheally intubated in an intensive care unit (ICU). (medscape.com)
  • A study by Kida et al found that covered biliary self-expandable metal stents could be safely removed when they become occluded and that patency rates were similar for reintervention and initial stent placement. (medscape.com)
  • In patients with medially inoperable or unresectable tumors, primary radiotherapy, with or without chemotherapy, has provided a survival advantage and significant palliation over stent placement or bypass surgery alone. (medscape.com)
  • Stent placement should only be performed at hospitals where emergency coronary artery bypass graft surgery can be readily performed. (medtronic.com)
  • The artery can be reopened with a procedure similar to the original stent placement, although doctors sometimes need to use a tiny drill or laser to cut through the obstruction. (harvard.edu)
  • While angioplasty with stent placement addresses an individual blockage, it doesn't fix the underlying cause of the blockage. (nuffieldhealth.com)
  • This example CRF shows information collected about stent placement. (cdisc.org)
  • The Advanix Biliary Stent with NaviFlex RX Delivery System is designed to maximize flow rates, improve pushability through tortuous anatomy, and be repositionable to aid in accurate placement. (bostonscientific.com)
  • With endoscopic and radiopaque markers 1 for enhanced visualization 2 , the Advanix Pancreatic Stent helps facilitate stent placement during procedure and at follow-up fluoroscopic examination. (bostonscientific.com)
  • It is hence a rare case of stable RCA perforation following stent placement. (hindawi.com)
  • However, the patient had recurrent angina within a month of stent placement. (hindawi.com)
  • Malas and his team analyzed data from 103 patients who underwent placement of a carotid stent between 2005 and 2012 at the Johns Hopkins Bayview Medical Center. (medindia.net)
  • Placement of a metal stent across a stenotic or occluded blood vessel is intended to maintain patency of and re-establish flow through the vessel by providing internal structural support. (medscape.com)
  • Selective stent placement (exclusive of carotid intervention) is indicated as secondary intervention following balloon angioplasty when the result is residual stenosis greater than 30% or a flow-limiting dissection. (medscape.com)
  • Primary stent placement is generally indicated as initial intervention for iliac, renal, subclavian, and carotid stenosis. (medscape.com)
  • Endoscopic ultrasound-guided fine needle aspiration ( EUS-FNA ) is widely used for the pathological diagnosis of solid pancreatic lesions but in cases with obstructive jaundice , transpapillary sampling can be performed during endoscopic retrograde cholangiopancreatography with transpapillary biliary stent placement. (bvsalud.org)
  • Thus, it is still controversial whether EUS-FNA should be performed prior to endoscopic retrograde cholangiopancreatography with biliary stent placement or only after negative transpapillary sampling. (bvsalud.org)
  • The presence of biliary stents had a negative impact on the diagnostic performance of EUS-FNA , and EUS-FNA prior to endoscopic retrograde cholangiopancreatography with biliary stent placement should be considered in cases with obstructive jaundice . (bvsalud.org)
  • That stent was used as a scaffold to prevent a vessel from closing and to avoid restenosis in coronary surgery-a condition where scar tissue grows within the stent and interferes with vascular flow. (wikipedia.org)
  • Subsequent stent restenosis or occlusion may require repeat catheter-based treatments (including balloon dilatation) of the arterial segment containing the stent. (medtronic.com)
  • One is a gradual renarrowing of the area inside the stent, known as restenosis. (harvard.edu)
  • Restenosis is most likely to occur during the first three to 12 months of receiving a stent. (harvard.edu)
  • The complication that this stent helps out with is called In-Stent Restenosis, which is scar tissue that forms on the stent as your body reacts to the metal and the other products that are in the stent," says Thomassee. (theind.com)
  • After stenting for femoropopliteal in-stent restenosis, a dose of cilostazol (Pletal) was associated with reduced odds of future in-stent restenosis , researchers reported. (medpagetoday.com)
  • Older stents were often plagued with post-intervention complications, including stent thrombosis (ST). Newer, second-generation drug-eluting stents (DES) have improved clinical outcomes, but ST remains a problem that can be catastrophic. (pharmacytimes.com)
  • The team also looked at the addition of phacoemulsification to stent implantation. (medscape.com)
  • Of the 2457 eyes, about one-quarter underwent stent implantation alone and about three-quarters underwent implantation plus phacoemulsification. (medscape.com)
  • Postoperative complications associated with stent implantation affected less than 20% of the eyes. (medscape.com)
  • Nitinol Stent Implantation vs. Balloon Angioplasty for Lesions in the Superficial Femoral and Proximal Popliteal Arteries of Patients With Claudication: Three-Year Follow-up From the RESILIENT Randomized Trial. (bd.com)
  • Delayed arterial healing, characterized by poor endothelialization, is the primary cause of late (1 month-1 year postimplantation) and very late stent thrombosis following implantation of drug-eluting stents. (nature.com)
  • The use of this product carries the same risks associated with coronary artery stent implantation procedures, which include subacute and late vessel thrombosis, vascular complications and/or bleeding events. (medtronic.com)
  • Only physicians who have received adequate training should perform implantation of the stent. (medtronic.com)
  • The risks and benefits of the stent implantation should be assessed for patients with a history of severe reaction to contrast agents. (medtronic.com)
  • Despite growing evidence supporting the clinical utility of optical coherence tomography (OCT)-guidance during percutaneous coronary interventions (PCIs), there is no common agreement as to the optimal stent implantation parameters that enhance clinical outcome. (nih.gov)
  • The clinical utility of OCT-guided PCI might depend on the metrics adopted to define suboptimal stent implantation. (nih.gov)
  • Percutaneous coronary intervention (PCI) was then undertaken, which, due to the complex nature of the stenosis, required implantation of two drug-eluting stents (DESs) (Xience V, Abbot, Temecula, Calif, USA) on both bifurcations. (hindawi.com)
  • The ION Stent System incorporates a unique platinum chromium (PtCr) alloy designed specifically for coronary stenting and intended to improve the acute performance of coronary stent implantation in the treatment of coronary artery disease. (prnewswire.com)
  • The occurrence and clustering of stent thrombosis in the subacute phase suggests that the risk is associated with factors related to the scaffold, the lesion, implantation technique, or a combination of these factors (calcium, adequate predilatation, expansion, apposition etc). (medscape.com)
  • Most of the time, stents are used when arteries become narrow or blocked. (medlineplus.gov)
  • As the only commercially available bare metal stent FDA-approved for the superficial femoral and popliteal arteries, the LifeStent™ Vascular Stent has a history of proven performance. (bd.com)
  • Impairment of vasorelaxation in nonstented proximal and distal segments of stented coronary arteries is more severe with drug-eluting stents than bare-metal stents, and stent-induced flow disturbances resulting in complex spatiotemporal shear stress can also contribute to increased thrombogenicity and inflammation. (nature.com)
  • The Resolute Integrity Zotarolimus-Eluting Coronary Stent System is indicated for improving coronary luminal diameters in patients, including those with diabetes mellitus, with symptomatic ischemic heart disease due to de novo lesions of length ≤ 27 mm in native coronary arteries with reference vessel diameters of 2.25 mm to 4.20 mm. (medtronic.com)
  • When I had a heart attack late last year, I got a stent in one of my coronary arteries. (harvard.edu)
  • In the last ten years, seven million North Americans have spent more than $110 billion to have stents put into the arteries leading to their hearts and many probably should not have had this surgical procedure in the first place. (drmirkin.com)
  • It is my opinion, and that of many heart specialists, that stents should not be put into the heart arteries unless a person has virtually complete blockage of blood flow to the heart, a sign of impending death of heart muscle, or uncontrollable chest pain. (drmirkin.com)
  • Cardiologists get paid less than $250 to talk to patients about lifestyle changes to prevent heart attacks, and the clotting risks of having a stent put into their arteries. (drmirkin.com)
  • Drug-eluting stents are tiny mesh tubes that physicians use to prop open clogged arteries in order for blood to flow freely to the heart. (theind.com)
  • Stent induced hemodynamic changes in the coronary arteries are associated with higher risk of adverse clinical outcome. (researchgate.net)
  • Stent grafts made of fabric are often used in larger arteries. (mountsinai.org)
  • Stents can keep the carotid arteries open. (mountsinai.org)
  • Stents can also open up narrow arteries in your legs caused by peripheral arterial disease. (mountsinai.org)
  • Stents to keep blocked carotid arteries open are not as effective as surgery in preventing strokes, but nevertheless are associated with a lower rate of heart attacks, researchers said Monday. (medindia.net)
  • Carotid stents are designed to open up the neck arteries, which carry oxygen-rich blood from the heart to the brain but have been narrowed over time by a buildup of cholesterol, fat and other substances that stick to blood vessel walls. (medindia.net)
  • Still, he suspects metallic stents in the coronary arteries "will be a minority in 2020. (medscape.com)
  • In 2003, approximately 84% of the 660,000 hospitalized patients who underwent a coronary angioplasty received a stent, a wire mesh tube inserted during angioplasty to reduce future narrowing of arteries. (cdc.gov)
  • Drug-eluting stents have been determined to reduce the probability of future narrowing of arteries. (cdc.gov)
  • ST may develop due to procedural complications such as stent underexpansion, dissection at the stent edge, plaque rupture in the residual atherosclerotic lesion, and medial fracture. (pharmacytimes.com)
  • My doctor said that complications from stents are uncommon, but what can go wrong? (harvard.edu)
  • These refinements have helped to minimize the risk of stent-related complications, which fall into two categories. (harvard.edu)
  • Today's stents feature different drugs that minimize the risk of both complications, although anti-clotting pills are still necessary. (harvard.edu)
  • 64-slice multidetector CT (MDCT) coronary angiography has been shown to detect poststent complications such as instent stenosis, thrombosis, stent migration and stent fractures. (hindawi.com)
  • Stents are effective, and serious complications don't occur often. (theind.com)
  • The SYNERGY stent allows synchronized drug and polymer absorption that enables more rapid and complete arterial healing, and reduces the risk of complications associated with long-term polymer exposure compared to other drug-eluting stents with permanent polymers. (theind.com)
  • Dr. Eric Thomassee, who specializes in cardiovascular diseases and interventional cardiology at Heart Hospital, says that one of the biggest advantages of the SYNERGY stent is that it reduces the chance of complications involving scar tissue developing in recovering patients. (theind.com)
  • In general, the bioabsorbable polymer decreases inflammation and allows the stent to have less complications. (theind.com)
  • It's the newest technology that we have in our arsenal to treat patients, where we can help them out and then avoid the common complications that we see with stents," Thomassee notes. (theind.com)
  • Reporting on results of a small study described online in the Journal of Vascular Surgery , the surgeons say inflating a balloon inside the artery after placing the stent greatly increases patients' risk of serious complications. (medindia.net)
  • The Agile Esophageal Stent System, featuring a through-the-scope delivery system, is intended for maintaining esophageal luminal patency in esophageal strictures caused by intrinsic and/or extrinsic malignant tumors and occlusion of concurrent esophageal fistulas. (bostonscientific.com)
  • The covered stent can also be used for occlusion of concurrent esophageal fistula. (bostonscientific.com)
  • This case also highlights the role of CT coronary angiography (CTCA) in detecting stent fracture and associated coronary occlusion and perforation. (hindawi.com)
  • A catheter angiography done at that time revealed total occlusion of the RCA stent, with grade III collaterals. (hindawi.com)
  • Dual-layer carotid stents were tied to much higher rates of acute occlusion (45% versus 3.7% for single-layer stents, P =0.001) in patients with acute tandem lesions of the anterior circulation, according to a small, single-center study published in Stroke . (medpagetoday.com)
  • Fully covered self-expandable metal stents (FCSEMS) represent the latest advancement of metal biliary stents used to endoscopically treat a variety of obstructive biliary pathology. (wjgnet.com)
  • Fully covered self-expandable metal stents (FCSEMS) are composed of a metal alloy tubular mesh with a synthetic covering to minimize tumor ingrowth. (wjgnet.com)
  • A review by a team of Italian researchers compares the available therapies for reducing stent thrombosis in patients with acute coronary syndrome. (pharmacytimes.com)
  • In a review published online on December 4, 2012, in Angiology , and titled "Pharmacotherapeutic Considerations for the Use of Prasugrel and Ticagrelor to Reduce Stent Thrombosis in Patients With Acute Coronary Syndrome," a team of Italian researchers concisely compares the available therapies. (pharmacytimes.com)
  • Other registries have reported a fairly high incidence of stent thrombosis in patients with bioresorbable stents," writes Kristensen. (medscape.com)
  • When a stent is placed into the body, the procedure is called stenting. (medlineplus.gov)
  • Peripheral arterial stenting is a minimally invasive procedure during which a small mesh tube called a stent is inserted into an artery. (nuffieldhealth.com)
  • Endovascular stent grafting has made abdominal aortic aneurysm repair safer and more comfortable for many people, but the procedure is not for everyone. (medtronic.com)
  • Before you begin stent graft therapy for an abdominal aortic aneurysm, contact your insurance provider for detailed information about your coverage and co-pay requirements for this procedure. (medtronic.com)
  • As a result, total PCI procedure volumes-and hence coronary stent unit sales and revenues-went significantly lower in 2020. (grandviewresearch.com)
  • After a stent procedure, your doctor will probably recommend that you take aspirin and another anti-clotting medication to prevent blood clots from forming in the stent. (mountsinai.org)
  • Skipping one commonly taken step during a routine procedure to insert a wire mesh stent into a partially blocked carotid artery appears to prevent patients from developing dangerously low blood pressure, an extremely slow heart rate or even a stroke or heart attack, reveal John Hopkins surgeons. (medindia.net)
  • Patients who underwent post-stent ballooning were four times more likely to suffer from dangerously low blood pressure and/or a dangerously slow heart rate during or immediately after the procedure. (medindia.net)
  • Patients are typically referred for a carotid stent when they have a blockage of 70 percent or more in the carotid artery and would be unsuitable candidates for a surgical procedure that involves cutting open the artery and removing the buildup. (medindia.net)
  • Placing a carotid stent is a minimally invasive procedure that involves threading a catheter from the groin area up to the site of the blockage in the neck. (medindia.net)
  • Patients who received at least one DES (n = 4754) were compared with those who received only bare metal stents (BMS) (n = 4956) at the index procedure. (lu.se)
  • The most common events were intraocular pressure elevation, hyphema, and stent blockage. (medscape.com)
  • A stent can help to relieve heart pain caused by blockage, but has not been proven to reduce the risk of a person suffering a heart attack in the future. (drmirkin.com)
  • The Covera™ Vascular Covered Stent delivered effective results in two separate clinical trials, one for patients dialyzing with AV grafts and one for patients dialyzing with AV fistulas. (bd.com)
  • Prospective, Multicenter Clinical Study of the Covera Vascular Covered Stent in the Treatment of Stenosis at the Graft-Vein Anastomosis of Dysfunctional Hemodialysis Access Grafts. (bd.com)
  • Stent developed material that was used for dental impressions and, later, to support skin grafts. (medscape.com)
  • However, stent grafts are made of fabric. (medlineplus.gov)
  • As a result, blood clots could form on the stent (stent thrombosis). (harvard.edu)
  • According to Thomassee, it's been shown that the polymer contained in many stents can contribute to inflammation that can then cause scar tissue to form on the stent. (theind.com)
  • The Flexima Biliary Stent System is intended for delivery of the stent to the biliary tract for drainage of the bile ducts, for splinting of a bile duct during healing, or for providing bile duct patency in a stricture or past a stone. (fda.gov)
  • The advanced low-profile delivery system facilitates precise delivery of the stent across challenging lesions. (prnewswire.com)
  • Seems many of the researchers are saying that with these drug coated stents, patients should be on Plavix for life. (healingwell.com)
  • Many patients are 65 and over who need stenting and the Part D medicare drug plan charges $59.00 a month as a co-pay for Plavix, per month. (healingwell.com)
  • NEW ORLEANS - For patients with open-angle glaucoma, the addition of a trabecular implantable stent to phacoemulsification surgery reduces the need for postoperative hypotensive medications, according to a new meta-analysis. (medscape.com)
  • About half the patients in the phacoemulsification-stent group had one stent, and 40% had two. (medscape.com)
  • The number of patients with three stents implanted was very small, so none were included in the analysis. (medscape.com)
  • Because TVMI was part of the primary end point of target-lesion failure (TLF) at 1 year, there were so many primary events in both groups that the OPTIMIZE IDE trial, with its more than 1600 patients, was grossly underpowered for the Slender stent to meet the prospectively defined criteria for noninferiority, investigators say. (medscape.com)
  • The TLF rate was 10.30% for the 827 patients who received Slender and 9.49% for the 812 patients treated with the other stents. (medscape.com)
  • In AVeNEW, patients who received the Covera™ Vascular Covered Stent had 103 reinterventions involving a new lesion compared to 72 reinterventions in the PTA only group at 24 months. (bd.com)
  • In a study of 30 children who underwent tracheal disease surgery, either for congenital tracheal stenosis (25 patients) or acquired lesions (5 patients), Arcieri et al found that 19 patients (63%) required endoscopic reinterventions, including 13 (43.3%) in whom stent positioning was performed. (medscape.com)
  • A retrospective study by Nagano et al using multivariate analysis indicated that in cases of severe central airway obstruction caused by advanced cancer, stenting tends to achieve better outcomes in patients with a good prestenting performance status (PS). (medscape.com)
  • The mean poststenting survival period in patients who, before stenting, had a poor PS was 38.2 days, compared with 147.8 days in those with a good PS. (medscape.com)
  • Patients who receive stents are at increased risk for clots that cause heart attacks, bleeding from anti-clotting medicines and blockages from coronary scar tissue. (drmirkin.com)
  • Our WallFlex Esophageal Stents deliver luminal patency in patients with esophageal strictures caused by intrinsic and/or extrinsic malignant tumors, through combination of flexibility and control for optimized patient care. (bostonscientific.com)
  • The SYNERGY stent was approved for use by the FDA in October and is being studied in more than 15,000 patients worldwide. (theind.com)
  • Dual antiplatelet therapy with aspirin plus thienopyridines has become the standard treatment of patients undergoing coronary stenting. (hindawi.com)
  • I look forward to using the ION Stent in my daily practice, and I believe our patients will benefit from its improved acute performance," said Louis Cannon , M.D., FACC, FACA, Heart and Vascular Institute Program Director at Northern Michigan Regional Hospital in Petoskey, MI. (prnewswire.com)
  • Exceptional stent deliverability offers cardiologists the potential to treat patients with difficult-to-reach lesions. (prnewswire.com)
  • The ION Stent offers physicians and their patients the broadest size matrix on the market, and includes both monorail® and over-the-wire versions, with sizes ranging in diameter from 2.25 mm to 4.00 mm and lengths of 8 mm to 38 mm. (prnewswire.com)
  • The ION Stent is backed by the proven safety and efficacy of the TAXUS clinical program, which spans 10 years of research in nearly 50,000 patients in 28 pre- and post-market studies. (prnewswire.com)
  • The PERSEUS clinical program compared the ION Stent to prior-generation Boston Scientific stents in more than 1,600 patients in two parallel trials at 90 centers worldwide. (prnewswire.com)
  • In April 2011 , results from an analysis of pooled patient-level data from 2,298 patients enrolled in the PERSEUS and TAXUS ATLAS clinical trials showed that the ION Stent demonstrated significantly lower rates of major adverse cardiac events, target lesion failure and myocardial infarction compared to the TAXUS® Liberte® Paclitaxel-Eluting Stent System. (prnewswire.com)
  • All patients underwent pre-stent ballooning. (medindia.net)
  • As part of his study, Malas also looked at data from a past study of more than 1,000 patients undergoing carotid stenting, which also hinted that post-stent ballooning increases the risk of stroke. (medindia.net)
  • The use of drug-eluting stents (DES) in these patients is widespread, despite uncertain long-term safety and efficacy. (lu.se)
  • Myocardial infarction was significantly less common with DES in patients who received only one stent RR, 0.80 (95% CI, 0.66-0.96). (lu.se)
  • For patients who received the Absorb stent, the primary end point of target lesion failure at 12 months was 4.2% compared with 3.8% among patients who received the everolimus-eluting stent with a nonabsorbable cobalt- chromium scaffold ( Xience , Abbott Vascular), a difference that was not statistically significant. (medscape.com)
  • Kimura, who presented the results to the media, said the ABSORB trial was designed to support regulatory approval of the Absorb stent in Japan, and because of that the trial has limitations, one of the most notable being the inclusion of highly selected coronary artery disease patients typical of stent trials designed for regulatory approval. (medscape.com)
  • Like ABSORB Japan, patients were randomized to treatment with the Absorb stent or the Xience everolimus-eluting stent. (medscape.com)
  • Black and white angioplasty patients were equally likely to receive a stent. (cdc.gov)
  • The accuracy, sensitivity , and specificity of EUS-FNA for solid pancreatic lesions with or without indwelling biliary stents were retrospectively studied in patients undergoing EUS-FNA between January 2017 and December 2021. (bvsalud.org)
  • A total of 509 patients (40 with biliary stents and 469 without biliary stents ) were included. (bvsalud.org)
  • The global coronary stents market size was estimated at USD 9.32 billion in 2022 and is expected to grow a compound annual growth rate (CAGR) of 3.1% from 2023 to 2030. (grandviewresearch.com)
  • The Drug-Eluting Stents (DES) segment dominated the market for coronary stents and held the largest revenue share of 66.5% in 2022. (grandviewresearch.com)
  • On 5-6 October 2022, STINT and the Japan Science and Technology Agency (JST) arranged a workshop on responsible. (stint.se)
  • Other causes of ST can include delayed arterial healing, hypersensitivity reactions to the stent itself, stent malapposition, and new atherosclerotic deposition. (pharmacytimes.com)
  • Peripheral arterial stenting uses a stent to widen an artery. (nuffieldhealth.com)
  • What is peripheral arterial stenting? (nuffieldhealth.com)
  • If conservative methods to treat your PAD are not successful, your consultant may recommend peripheral arterial stenting. (nuffieldhealth.com)
  • What are the benefits of peripheral arterial stenting? (nuffieldhealth.com)
  • Peripheral arterial stenting should provide relief of the symptoms caused by the blocked artery. (nuffieldhealth.com)
  • Is peripheral arterial stenting right for me? (nuffieldhealth.com)
  • Your vascular surgeon will only recommend peripheral arterial stenting if you are significantly limited by your symptoms, and conservative management is no longer effective. (nuffieldhealth.com)
  • What happens during peripheral arterial stenting? (nuffieldhealth.com)
  • Peripheral arterial stenting can take from 30 minutes up to several hours depending on the amount of narrowing you have. (nuffieldhealth.com)
  • Coronary stent fracture is a known complication of coronary arterial stent placements. (hindawi.com)
  • The indications for peripheral vascular stents for known peripheral arterial disease are the same as those for open intervention. (medscape.com)
  • Investigators reported that "Absorb in the setting of STEMI resulted in nearly complete arterial healing, which was comparable to that of the metallic [everolimus-eluting stent] at 6 months. (medscape.com)
  • It's important to recognize and treat, as it may be associated with late stent thrombosis. (medscape.com)
  • The incompetent endothelium leads to late stent thrombosis and the development of in-stent neoatherosclerosis. (nature.com)
  • The sirolimus-eluting Slender IDS coronary stent (Svelt Medical Systems), exquisitely skinny to simplify crossing lesions without predilatation, came up short in a randomized noninferiority trial against familiar Xience (Abbott Vascular) and Promus (Boston Scientific) drug-eluting stents (DES). (medscape.com)
  • This covered stent platform is designed to balance the flexibility and strength required to address challenging lesions from the terminal cephalic arch, to the basilic swingpoint segments, to the AV graft venous anastomosis. (bd.com)
  • The LifeStent™ Vascular Stent is a peripheral stent intended to improve luminal diameter in the treatment of symptomatic de-novo or restenotic lesions up to 240mm in length in the native superficial femoral artery (SFA) and popliteal artery with reference vessel diameters ranging from 4.0 - 6.5mm. (bd.com)
  • 3. RESILIENT I Trial, RESILIENT II Trial, E-TAGIUSS Trial, Retrospective Analysis of LifeStent® Vascular Stent Systems in the Treatment of Long-Segment Lesions, LifeStent® Vascular Stent Delivery System Study (LifeStent® 200 mm Trial),REALITY I Trial,REALITY II Trial, ETAP Trial, CONTINUUM Trial, and RELIABLE Trial. (bd.com)
  • The ION Stent has been evaluated in the PERSEUS trial, which reported 12-month results in March 2010 , demonstrating positive safety and efficacy outcomes in workhorse lesions compared to the TAXUS® Express2® Stent System. (prnewswire.com)
  • Growing aging population and a rising prevalence of noncommunicable diseases such as cardiovascular diseases (CVDs), complex lesions, diabetes, obesity, and others are expected to drive demand for coronary stents over the forecast period. (grandviewresearch.com)
  • The impact of biliary stents on the diagnostic yield of endoscopic ultrasound-guided fine needle aspiration for solid pancreatic lesions: A single-center retrospective study and meta-analysis. (bvsalud.org)
  • A coronary artery stent is a small, metal mesh tube that is placed inside a coronary artery to help keep the artery open. (medlineplus.gov)
  • A coronary artery stent is a small, self-expanding, metal mesh tube. (medlineplus.gov)
  • Like other coronary artery stents, it is left permanently in the artery. (medlineplus.gov)
  • The local hospital is one of the few medical centers in the country using the new SYNERGY Bioabsorbable Polymer Drug-Eluting Coronary Stent, the first dissolvable polymer stent approved by the Food and Drug Administration to treat coronary artery disease. (theind.com)
  • According to research published by the National Library of Medicine in June 2021, one of the CVDs, coronary artery disease (CAD), causes roughly 6,10,000 fatalities yearly (an estimated 1 in 4 deaths) and is the major cause of mortality in the U.S. As a result, the unprecedented rise in CAD incidence is predicted to boost demand for an effective coronary stent device for treatment. (grandviewresearch.com)
  • An intraluminal coronary artery stent is a small, self-expanding, stainless steel mesh tube that is placed within a coronary artery to keep the vessel open. (mountsinai.org)
  • One stent, called an intraluminal coronary artery stent, is a small, self-expanding, metal mesh-like tube that is placed inside a coronary artery after balloon angiography. (mountsinai.org)
  • The stent is inserted along with a balloon catheter and expands when the balloon is inflated. (medlineplus.gov)
  • The mechanism of stent deformation involved the guide catheter (two cases), the guide extension (two cases), the balloon catheter (four cases), the thrombectomy catheter (one case), and distal crush (one case). (medscape.com)
  • The Wingspan Stent System with the Gateway PTA Balloon Catheter is designed to facilitate access through challenging neurovascular anatomy. (stryker.com)
  • The long-term outcome following repeat catheter-based treatments of previously implanted endothelialized stents is not well characterized. (medtronic.com)
  • Care should be taken to control the position of the guide catheter tip during stent delivery, deployment, and balloon withdrawal. (medtronic.com)
  • Doctors deliver coronary stents by threading a slender tube (catheter) through a vessel in the wrist or upper thigh all the way up to the heart. (harvard.edu)
  • At the tip of the catheter is a small balloon with a stent. (harvard.edu)
  • Once the catheter reaches the area in the artery narrowed by fatty plaque, the balloon inflates and deploys the stent. (harvard.edu)
  • A relook at the previous catheter angiography revealed the stent fracture (retrospectively), which was missed during catheter angiography. (hindawi.com)
  • The product incorporates the same platinum chromium alloy, innovative stent design and advanced catheter delivery system of the ION Stent System. (prnewswire.com)
  • Your doctor will make a small cut in a blood vessel in your groin and thread a thin, flexible tube called a catheter to the place in your body where you need a stent. (mountsinai.org)
  • Bioresorbable scaffolds have also entered the market, though a large-scale clinical trial showed higher acute risks compared to drug-eluding stents. (wikipedia.org)
  • Bioresorbable stent Bronchoscopy Colonoscopy Esophagogastroduodenoscopy Grommet Interventional radiology Multi-artery Center for Devices and Radiological Health. (wikipedia.org)
  • Stenting technology is increasingly preferred over the conventional balloon angioplasty owing to the introduction of advanced DES and evolving bioresorbable scaffolds. (grandviewresearch.com)
  • Its analysis, using a specially designed bench test, found Abbott's MultiLink 8 (same design as Xience Prime ) and MultiLink Vision (same as Xience V ) stents to be associated with the greatest "compression resistance," while those of competitor Boston Scientific ( Omega --"same stent design as the Promus Element, Taxus Element , and Ion ) have the lowest. (medscape.com)
  • The Company has made significant investments in the platinum chromium alloy, and our success with the PtCr Stent Series in Europe and other international markets has confirmed that stent material really matters," said Hank Kucheman , Executive Vice President and Group President, Cardiology, Rhythm and Vascular for Boston Scientific. (prnewswire.com)
  • Boston Scientific, for instance, reported a significant decrease in annual revenues in its Interventional Cardiology segment, which includes coronary stent devices, in 2020, but the company performed relatively well in the first quarter of 2021, reporting revenue growth of approximately 7% globally compared to the first quarter of 2020. (grandviewresearch.com)
  • created a balloon-expandable stent that is currently used. (wikipedia.org)
  • Shortly thereafter, in 1987, Julio Palmaz (known for patenting a balloon-expandable stent ) and Richard Schatz implanted their similar stent into a patient in Germany. (wikipedia.org)
  • The LifeStent™ Vascular Stent System has achieved lasting results over the long term, with sustained effectiveness up to three years, and treatment superiority over balloon angioplasty. (bd.com)
  • The balloon is then deflated and withdrawn leaving the stent to hold the artery open. (nuffieldhealth.com)
  • Current standard practice by most physicians is to inflate the balloon to open up the artery before placing the carotid stent and again afterward. (medindia.net)
  • Our work suggests that doctors should never balloon a stent after placing it. (medindia.net)
  • Physicians gently inflate a balloon in the area that is constricted to open the artery wide enough to safely insert the stent. (medindia.net)
  • Those who again inflate the balloon afterward say it enables the stent to open as wide as possible and to show surgeons if the opening is large enough to reduce the risk of closing off in the future. (medindia.net)
  • Malas says he also believes post-stent ballooning wreaks havoc on blood pressure and heart rate, because the pressure of the post-stent balloon on the artery sends confusing signals to the brain. (medindia.net)
  • There is a new type of stent on the horizon. (healingwell.com)
  • Part 2 collects information on the type of stent inserted during the study, including replacement stents. (cdisc.org)
  • Indicate the type of stent inserted. (cdisc.org)
  • Record the specific type of stent, if known. (cdisc.org)
  • Walsh also recommended using intravenous ultrasound (IVUS) or optical coherence tomography (OCT) imaging when a case of stent compression is suspected. (medscape.com)
  • We report a case of stent fracture in a patient who underwent RCA stenting with associated RCA perforation and almost complete thrombosis of the RCA and peristent fibrinoid collection. (hindawi.com)
  • This is a rare case of stent fracture with perforation of the RCA. (hindawi.com)
  • A total of 45 mm of everolimus-eluting stent was used. (hindawi.com)
  • In October 2009 , the Company received CE Mark approval for the PROMUS Element™ Everolimus-Eluting Stent System. (prnewswire.com)
  • LONDON, UK - Data from two new studies presented last week at the European Society of Cardiology (ESC) 2015 Congress provide some evidence the everolimus -eluting stent with a bioabsorbable vascular scaffold ( Absorb , Abbot Vascular) is as good as the current standard of care [ 1 ] . (medscape.com)
  • Stents can be used for similar reasons in the trachea, especially to maintain lumen patency to prevent death. (medscape.com)
  • Stenting may help to maintain lumen patency and prevent mucosal lacerations from scarring. (medscape.com)
  • The Ultraflex Esophageal Stent System maintains luminal patency in esophageal strictures caused by intrinsic or extrinsic malignant tumors. (bostonscientific.com)
  • A large stent diameter and synthetic covering over the tubular mesh prolong stent patency and reduce risk for tissue hyperplasia and tumor ingrowth. (wjgnet.com)
  • That's why people who receive stents typically take anti-clotting medications for at least six months and sometimes up to a year or longer. (harvard.edu)
  • Strut spacing, thickness, luminal protrusion, and malapposition were systematically investigated and a comparison made between two commercially available stents (Omega and Biomatrix). (researchgate.net)
  • Local hemodynamics worsened with luminal protrusion of the stent and with stent malapposition, adverse high WSS and WSSG were identified around peak flow and throughout the cardiac cycle respectively. (researchgate.net)
  • The in-stent RCA was consequently completely occluded with minimal flow in a short segment of post-stent RCA and in its acute marginal branch vessel. (hindawi.com)
  • The stent was completely thrombosed and the distal post-stent RCA showed faint opacification beyond the fractured site (Figures 3 and 4 ). (hindawi.com)
  • Seventy percent also underwent post-stent ballooning, while 30 percent did not. (medindia.net)
  • Although Malas says the study was too small to absolutely end the practice of post-stent ballooning, that approach should be considered. (medindia.net)
  • The current accepted origin of the word stent is that it derives from the name of an English dentist, Charles Thomas Stent (1807-1885), notable for his advances in the field of denture-making. (wikipedia.org)
  • The word stent is derived from Charles B. Stent, a British dentist who practiced in the late 19th century. (medscape.com)
  • In current practice, the word stent refers to material that supports some form of tissue against collapse. (medscape.com)
  • Flexima Biliary Stent System Devices were packaged with Tyvek tray lids that had incorrect adhesive, resulting in sterile barrier seal defects. (fda.gov)
  • The Epic Biliary Stent was developed for physicians who prefer a laser cut stent. (bostonscientific.com)
  • Read more about STINT Teaching Sabbatical and STINT Strategic Grants for Internationalisation and sign up for the information meeting on LU staff pages. (lu.se)
  • The stent is then left there to help keep the artery open. (medlineplus.gov)
  • The stent holds the artery open, restoring blood flow. (harvard.edu)
  • The notable competitors in the market for coronary stents announced revenue falls in their interventional cardiology portfolios, which include coronary stent devices, in 2020, due to the impact of the COVID-19 pandemic. (grandviewresearch.com)
  • In contrast, Abbott Laboratories Laboratories was the least affected, with less impact on its entire vascular segment in 2020, which includes coronary stent devices, in its 2020 annual results. (grandviewresearch.com)
  • On 18 February 2020, STINT organised a panel at the AIEA conference in Washington, DC. (stint.se)
  • Stents can be placed via endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic cholangiography (PTC) to relieve biliary obstruction. (medscape.com)
  • The AXIOS™ Stent and Electrocautery Enhanced Delivery System* is the first and currently the only stent indicated for transgastric or transduodenal endoscopic drainage of symptomatic pancreatic pseudocysts and walled-off necrosis under EUS imaging guidance in the U.S., providing an endoscopic treatment option. (bostonscientific.com)
  • The Epic Biliary Endoscopic Stent System was developed to complement our best-in-class braided metal stent portfolio. (bostonscientific.com)
  • The Epic Biliary Endoscopic Stent System is indicated for the palliation of malignant neoplasms in the biliary tree. (bostonscientific.com)
  • Multiple long-term risks are also associated with drug eluting stents. (hindawi.com)
  • We are hopeful that they will benefit from it compared to older stents, and even though the complication rate of stents is very small, any reduction in those risks is worth exploring. (theind.com)
  • Drug-eluting stents made in China were associated with greater risks of major adverse cardiac events and needing revascularization within 2 years of stenting compared with the same devices made elsewhere, a single-center study showed. (medpagetoday.com)
  • Make sure that you talk to your doctor, before getting a stent, about the risks associated with placing a stent to treat your condition, such as tissue growing around the area where the stent was placed. (mountsinai.org)
  • Most stents are made of metal or plastic mesh-like material. (mountsinai.org)
  • All cases were identified retrospectively, after asking operators if they remembered any procedures in which signature stent-compression problems may have arisen. (medscape.com)
  • The Company anticipates FDA approval for the PROMUS Element Stent System in mid 2012. (prnewswire.com)
  • Williams emphasized that this complication was rare--seen 10 times in over 9411 stents (in 4526 cases), yielding a deformation rate of 0.11% (or 0.22% of cases). (medscape.com)
  • In comparison to the previous generation devices, these newer-generation DES provide greater stent integrity, higher deliverability, and lower complication rates. (grandviewresearch.com)
  • Since a coronary stent is used in most of the Percutaneous Coronary Intervention (PCI) procedures. (grandviewresearch.com)
  • Endovascular stent grafting is a less-invasive alternative to open surgical repair. (medtronic.com)
  • Before recommending endovascular stent grafting for you, your doctor will take a number of factors into consideration, including your age, the size and condition of your aneurysm and aorta, your medical history, and your health history. (medtronic.com)
  • If you are a candidate for endovascular stent graft therapy, your endovascular surgery team will be involved at every stage. (medtronic.com)
  • Several interventional products are available for the endovascular specialist, but balloons and stents make up the core of these technologies. (medscape.com)
  • November 8, 2011 (San Francisco, California) - Interventional cardiologists here at TCT 2011 are hashing over the emerging issue of longitudinal stent compression, with the bulk of experts concluding that this phenomenon is rare, grabbing undue attention, and in many cases avoidable with meticulous technique. (medscape.com)
  • Interventional cardiologists who put in stents earn a median income of $562,855 a year, as compared to $207,117 for family doctors, according to the Medical Group Management Association. (drmirkin.com)
  • There is some data (though perhaps not very good data) to suggest there is a higher thrombosis rate, especially in the first 30 days, with the drug coated rather than bare metal stents, but if you take your Plavix and aspirin this shouldn't be much of a problem. (healingwell.com)
  • If your cardiologist prefers to use bare metal stents, I'd want to know why, as my belief is that the drug eluting kind are the "standard of care" these days. (healingwell.com)
  • Doctors also need to inform the patient about bare metal stents/pros and cons as both types are not without problems. (healingwell.com)
  • Bare metal stents does not require long term use of Plavix, the article stated. (healingwell.com)
  • My sister was on Plavix for 2 years with her 2 bare metal stents. (healingwell.com)
  • The process of neoatherosclerosis occurs more rapidly, and more frequently, following deployment of drug-eluting stents than bare-metal stents. (nature.com)
  • Originally, stents were made of bare metal. (harvard.edu)
  • According to the National Library of Medicine (NLM) in February 2023,when compared to bare metal stents, drug-eluting stents (DES) displayed higher effectiveness. (grandviewresearch.com)
  • If stenting is performed for a shorter duration, the graft may prolapse into the lumen. (medscape.com)
  • This is not, he reminded the audience, something that was seen in the large randomized clinical trials of next-generation drug-eluting stents, and the attention this issue is garnering now is "anecdotal or marketing in these circumstances. (medscape.com)
  • The LifeStent™ Vascular Stent Systems, in varying sizes, have been studied in more than ten clinical trials in the United States and globally. (bd.com)
  • When drug-eluting stents (DES) are used outside the specified Indications for Use , patient outcomes may differ from the results observed in the RESOLUTE pivotal clinical trials. (medtronic.com)
  • If the good lab results are confirmed in these tests, the next step will be to conduct clinical trials of the modified stents at the Schillerhöhe specialist lung clinic, part of the Robert Bosch Hospital. (medgadget.com)
  • Dr Steen Kristensen (Aarhus University Hospital, Denmark), the discussant following the late-breaking clinical-trials presentation, who wrote an editorial accompanying the study's publication in European Heart Journal [ 3 ] , said the new stents have the benefit of delivering the drug and then disappearing, changing a "coronary intervention from treatment with a permanent metallic stent to a resorbable cure. (medscape.com)
  • The first use of a coronary stent is typically attributed to Jacques Puel [fr] and Ulrich Sigwart, who implanted a stent into a patient in Toulouse, France, in 1986. (wikipedia.org)
  • In nine cases, stent deformation was recognized and treated, typically through reexpansion, although in one of the cases, deformation of the stent inlet was recognized after a previously treated patient returned to hospital with anterior STEMI due to stent thrombosis. (medscape.com)
  • The first reason to use stents in cases of LTS is to support the larynx, typically with some form of autologous cartilage, after a reconstructive technique has been performed. (medscape.com)
  • These types of stents have been known to slip out of place as well as help develop pneumonia because they typically lack any anti-bacterial properties. (medgadget.com)
  • Typically the polymer is what your body is reacting to, so if the stent dissolves its polymer in three to four months, then there are less problems with scar tissue forming on them. (theind.com)
  • Stents should be used to prevent heart muscle damage in an acute heart attack, and when heart pain, called angina, remains severe in spite of good medical treatment. (drmirkin.com)
  • The positive clinical data from our PtCr Series trials support the acute performance benefits provided by our new platinum chromium stent platform," said Keith D. Dawkins , M.D., Senior Vice President and Chief Medical Officer for Boston Scientific's Cardiology, Rhythm and Vascular Group. (prnewswire.com)
  • Laryngeal and tracheal stents are solid or hollow absorbable or nonabsorbable tubes of various shapes, sizes, and materials. (medscape.com)
  • An image depicting laryngeal and tracheal stents can be seen below. (medscape.com)
  • In 1965, Montgomery described the use of silicone prostheses for tracheal stenting. (medscape.com)
  • Stenting in the tracheobronchial tree is usually used as a last resort for severe conditions such as recurrent carcinoma and severe tracheal collapse that results in periods of prolonged apnea. (medscape.com)
  • Tracheal stents can be lifesavers for people who have trouble breathing because of a constriction due to a tumor, congenital defect, or some other reason. (medgadget.com)
  • The investigators and some observers blamed the novel stent's failure to achieve noninferiority on lofty rates of target-vessel myocardial infarction (TVMI) in both the Slender group and the cohort that received the more well-established stents - rates that unexpectedly approached 9% in both groups. (medscape.com)