Background-Lead-related or valve-related endocarditis can complicate cardiovascular implantable electronic device (CIED) infection in patients with both CIED and prosthetic valves. The objective of this study was to determine the outcomes of transvenous lead extraction for CIED infection in patients
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Author Pts Management Mortality Schlensak C. 5 Stent Removal and Extra-an. BP (5) Not Described Eggebrecht H. 3 Conservative (3) 100% Sharif MA 6 Stent Removal and Extra-an. BP (3) Conservative (2) None (Early Death) (1) 50% Brown KE. Stent Removal and Extra-an. BP (1) Conservative (1) Unknown (4) 66.6% Girdauskas E 4 Stent Removal and reconstruction (4) 25% Sarantzis N. None (Early Death) (2) 60% Heyer KS 10 Conservative (4) Stent Removal and reconstruction (3) 30% 3/4 pts treated conservatively Kelso RL Stent Removal and Extra-an. BP (2) Stent Removal and aortobifemoral (1) Inraoperative Death (1) 1 Death 3 Lost in FU Chiesa R. 7 Stent Removal and reconstruction (2) Conservative (1) None (periop. Death) (3) 71% Cernohorsky P. 12 Surgical Repair (6) Conservative (6) ...
January 25, 2018-Penumbra, Inc. announced the presentation of results from the COMPASS trial, showing that the use of Penumbras aspiration system was noninferior to stent retrievers for patients with acute ischemic stroke. The COMPASS trial was featured in the main event plenary session at ISC 2018: the International Stroke Conference held January 24-26 in Los Angeles, California.. According to the company, the independent, prospective, multicenter randomized trial adds to the growing body of evidence demonstrating that Penumbras aspiration system is an effective frontline thrombectomy approach for acute ischemic stroke as part of the ADAPT (a direct aspiration first-pass technique) approach.. The COMPASS trial, comparing direct aspiration versus stent retriever use as a first approach, is an independent, prospective, randomized trial that compared mechanical thrombectomy with the ADAPT approach to stent retrievers in patients presenting with acute ischemic stroke within 6 hours of symptom ...
A study by Sheth et al1 has examined the safety and efficacy of thrombectomy for acute ischemic stroke (AIS) using the Solitaire stent retriever device for patients treated in the roll-in phase of the Solitaire With the Intention For Thrombectomy (SWIFT) trial. This is a well designed study aimed at determining the learning curve for operators who had not previously used Solitaire for the treatment of emergent large vessel occlusion (ELVO). The roll-in period entailed treatment of two patients with the Solitaire device, before proceeding to the randomized phase of the trial. This represented the first clinical use of the stent retriever for these operators. Compared with randomized patients, those treated with Solitaire in the roll-in period achieved equivalent rates of reperfusion (55% vs 61%), adverse events (13% vs 9%), and good neurological outcomes (63% vs 58%).1 The authors … ...
The first-in-man feasibility study of the LARIAT device evaluated 13 patients undergoing LARIAT ligation either during open-heart surgery or in a closed-chest fashion. Twelve of 13 patients in this series had successful LAA ligation with 1 patient in whom the procedure was terminated due to lack of adequate echocardiographic guidance for snare advancement. Notably, a patient with pectus excavatum required a thoracoscopic procedure for device removal due to sternal compression (Bartus et al. 2011).. Bartus et al. subsequently published experience with LARIAT ligation in 92 patients from a single center, where ligation was successfully completed in 85 of 92 or 93 % of subjects. At 1-year follow-up, 65 patients underwent follow-up TEE with all patients having ,5 mm leak. Notably, 55 % of the patients in this series were continued on AC therapy (Bartus et al. 2013).. Massumi et al. reported the first series of LARIAT ligation performed in the (US) in a single-center report of 20 patients. All ...
article{9a4ebd87-c4dc-4d5f-866e-d9952251d9d5, author = {Teleman, Pia}, issn = {0023-7205}, keyword = {Human: drug therapy,Hepatitis,Viral,Human: etiology,Human: virology,Herpes Simplex: drug therapy,Herpes Simplex: etiology,Herpesvirus 2,Human: isolation & purification,Intrauterine Devices,Thrombocytopenia: etiology,Medicated: adverse effects,Device Removal: adverse effects,Acyclovir: therapeutic use,Antiviral Agents: therapeutic use}, language = {swe}, number = {12-13}, pages = {904--905}, publisher = {Swedish Medical Association}, series = {Läkartidningen}, title = {Utdragning av spiral kan ha gett primär herpes simplex-infektion. Immunkompetent kvinna drabbades av leverpåverkan och trombocytopeni.}, volume = {105}, year = {2008 ...
Although mechanical ventilation may be a patients vital ally during acute illness, it can quickly transform into an enemy during chronic conditions.. The weaning process is the fundamental phase that enables the resumption of physiological respiratory function; however, it is also associated with a number of life-threatening complications, and a large percentage of critically ill patients never achieve airway device removal or require the resumption of mechanical ventilation just a few days post-weaning.. Indeed, the weaning process is, at present, more of an art than a science.. As such, there is urgent need for novel contributions from the scientific literature to abate the growing rates of morbidity and mortality associated with weaning failure.. The physician attempting to wean a patient must integrate clinical parameters and common-sense criteria. Numerous studies have striven to identify single predictive factors of weaning failure and sought to standardize the weaning process, but the ...
MeSH-minor] Aged. Anti-Bacterial Agents / therapeutic use. Arthroplasty, Replacement, Knee / adverse effects. Debridement. Decision Making. Device Removal. Gram-Positive Bacterial Infections / drug therapy. Gram-Positive Bacterial Infections / surgery. Humans. Knee Prosthesis / adverse effects. Male. Mental Competency. Mental Disorders / diagnosis. Mental Disorders / psychology. Neoplasms, Unknown Primary / diagnosis. Prosthesis-Related Infections / drug therapy. Prosthesis-Related Infections / surgery. Recurrence. Suppuration. Treatment ...
All procedures were performed via a femoral artery approach and with the patients under general anesthesia. For the anterior circulation, an 8F or 9F Merci balloon-guided catheter (BGC; Concentric Medical) was inserted through a sheath. For the posterior circulation, a 6F Envoy guiding catheter (Codman & Shurtleff) was placed through a sheath into the dominant, or navigable, vertebral artery. A 0.021-inch internal diameter microcatheter (Prowler Select Plus [Codman & Shurtleff] or Vasco 21 [Balt, Montmorency, France]) was navigated distal to the point of occlusion over a 0.014-inch steerable microwire. A microcatheter angiographic run was then carried out to define the vascular bed distal to the thrombus. The stent retriever was then introduced through the microcatheter and the device deployed across the occluding thrombus. The microcatheter distal marker was positioned at the exact level of the proximal marker of the stent retriever. After deployment, the stent retriever was maintained in place ...
RECO is a novel, self-expanding stent retriever, designed to yield rapid flow restoration in acute cerebral ischaemia. The proposed study is a multicenter, randomized, prospective, parallel-group, open-label clinical trial with a blinded outcome, to test the RECO(a novel, self-expanding stent retriever), as compared with Solitaire FR stent retriever. ...
We hypothesize that radiofrequency ablation after single-insertion image guided vacuum assisted biopsy (IVEB) can be used to achieve negative margins in
The work of Rice Outstenting, a co-recipient of the top prize at the 2016 George R. Brown Engineering Design Showcase, has the potential to move […]
Did you know that if you have kidney surgery, the doctor will place an internal drainage tube called a stent in your ureter? Did you know that 6 weeks after the surgery, the doctor has to pull the stent out through your penis hole while youre fully...
Credit: Phil Jones A protein known to promote cancer appears to give the blood vessels strength and shape. Coating stents with drugs such as rapamycin, an
Here is a copy of an actual note. I am thinking 43260, 997.4. Any help would be great. PROCEDURE PERFORMED: Endoscopic retrograde cholangiopancreatogr
Durata Therapeutics Reports Third Quarter 2012 Financial and Corporate Results MORRISTOWN, N.J.--(BUSINESS WIRE)-- Durata Therapeutics, Inc. (NAS: DRTX) today announced financial and corporate
A company called Durata Therapeutics, Inc. has filed to come public via an initial public offering. While no terms have been set, the paperwork filed at the Securities and Exchange Commission is for up to $86.25 million to be sold in common stock. Durata expects that its shares will trade on the NASDAQ Global Market under the […]
Purpose Percutaneous ablation of breast cancer has shown promise as a treatment alternative to open lumpectomy. We hypothesized that percutaneous removal of breast cancer followed by percutaneous...
Tests currently used to establish that death has occurred, do not pinpoint the actual durata effetti kamagra of death. 20 Early intravenous antibiotics is the most important factor in reducing the rate of infection.
Acute STEMI complicated by no-flow due to extensive distal thromboembolic coronary occlusion...a novel approach using stent retriever mechanical th ...
The recruitment of patients started on November 2012 and ended on May 2014. 79 centres from 19 countries participated in the registry and 3524 consecutive patients have been enrolled and are now being followed up to 1 year.. Preliminary data on TLE in Europe have been presented during the 2014 ESC Congress in Barcelona and final results should be presented during the EHRA EUROPACE - Cardiostim 2015 in Milan.. ...
Bronhodilatatoare: medicatia centrala pe simptome; administrate la nevoie pentru a diminua simptomele intermitente sau accentuate si administrate regulat pentru prevenirea si reducerea simptomelor persistente; alegerea intre beta2-agonisti, anticolinergice, metilxantine si terapie asociata depinde de disponibilitatea medicatiei si raspunsul individual exprimat prin gradul de reducere a simptomelor si aparitia reactiilor adverse; tratamentul regulat cu beta2-agonsti de lunga durata este mai eficient si cinvenabil decat tratamentul cu beta2-agonisti de scurta durata, dar mai scump; combinatiile de droguri cu mecanisme diferite de actiune si durata de actiune pot creste gradul de bronhodilatatie cu efecte adverse mai putine; teofilina este efcace in BPOC, dar datorita potentialei toxicitati sunt preferati beta2-agonistii inhalatori cand sunt disponibili; terapia regulata cu bronhodilatatori nebulizati pentru un pacient stabil nu este potrivita decat daca este demonstrata eficacitatea mai buna ca ...
which was deprecated in GHC 8.4, has been removed (as proposed in https://github.com/ghc-proposals/ghc-proposals/blob/master/proposals/0011-deprecate-stm-invariants.rst). This is a bit earlier than proposed in the deprecation pragma included in GHC 8.4, but due to community feedback we decided to move ahead with the early removal.. Existing users are encouraged to encapsulate their STM operations in safe abstractions which can perform the invariant checking without help from the runtime system.. ...
The quick and safe removal of surface water is essential to any motor sport, from F1 to Moto GP. ACO has supplied water management systems to 11 Grand ...
da RAI.itE stata firmata nella notte lintesa a Palazzo Chigi tra il governo e i tre leader sindacali di CGIL, CISL ed UIL Epifani, Bonanni e Angeletti per sul rinnovo del contratto dei lavoratori statali. Punti principali: laumento di 101 euro lordi mensili a partire dal primo febbraio 2007 e la durata del contratto estesa, in via sperimentale, a tre anni per il periodo 2008-2010.
BUFFALO, N.Y. - A research team at the Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo has found that in stroke patients with large vessel occlusion (LVO), the removal of the clot occurs as efficiently after aspiration-based clot removal alone as it does after aspiration-based clot removal performed with a stent retriever. The safety measures and good clinical outcomes produced by both methods, including the incidence of serious, device-related adverse events, were also comparable.. The findings, published today online before print in JAMA Neurology, demonstrate that in many cases of LVO, among the most severe types of stroke, the use of a stent retriever may not always be necessary.. "Our study has found that these two strategies - stent retrieval of the clot versus aspiration of the clot as an initial step - are equivalent in terms of their ability to efficiently achieve recanalization, the restoration of blood flow, and they produce equally successful clinical ...
Results The Cover-assisted stent retriever thrombectomy significantly reduced the generation of clot fragments ,200 μm as compared with thrombectomy with a CGC, and was similar to the BGC group. Particle size distribution ,200 μm was similar across the groups. All groups were associated with high rates of recanalization, with only one failed recanalization with partial clot retention after three passes in one experiment of stent retriever thrombectomy through a CGC. Use of the adjunctive Cover device did not prolong the procedure as compared with control groups. ...
Results: Using simple traction (6 leads) and the LLD stylets (92 leads) aided with telescoping sheaths (15 patients), 96 (98%) leads in 52 (96.3%) patients were successfully removed, with all but one leads removed using a subclavian approach; in 1 patient, the right femoral approach was also required. In 2 patients, distal fragments from one ventricular pacing and one defibrillating lead could not be removed. Finally, lead removal was completely (52/54) (96.3%) or partially (2/54) (3.7%) successful in 54 patients for 96 of 98 leads (98%) without major complications ...
I need a CPT code for a vascular stent removal that was in the femoral artery. The Dr. removed it with out using a cath or the guide wires, this is th
WCE 2018 presentation on cost analysis on using Isiris, Coloplast for stent removal in outpatient versus standard reusable cystoscope and stent grabber
HCPCS Code: g9412. HCPCS Code Description: Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision
PURPOSE: Rapid revascularization in emergent large vessel occlusion with endovascular embolectomy has proven clinical benefit. We sought to measure device-clot interaction as a potential mechanism for efficient embolectomy. METHODS: Two different radiopaque clot models were injected to create a middle cerebral artery occlusion in a patient-specific vascular phantom. A radiopaque stent retriever was deployed within the clot by unsheathing the device or a combination of unsheathing followed by pushing the device (n=8/group). High-resolution cone beam CT was performed immediately after device deployment and repeated after 5 min. An image processing pipeline was created to quantitatively evaluate the volume of clot that integrates with the stent, termed the clot integration factor (CIF). RESULTS: The CIF was significantly different for the two deployment variations when the device engaged the hard clot (p=0.041), but not the soft clot (p=0.764). In the hard clot, CIF increased significantly between post
BACKGROUND: There is a discrepancy in clinical outcomes and the achieved recanalization rates with stent retrievers in the endovascular treatment of ischemic stroke. It is our hypothesis that procedural release of embolic particulate may be one contributor to poor outcomes and is a modifiable risk. The goal of this study is to assess various treatment strategies that reduce the risk of distal emboli. METHODS: Mechanical thrombectomy was simulated in a vascular phantom with collateral circulation. Hard fragment-prone clots (HFC) and soft elastic clots (SECs) were used to generate middle cerebral artery (MCA) occlusions that were retrieved by the Solitaire FR devices through (1) an 8 Fr balloon guide catheter (BGC), (2) a 5 Fr distal access catheter at the proximal aspect of the clot in the MCA (Solumbra), or (3) a 6 Fr guide catheter with the tip at the cervical internal carotid artery (guide catheter, GC). Results from mechanical thrombectomy were compared with those from direct aspiration using the
There is clear benefit to endovascular intervention in patients with acute ischemic stroke. The benefit is likely a direct result of recanalization and reestablishing perfusion rather than a direct effect of the device itself. With increasing experience, the use of stent retrievers such as Solitaire will likely increase and patient selection will broaden. The subgroup analysis of this study suggests that patients ,80 age showed benefit and age should not be sole exclusion criterion. Similarly, there was equal benefit in "low" stroke scale , 15 compared to ,20 although decision to intervene on NIHSS , 6 should be made on an individual basis as the trials had very few patients within this category. Lastly, similar to IV-tPA, there is a declining probability of good outcome with time so once a treatment decision is made in an expedited but judicious manner, the focus should then tailor to minimizing delays. However, clinical utility in patients with low ASPECT scores and poor collaterals is unclear ...
As an Obstetrician and Gynecologist, her area of expertise includes Lower Segment Caesarean Section, Normal Vaginal Delivery, Ovarian Cystectomy, Panhysterectomy, Vaginal Repair, Plastic Repair of Uterus, Hysterectomy, Vulvectomy, Vulval Tumor Removal, Perineal Tear Repair, Recto Vaginal Fistula Repair, Vesico Vaginal Fistula Repair, Trachelorrhaphy, Bartholin Cyst Excision, Tubal Ligation, Vaginal Biopsy, Anterior Repair, Vaginal Myomectomy, Vault Repair, Enterocele Repair, Endometriotic Spots Ablation, Intra Uterine Contraceptive Device Insertion, Intra Uterine Contraceptive Device Removal, Uterine Polypectomy, Sterilization Abdominal, Abortion, Episiotomy Repair, Vaginoplasty, Vulval Haematoma Evacuation, Hematocolpos Drainage, Cervical Biopsy, Ovarian Biopsy, Tubal Cannulation, Neosalpingostomy, Suction and Evacuation, McDonalds Suturing, Thermachoice Uterine Balloon Therapy, Venterosuspension of Uterus alone, Laparoscopy - Operative, Laparatomy, Vaginal Exploration, Adhesiolysis Open, ...
During the recruitment period, each surgeon will consecutively include patients satisfying all inclusion criteria and no exclusion criteria. After the screening visit, according to the hospital current clinical practice of the hospital and to instruction for use provided by Orthofix Srl, the patients will undergo the surgery and then 6 following visits. The first 3 visits performed after the surgery (hospital discharge, device unlock and device removal) are part of the treatment period, whereas the remaining 3 visits are part of the follow up period (3 months, 6 months and 1 year). In case of premature discontinuation, the patient will maintain the right to all medical care as needed ...
Ill start this report from the good news. After starting GSoCs coding period, I was doing fixes and improvements of hub layer and was not repeating tests which was done by me in community bonding period (results provided in my first blog post). So by the end of this week I decided to test surprise-removal on VBox with 2k3 working with our USB stack. As result I saw that crashes on device removal (physical) are gone! Even more after connection again, the USB flash and also composite device were performing well. ...
Pacemakers and implantable cardioverter defibrillators (ICDs) deliver pacing and defibrillation (shocking) therapy through wires called leads. The leads are inserted through veins that travel to the heart and the ends of the leads are positioned inside the heart. In some circumstances, leads have to be removed (extracted) due to infection, malfunction, blockage in the veins and for other reasons. Over time, scar tissue and adhesions can form causing the leads to become attached to the veins and heart muscle. Lead extraction is a procedure where the leads are removed using specialized tools that can free the leads from the scar tissue and adhesions. This can often be performed non-invasively through the pacemaker or ICD implant site using a laser or cutting tool. Lead extraction is a safe and effective procedure when it is performed by an experienced team. Trust that you are in good hands here at Spectrum Health Heart and Vascular as our team guides you through this process. ...
If at some stage you choose to remove a tattoo, here are some tips for safe removal of tattoos that wont compromise your health.
I am a heavyset female in her mid-30s. After a severe bout of pancreatitis in February of 2006, I had a laparoscopic removal of my gallbladder, with no complications. A stent was put in place. Due to...
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...
Both Cubists Sivextro and Duratas Dalvance are targeted against serious bacterial skin infections caused by Gram-positive infections like MRSA (methicillin-resistant staphylococcus aureus). Vancomycin (generic) is now the first-line treatment for MRSA, but its limited by side effects, toxicity, and is availability in IV form only.. While the two drugs target the same infections, from a macroscopic view, Durata can hardly be considered a true rival. With a vast misbalance in market cap, Durata is but a tiny blip compared to behemoth Cubist, which is already a leader in antibiotics with its blockbuster Cubicin.. Formed just five years ago, Durata is a relatively small biotech formed to buy Pfizers antibiotic-focused subsidiary Vicuron Pharmaceuticals, an acquisition that resulted in dalbavancin changing hands. Pfizer originally paid $1.9 billion for Vicuron (and dalbavancin) in 2005. ...
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Penumbra (NYSE:PEN) said a 198-patient trial of its next-generation stroke-treatment device along with another company product showed promise, meeting primary endpoints. Results were positive enough that a 2016 regulatory submission remains part of the plan.. "The trial results are encouraging for our Penumbra 3D Revascularization Device, and we are focused on continuing our plan to pursue regulatory submission by the end of the year," Penumbra Chairman and CEO Adam Elsesser said in prepared remarks.. "Furthermore," Elsesser added, "the broader implications of the data support frontline use of the Penumbra system direct aspiration devices in the vascularization of stroke patients.". The Alameda, Calif.-based company presented details on July 27 as part of the Society of NeuroInterventional Surgery 13th Annual Meeting in Boston, Mass.. Researchers said that Penumbras 3D Revascularization Device, when used with the companys Penumbra System aspiration devices, showed non-inferiority in both ...
The European Heart Rhythm Association (EHRA) added lead extractions to its annual compendium on arrhythmia treatments. The EHRA White Book was released online June 23 on the European Society of Cardiology (ESC) website in conjunction with the launch of EHRA EUROPACE 2013 in Athens.
Leads under advisory may vary considerably with regard to their potential for failure. The clinical implications of failure and timing of failure can be variable and different among patients. As a result, the management also can vary significantly, from close surveillance to a complex reoperation involving lead extraction. Analysis of the Accufix (Teletronics) pacing lead advisory showed a 10-fold increase in complications when leads were extracted compared with leaving the recalled lead in place.15 This observation showed that careful consideration must be used in the setting of an advisory before device replacement or lead extraction. Amin et al16 proposed a Markov decision-analysis model to compare risks and benefits for elective device replacement in devices under advisory. Their findings suggested that the main factor affecting whether a device should be removed is the estimated risk of device failure. In contrast, lead advisories represent an entirely distinct problem compared with device ...
A thrombus filter configured for placement in within a blood vessel lumen defined by a blood vessel wall. Methods and devices for selectively removing the thrombus filter when the presence of a filter in the vascular system is no longer desired. The thrombus filter includes a first strand formation, a second strand formation, and a joined portion.
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