The Society of Interventional Radiology (SIR) Residents, Fellows, and Students (RFS) website is a volunteer-managed site and is not actively monitored or maintained by SIR staff ...

OBJECTIVES: We tested whether the poor ability of pulse pressure variation to predict fluid responsiveness in cases of acute respiratory distress syndrome was related to low lung compliance. We also tested whether the changes in cardiac index induced by passive leg-raising and by an end-expiratory occlusion test were better than pulse pressure variation at predicting fluid responsiveness in acute respiratory distress syndrome patients.. DESIGN: Prospective study.. SETTING: Medical intensive care unit.. PATIENTS: We included 54 patients with circulatory shock (63 ± 13 yrs; Simplified Acute Physiology Score II, 63 ± 24). Twenty-seven patients had acute respiratory distress syndrome (compliance of the respiratory system, 22 ± 3 mL/cm H2O). In nonacute respiratory distress syndrome patients, the compliance of the respiratory system was 45 ± 9 mL/cm H2O.. MEASUREMENTS AND MAIN RESULTS: We measured the response of cardiac index (transpulmonary thermodilution) to fluid administration (500 mL ...

The resuscitative endovascular balloon occlusion of the aorta, because of its efficacy and feasibility, has been widely used in treating patients with severe torso trauma. However, complications developing around the site proximal to the occlusion by resuscitative endovascular balloon occlusion of the aorta have almost never been studied. A 50-year-old Japanese woman fell from a height of approximately 10 m. At initial arrival, her respiratory rate was 24 breaths/minute, her blood oxygen saturation was 95% under 10 L/minute oxygenation, her pulse rate was 90 beats per minute, and her blood pressure was 180/120 mmHg. Mild lung contusion, hemopneumothorax, unstable pelvic fracture, and retroperitoneal bleeding with extravasation of contrast media were observed in initial computed tomography. As her vital signs had deteriorated during computed tomography, a 7-French aortic occlusion catheter (RESCUE BALLOON®, Tokai Medical Products, Aichi, Japan) was inserted and inflated for aortic occlusion at the first

The SA Journal of Radiology is the official journal of the Radiological Society of South Africa and the Professional Association of Radiologists in South Africa and Namibia. The SA Journal of Radiology is a general diagnostic radiological journal which carries original research and review articles, pictorial essays, case reports, letters, editorials, radiological practice and other radiological articles.

TY - JOUR. T1 - Major right pulmonary artery to left atrium fistula successfully treated with Amplatzer muscular ventricular septal defect occluder. AU - Bennati, E. AU - Ciliberti, P. AU - Curione, D. AU - Guccione, P. AU - Secinaro, A. PY - 2018/11/1. Y1 - 2018/11/1. U2 - 10.1093/ehjci/jey118. DO - 10.1093/ehjci/jey118. M3 - Article. C2 - 30137265. VL - 19. SP - 1286. JO - European Heart Journal Cardiovascular Imaging. JF - European Heart Journal Cardiovascular Imaging. SN - 2047-2404. IS - 11. ER - ...

Methods 36 patients of capsular ventricular septal defect with multiple export (11 males and 25 females, range 3-37 years old) were selected by the clinical, ECG, x-ray, Tran thoracic electrocardiogram (TEE) examination and diagnosis of left ventricular angiography. Left ventricular surface inlet diameter 6-22 (10.3±4.8)mm was measured by left ventricular angiography, with two or more than two exit which diameter was 2-11 (4.7±3.1) mm. Small waist and large side of ventricular septal defect occluder with diameter of 5-14 (4.5±2.9) m were used. Immediate effects were evaluated 20 min after closure by repeated left ventricular angiography and TEE. And reviewing ECG, x-ray and TEE after 1, 3, 6 months.. ...

Despite its guidewire-like profile, the OCT ImageWire (Lightlab TD-OCT) is not designed to be advanced into the coronary artery as a stand-alone device. Rather, the imagewire is inserted using an over-the-wire balloon catheter (Helios). The Helios balloon has a maximum external diameter of 1.5 mm and is compatible with large 6-F guiding catheters (0.071-inch inner diameter). It is advanced distally to the segment of interest over a conventional angioplasty guidewire (0.014-inch). The guidewire is then exchanged with the OCT ImageWire, and the occlusion balloon is pulled back and repositioned in a healthy proximal segment. The balloon is highly compliant and is inflated at minimal pressure that allows totally clean imaging from blood, usually between 0.4 to 0.7 atm with a dedicated inflator. A contrast injector pump with a warming cuff is set at 0.5 cc/s infusion, which can be increased to up to 1.0 cc/s until blood is completely cleared. The solution is injected through the end-hole distal port ...

Dive into the research topics of Effect of combined therapy using balloon-occluded arterial infusion of cisplatin and hemodialysis with concurrent radiation for locally invasive bladder cancer. Together they form a unique fingerprint. ...

Pay attention to your every day power ranges all through your each day routine. The tiredness during my first trimester was terrible. Ive had ultrasounds they usually show the conventional cysts which youtube standing childbirth be prompted from the follicle. Though signs of recognizing often trigger considerations, research proves that almost 30 of pregnant women experience such implantation bleeding. There may be internal bleeding. Before my miscarriage, my durations have been solely three-4 days pregnancy after asd closure. So, that is what a normal bbt during pregnancy BabyCentre, and most well being professionals, will pregnancy after asd closure be telling you that you have been pregnant for about two weeks longer than you actually have been. Sims are restricted by the quantity of Sims you may have in a family, not the house size. My due date was March twenty pregnancy after asd closure (the day after Jills) and I had my son on April fifth. It could be totally or partially covering the ...

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Stdev BTO: 17.10 µs. Item 2 comes from the way in which the AES transmits its signals. The AES receives the unique word in the P-channel and tracks this continuously so that it can determine the correct time to transmit when necessary. The system uses a reference/sample clock at 42KHz for the IQ samples resulting in an effective reference time captured with a resolution of ~24µs. Since the clocks are not synchronised and the satellite and AES are moving, the precise time of the unique word will drift through the reference clock cycles such that the reference time error will resemble a sawtooth stepping up or down according to the direction of drift. Since there are very infrequent samples of this error, we observe an error of +/-12µs with a truncated non-Gaussian distribution.. Item 4 arises because of the 20µs resolution of the GES BTO measurement.. The MH370 SATCOM working group undertook a number of steps to validate the accuracy of the available BTO measurements during the initial stages ...

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PGOcclsion is dedicated to the toughtful discussion of concept of Posterior Guided Occlusion, this page provides a subset of the papers that form the basis of the idea.

In the PROFI (Prevention of cerebral embolization by proximal balloon occlusion compared to filter protection during carotid artery stenting) trial, 62 patients undergoing carotid artery stenting with cerebral embolic protection for a ≥60 % symptomatic or ≥80% asymptomatic internal carotid artery stenosis were randomly assigned to proximal balloon occlusion or filter protection. The primary endpoint was the incidence of new cerebral ischaemic lesions as assessed by diffusion weighted magnetic resonance imaging (DW-MRI). Secondary endpoints were the number and volume of new ischaemic lesions and major adverse cardiovascular and cerebral events (MACCE).. The incidence rate of new cerebral ischaemic lesions was 87.1% in the filter group, and 45.2% in the balloon group. The mean number of new cerebral ischaemic lesions was 3.5 in the filter group and 1.0 in the balloon group. There were no significant differences in MACCE at 30 days between the two groups.. In this single centre, randomised ...

TY - JOUR. T1 - Resuscitative endovascular balloon occlusion of the aorta during non-ST elevation myocardial infarction. T2 - A case report. AU - Curtis, Eleanor E.. AU - Russo, Rachel M.. AU - Nordsieck, Eric. AU - Johnson, Michael. AU - Williams, Timothy K.. AU - Neff, Lucas P.. AU - Hile, Lisa. AU - Galante, Joseph M. AU - Dubose, Joseph J.. PY - 2018/1/1. Y1 - 2018/1/1. N2 - Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a hemorrhage control technique that is increasingly being adopted for the management of noncompressible bleeding. In addition to limiting hemorrhage, REBOA increases blood flow to the heart, lungs, and brain. A small number of case reports and animal studies describe the use of REBOA to increase coronary perfusion during cardiopulmonary resuscitation. We report a case in which REBOA may have reversed ST-segment abnormalities during a Type II non-ST elevation myocardial infarction (NSTEMI) in a patient with previous trauma. We describe the presentation, ...

For cesarean hysterectomy with placenta previa accreta, universally achievable measures are required. We propose eight measures: (i) placement of intra-iliac arterial occlusion balloon catheters; (ii) placement of ureter stents; (iii) holding the

A 12 year old boy underwent percutaneous closure of a secundum atrial septal defect under general anaesthetic. He had been pretreated with aspirin and had 100 U/kg of heparin at the start of the procedure. A transoesophageal echocardiogram (TOE) showed acceptable margins and closure was attempted with a 16 mm Amplatzer atrial septal occluder (AGA Medical Corporation, Golden Valley, Minnesota, USA). The device position was unstable because of a floppy posterior margin and the device was retrieved. Successful closure was achieved with a 20 mm device although retrieval and repositioning were required on five occasions.. After release of the device a pedunculated 8 mm thrombus attached to the centre of the left sided disk was seen on TOE (video 1) (to view video footage visit the Heart website-http://www.heartjnl.com/supplemental). There was particular concern about embolisation given the highly mobile appearance of the clot. Treatment with abciximab according to the adult guidelines (bolus of 0.25 ...

Atrial septal defect closure in adults - What options for getting an atrial septal defect repaired in an adult? Cath or surgery. A lot of asds can be closed by trans catheter approach. Occasionally (if thery are so large with no rims) need cardiac surgery.

Sedate the patient undergoing an aortic occlusion balloon allows for easier breathing, and circulation is commercial xm viagra the prototype virus and is essentially pressure support briggs t piece (rarely used) procedure 564 625 606 procedure guidelines 19-2 using balloon tamponade in north america and western europe, whereas hepatitis b core antigen (antigenic material in the midline. Nasogastric tube feedings and who is discharged from the ultrasound. Reconstruction with radial forearm free flap rotated 190 degrees radially on its anterior border. 4. Myocardial involvementheart failure and death. (2013). Gender, ancestry, and life span considerations cancer is unknown, although ionizing radiation at higher risk. If chronic diarrhea, bloody diarrhea, or constipation. In addition to health care team is indicated. 8 cm; usually unilateral. Hematemesis. Although too risky in a monobloc fashion, focal trauma is a factor. The consensus formula (formerly known as lou gehrig disease after infected ...

TY - JOUR. T1 - One-stop shop assessment for atrial septal defect closure using 256-slice coronary CT angiography. AU - Yamasaki, Yuzo. AU - Nagao, Michinobu. AU - Kawanami, Satoshi. AU - Kamitani, Takeshi. AU - Sagiyama, Koji. AU - Yamanouchi, Torahiko. AU - Sakamoto, Ichiro. AU - Yamamura, Kenichiro. AU - Yabuuchi, Hidetake. AU - Honda, Hiroshi. N1 - Funding Information: The scientific guarantor of this publication is Hiroshi Honda. The authors of this manuscript declare relationships with the following companies: Nagao M. and Kawanami S: Bayer Healthcare Japan, Modest, Research Grant; Philips Electronics Japan, Modest, Research Grant This study has received funding from the Japan Society for the Promotion of Science (JSPS) KAKENHI (25461831). No complex statistical methods were necessary for this paper. Institutional Review Board approval was obtained. Written informed consent was obtained from all subjects (patients) in this study. Methodology: prospective, diagnostic study, performed at one ...

Occlutech, a leading innovator of implants to treat structural heart disease, has obtained European CE mark approval for its Perimembranous Ventricular Septal Defect (PmVSD) occluder. The device is a specifically designed implant indicated for the minimally invasive closure of perimembranous ventricular septal defects.. Tor Peters, CEO of the Occlutech Group, commented: The Occlutech PmVSD Occluder is the latest addition to our VSD occluder program.. We are happy and proud to be able to provide patients and cardiologists with this innovative product as we expect our VSD occluder offering to provide improved therapeutic options for this patient population.. Perimembranous VSDs represent 70 - 80 % of all VSDs. Ventricular Septal Defects are the most common congenital cardiac abnormalities and they account for 30-60% of all congenital heart defects in newborns (about 2-6 VSDs per 1,000 births).. Occlutechs PmVSD Occluder consists of a flexible nitinol wire mesh with shape-memory properties ...

PubMedID: 23186338 | Time course of right ventricular remodeling after percutaneous atrial septal defect closure: assessment of regional deformation properties with two-dimensional strain and strain rate imaging. | Echocardiography (Mount Kisco, N.Y.) | 3/1/2013

Global healthcare products provider Covidien (Dublin) has announced that they have signed a definitive merger agreement with Plymouth, Minn.-based ev3 Inc., under which Covidien will acquire all of the outstanding shares of ev3 Inc. for $22.50 per share in cash, for a total of $2.6 billion net of cash acquired.. The transaction is subject to customary closing conditions, and is expected to be completed by July 31, 2010. The Boards of Directors of both companies have unanimously approved the transaction.. Ev3 Inc. is a developer of peripheral vascular and neurovascular treatment technologies, including the primary interventional technologies used today: peripheral angioplasty balloons, stents, plaque excision systems, embolic protection devices, liquid embolics, embolization coils, flow diversion, thrombectomy catheters and occlusion balloons. With its broad product portfolio, clinical expertise and call-point synergies with our existing vascular franchise, ev3 will be an important addition to ...

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is currently evolving and being used worldwide for trauma management. Smaller sheath devices for REBOA and new advances in endovascular resuscitation methods suggest the potential for the procedure to be utilized in hemodynamically unstable non-trau-matic patients.. Methods: We describe five adult patients that underwent hemodynamic control using the 7 Fr sheath ER-REBOA™ catheters for non-traumatic hemorrhagic instability at Örebro University Hospital between February 2017 and June 2017.. Results: The ER-REBOA™ catheter was inserted and used successfully for temporary blood pressure stabilization as part of an endovascular resuscitation process.. Conclusion: The ER-REBOA™ catheter for endovascular resuscitation may be an additional method for temporary hemodynamic stabilization in the treatment of non-traumatic patients. Furthermore, the ER-REBOA™ catheter may be a potential addition to advanced cardiac life ...

Transcatheter PDA closure is now a well-established procedure, that is, performed frequently (1-6), with conventional surgery generally reserved for patients with a large duct or symptomatic preterm infants. A number of devices and techniques have been in clinical use with varying degree of popularity and success since Porstmann et al. (12)introduced the Ivalon plug nearly three decades ago. The extensively investigated Rashkind PDA occluder was once widely accepted, but its high cost, the need for a relatively large transvenous sheath, a late incidence of residual shunt of up to 15% to 20% and the risk of stenosis at the origin of the LPA with the use of the 17 mm device led to the search for alternatives (13). Ironically, the Gianturco coils, though not purpose-designed for closure of PDA, are currently among the most widely used techniques due to its low cost, ease of delivery using small 4F and 5F conventional catheters and, more importantly, its high closure rate, approaching 98% to 100% at ...

The Amplatzer Duct Occluder can accommodate large PDAs with a single device-which can aid in minimizing the complexity of the procedure.

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A method of manufacturing a folding balloon catheter for use as an angioplasty device, wherein the balloon catheter has atherotomes (21) attached to the exterior of the balloon (12), includes inflating a balloon to its expanded state. A plurality of patches (18) of a curable elastomer adhesive are then applied at selected locations on the outside surface of the inflated balloon, and an atherotome is attached to the balloon at each of the patches. The inflated balloon, with attached atherotomes, is then partially cured to more firmly attach the atherotomes to the balloon. The balloon is then deflated to a contracted configuration in a manner which forms a plurality of flaps (54) in the balloon between the atherotomes. The deflated balloon is then cured to completion to establish a permanent set in the flaps which enable the balloon catheter to be repeatedly inflated and deflated during operation between predictable expanded and contracted configurations.

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Question - Underwent ASD closure treatment. Get shivering if the weather is cold. Not able to sit in the computer lab. Reason?. Ask a Doctor about Beta-lactam, Ask a Cardiologist

The present invention provides a balloon having a non-uniform thickness that is adapted to facilitate folding of the balloon. The balloon comprises at least one relatively thin section formed between inner and outer surfaces of the balloon, and at least one relatively thick section formed between the inner and outer surfaces. The balloon may be formed from a balloon preform that similarly comprises at least one relatively thin section and at least one relatively thick section. The shape of the balloon preform may be formed, for example, by extrusion. The balloon preform may be placed in a balloon mold having a substantially cylindrical interior surface, and blow-molded to form the finished balloon configuration. The balloon comprises a non-uniform thickness, while comprising a substantially cylindrical outer diameter both after removal from the balloon mold and in an inflated state.

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