Bilateral spontaneous pnuemothoraces with pleuro pleural communication
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This document provides information about Dr. Nabajyoti Hazarika of the Department of Cardiothoracic & Vascular Surgery at Gauhati Medical College Hospital. Dr. Hazarika works under the guidance of Professor and Head of Department Dr. A. Rai Baruah of the Cardiothoracic & Vascular Surgery Department at Gauhati Medical College Hospital.
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Abstract 62 cases
75.8% of the 62 patients studied were male with an average age of 33. In most cases (67%), injuries were from road accidents. The majority (58 patients) had injuries classified between grades I-III. 18 patients underwent surgical treatment while 44 were managed non-operatively. No patients who received non-operative management died. The study confirms the good results seen in international literature for non-operative and damage control surgical approaches in hemodynamically stable patients. While mortality is lower with non-operative management, morbidity is higher, showing a need to further assess the role of interventional procedures in treating complications.
85295162 cardiac-catheterization-study
This study assessed the effects of reducing the bed rest time to 4 hours after removing the arterial sheet in coronary angioplasty patients. 124 patients were randomly assigned to either leave bed rest after 4 hours (intervention) or 8 hours (control). Results showed no significant differences between the groups in frequency of bleeding or hematoma formation, or average hematoma size. The study concluded that angioplasty patients who are clinically stable can safely leave bed rest after 4 hours.
DR. AYMAN AL SIBAIE
1. Endovascular repair (TEVAR) is now the standard treatment for thoracic aortic injuries graded ≥2, while grade 1 injuries can be observed.
2. Technological advances in endografts have allowed for treatment of anatomies previously not amenable to endovascular repair.
3. Long-term outcomes remain unknown as follow-up imaging recommendations are vague and patient compliance with follow-up can be challenging.
Research competition
This study evaluated the safety and efficacy of the Jetstream Pathway device for treating femoropopliteal arterial lesions. 86 patients underwent atherectomy with this device between 2008-2009. The target lesion revascularization rate was 15% within 6 months. Reintervention was most common in the first 3 months and for TASC II type B lesions, with balloon angioplasty used in nearly half of reintervention cases. The Jetstream Pathway showed advantages for femoropopliteal atherectomy with low stent use and reinterventions often managed through endovascular techniques. Long-term follow up is still needed to assess durability.
AORTO-ILIAC INTERVENTIONS
This document summarizes techniques for endovascular treatment of aorto-iliac occlusive disease. It discusses:
1) Technical success rates are high but complications can occur, especially with chronic total occlusions. Primary stenting is preferred over PTA with provisional stenting for long lesions.
2) Patency rates at 5-10 years range from 46-96% depending on the location and type of lesion. Risk factors for restenosis include occlusion length and poor runoff.
3) Endovascular treatment has advantages over open surgery like shorter hospital stays and lower complications/mortality, though open bypass has higher long term patency. Drug-eluting devices may help address issues of rest
Evaluation of subclavian, thoracic aorta and innominate artery injuries in bl...
Evaluation of subclavian, thoracic aorta and innominate artery injuries in bl...Clinical Surgery Research Communications
1. The systematic review analyzed 46 case reports and series of patients with subclavian artery injuries from blunt trauma. 2. The most common mechanisms of injury were motor vehicle collisions (32.6%) and falls (36.4% in those over 45). 3. Associated injuries included clavicular fractures (52.2%), pneumothorax/hemothorax (32.6%), and brachial plexopathy (8.7%).Jic 2-174
Coronary artery bypass grafting (CABG) with adjunctive endarterectomy (CE) is a useful technique for treating complex cases of diffuse coronary artery disease. CE aims to completely revascularize the heart by removing coronary artery blockages. While results of CE are debated, one study found acceptable mid-term results with CE and CABG, including a 2.7% in-hospital mortality rate. The study also compared outcomes of patients treated postoperatively with single antiplatelet therapy (aspirin) versus dual antiplatelet therapy (aspirin and clopidogrel). No significant differences in outcomes were found between the two groups in the mid-term follow up period, though dual antiplate
Tryton - Addressing the Challenge of Bifurcation Stenting | Dean J. Kereiakes...
Dean J. Kereiakes discusses bifurcation stenting and the Tryton bifurcation stent. Bifurcation lesions pose challenges due to variable anatomy, and stenting them with standard stents often results in less than optimal coverage and drug delivery. The Tryton stent aims to treat bifurcation lesions with the same predictability and durability as straight lesions. It has distinct zones for the main branch, side branch, and transition between them, allowing for complete lesion coverage while maintaining access to both branches. Kereiakes suggests the Tryton stent may address some of the shortcomings of treating complex bifurcations with conventional stents.
Recommended
Abstract 62 cases
75.8% of the 62 patients studied were male with an average age of 33. In most cases (67%), injuries were from road accidents. The majority (58 patients) had injuries classified between grades I-III. 18 patients underwent surgical treatment while 44 were managed non-operatively. No patients who received non-operative management died. The study confirms the good results seen in international literature for non-operative and damage control surgical approaches in hemodynamically stable patients. While mortality is lower with non-operative management, morbidity is higher, showing a need to further assess the role of interventional procedures in treating complications.
85295162 cardiac-catheterization-study
This study assessed the effects of reducing the bed rest time to 4 hours after removing the arterial sheet in coronary angioplasty patients. 124 patients were randomly assigned to either leave bed rest after 4 hours (intervention) or 8 hours (control). Results showed no significant differences between the groups in frequency of bleeding or hematoma formation, or average hematoma size. The study concluded that angioplasty patients who are clinically stable can safely leave bed rest after 4 hours.
DR. AYMAN AL SIBAIE
1. Endovascular repair (TEVAR) is now the standard treatment for thoracic aortic injuries graded ≥2, while grade 1 injuries can be observed.
2. Technological advances in endografts have allowed for treatment of anatomies previously not amenable to endovascular repair.
3. Long-term outcomes remain unknown as follow-up imaging recommendations are vague and patient compliance with follow-up can be challenging.
Research competition
This study evaluated the safety and efficacy of the Jetstream Pathway device for treating femoropopliteal arterial lesions. 86 patients underwent atherectomy with this device between 2008-2009. The target lesion revascularization rate was 15% within 6 months. Reintervention was most common in the first 3 months and for TASC II type B lesions, with balloon angioplasty used in nearly half of reintervention cases. The Jetstream Pathway showed advantages for femoropopliteal atherectomy with low stent use and reinterventions often managed through endovascular techniques. Long-term follow up is still needed to assess durability.
AORTO-ILIAC INTERVENTIONS
This document summarizes techniques for endovascular treatment of aorto-iliac occlusive disease. It discusses:
1) Technical success rates are high but complications can occur, especially with chronic total occlusions. Primary stenting is preferred over PTA with provisional stenting for long lesions.
2) Patency rates at 5-10 years range from 46-96% depending on the location and type of lesion. Risk factors for restenosis include occlusion length and poor runoff.
3) Endovascular treatment has advantages over open surgery like shorter hospital stays and lower complications/mortality, though open bypass has higher long term patency. Drug-eluting devices may help address issues of rest
Evaluation of subclavian, thoracic aorta and innominate artery injuries in bl...
Evaluation of subclavian, thoracic aorta and innominate artery injuries in bl...Clinical Surgery Research Communications
1. The systematic review analyzed 46 case reports and series of patients with subclavian artery injuries from blunt trauma. 2. The most common mechanisms of injury were motor vehicle collisions (32.6%) and falls (36.4% in those over 45). 3. Associated injuries included clavicular fractures (52.2%), pneumothorax/hemothorax (32.6%), and brachial plexopathy (8.7%).Jic 2-174
Coronary artery bypass grafting (CABG) with adjunctive endarterectomy (CE) is a useful technique for treating complex cases of diffuse coronary artery disease. CE aims to completely revascularize the heart by removing coronary artery blockages. While results of CE are debated, one study found acceptable mid-term results with CE and CABG, including a 2.7% in-hospital mortality rate. The study also compared outcomes of patients treated postoperatively with single antiplatelet therapy (aspirin) versus dual antiplatelet therapy (aspirin and clopidogrel). No significant differences in outcomes were found between the two groups in the mid-term follow up period, though dual antiplate
Tryton - Addressing the Challenge of Bifurcation Stenting | Dean J. Kereiakes...
Dean J. Kereiakes discusses bifurcation stenting and the Tryton bifurcation stent. Bifurcation lesions pose challenges due to variable anatomy, and stenting them with standard stents often results in less than optimal coverage and drug delivery. The Tryton stent aims to treat bifurcation lesions with the same predictability and durability as straight lesions. It has distinct zones for the main branch, side branch, and transition between them, allowing for complete lesion coverage while maintaining access to both branches. Kereiakes suggests the Tryton stent may address some of the shortcomings of treating complex bifurcations with conventional stents.
Dzavik V 201111
This document discusses the transradial approach for unprotected left main PCI. It recommends the transradial approach due to its safety advantages over transfemoral access. It provides guidance on guide catheter selection for different left main lesion locations and sizes. It emphasizes avoiding ad hoc PCI and using appropriate hemodynamic support for patients with reduced left ventricular function.
17 aimradial2016 fri S Goel
17 aimradial2016 fri S GoelInternational Chair on Interventional Cardiology and Transradial Approach
This study compared the performance of standard Judkins catheters versus the Tiger radial artery specific catheter in 110 patients undergoing coronary angiography via the radial artery approach. The primary findings were that the Tiger catheter resulted in significantly shorter fluoroscopy time but higher failure rates requiring exchange for Judkins catheters. Secondary outcomes of dose area product, contrast volume and procedure time were also lower but not significantly for the Tiger catheter. The safety profiles were similar for both catheters.Diabetic Foot Interventions
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Preoperative hematological parameters predicting mortality in stanford type a...
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This study evaluated the safety and accuracy of using a 3D navigation module to assist with posterior atlantoaxial pedicle screw fixation for the treatment of atlantoaxial instability. Twenty patients underwent the procedure with the 3D navigation module, which was designed as a double-sided positioning hole guide with a guide rod. Post-operative CT scans found two screws deviated slightly but did not cause neurological issues. Accuracy of screw placement was high. Patients had improved neurological function scores after surgery. The 3D navigation module helped safely and accurately guide atlantoaxial pedicle screw insertion.ROMICAT II trial - Summary & Results
http://www.theheart.org/web_slides/1384519.do
ROMICAT II (Rule Out Myocardial Infarction Using Computer Assisted Tomography II) was designed following the completion of the observational ROMICAT study, which showed that about 8% of patients screened for ACS in emergency departments are actually suffering ACS
02 aimradial2016 fri2 EM Vegh
02 aimradial2016 fri2 EM VeghInternational Chair on Interventional Cardiology and Transradial Approach
This study investigated the learning curve for transradial carotid interventions in two high-volume centers between 2010-2016. It found that after performing the first 50-100 cases, procedure duration, fluoroscopy time, and contrast usage decreased significantly. While the success rate remained high at 99.8% and the rate of femoral conversion did not change, complications were low. The study concludes that transradial carotid intervention can be performed safely, with the learning curve to transition taking about 2 years in high-volume centers.Git j club colon esd22
This document discusses the treatment of large sessile colon polyps (LSTs) and the challenges of differentiating between benign and cancerous lesions. It notes that endoscopic mucosal resection (EMR) is usually used but has limitations, while endoscopic submucosal dissection (ESD) enables complete removal and better histological assessment. ESD may avoid unnecessary surgery for lesions with superficial submucosal cancer invasion that can be cured endoscopically. The document reviews different classification systems to predict cancer risk but notes limitations. It advocates that ESD skills and adoption continue improving to help incorporate it more into clinical practice for treating difficult colon polyps.
01 endovascular Nyerges aimradial20170921 TRA and peripheral
01 endovascular Nyerges aimradial20170921 TRA and peripheralInternational Chair on Interventional Cardiology and Transradial Approach
The study compared outcomes of transradial vs transfemoral access for lower limb interventions. It analyzed 1,101 interventions between 2011-2016. Technical success was similar for both approaches (97.26% for transradial vs 96.61% for transfemoral). Major access site complications were lower for transradial (1.95% vs 4.02% for transfemoral). Time of hospitalization was shorter for transradial patients (3.29 days vs 4.61 days). The transradial approach was found to be safe and effective compared to transfemoral with less access site complications and MAEs.1428931228
This study reviewed 86 patients who underwent pericardiectomy for chronic constrictive pericarditis (CCP) at a single center from 2010-2014. Preoperatively, most patients were in NYHA class II or III. Tuberculosis was the cause of CCP in 32.6% of patients. The overall mortality rate was 2.3%. Postoperatively, 90.6% of surviving patients were in NYHA class I or II. The results showed pericardiectomy to be an effective treatment for CCP, with tuberculosis remaining a common cause in India.
Leads free trial)
- The LEADERS FREE trial compared outcomes of patients at high risk of bleeding who received either a polymer-free drug-coated stent releasing umirolimus (BioFreedom stent) or a bare-metal stent, both with 1 month of dual antiplatelet therapy.
- Use of the drug-coated stent was associated with lower rates of the primary safety composite of cardiac death, MI, or stent thrombosis and the primary efficacy endpoint of clinically-driven TLR compared to the bare-metal stent.
- The drug-coated stent showed benefit over the bare-metal stent in reducing rates of MI, likely driven by lower rates of in-stent restenosis, without increasing the risk of bleeding which
Subjects and methods
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Norwood:rastelli
This study evaluated outcomes of 44 neonates who underwent staged biventricular repair for left ventricular outflow tract obstruction, ventricular septal defect, and aortic arch obstruction. The first stage was a Norwood procedure. Stage one mortality was 9%. Interstage survival was 100% for nonsyndromic patients and 46% for syndromic patients. Twenty-four patients later underwent successful biventricular completion repair. The study found that genetic syndromes and prematurity significantly increased the risk of mortality. The staged approach allowed for repair using a larger conduit and delayed need for reintervention compared to previous studies.
Popliteus is a safe location for all-inside meniscal repair devices in poster...
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Healing rates of the posterior horn of the lateral meniscus appear to be less favourable than other locations. In part this is due to the loose capsular attachment in this region reducing the success of deployment of anchors on the capsule. Using popliteus as an anchor point is safe and results in a very low rate of re-operation for failure of repairGit j club eus interventions s es22
EUS has become a commonly used diagnostic and therapeutic procedure performed by endoscopists, with its uses expanding yearly. EUS is used for a broad range of indications including diagnosing and staging cancers, assessing the pancreas and bile ducts, draining cystic structures, treating pancreatic fluid collections, and performing biliary and gastric drainage when standard approaches fail. Due to the specialized skills required, additional training beyond a general GI fellowship is typically needed to perform EUS safely and according to evidence-based quality standards, which also define the potential adverse events specific to EUS procedures.
REVIEW Stent Fractures Sfyroeras et al 2010c
This document discusses a journal article that appeared in Elsevier and summarizes its key points:
- The article reviewed 55 reported cases of carotid stent fractures from case reports, clinical studies, and an FDA database.
- Most fractures occurred in self-expandable nitinol stents, and plaque calcification may be a risk factor. No difference was seen between open and closed-cell designs.
- About 55% of fractures were associated with restenosis. Six patients presented with symptoms. Treatment included new stents, angioplasty, surgery, or follow-up in most cases.
- The incidence of fractures from studies of over 200 stents was around 9%, but larger prospective studies
Percutaneous transforaminal endoscopic discectomy in the treatment of lumbar ...
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This study evaluated the early rehabilitation effects of percutaneous transforaminal endoscopic discectomy (PTED) for treating lumbar disc herniations. 91 patients underwent PTED and were followed for 6 months. Results showed significantly reduced low back and leg pain based on VAS and ODI scores after surgery compared to before. No significant differences in low back pain scores at 3 days, 3 months, and 6 months post-op were found. PTED resulted in less trauma, fewer complications, and markedly shortened postoperative rehabilitation time, demonstrating it is a safe and effective treatment for lumbar disc herniations.Protect Your Heart And Save You Life By
This document discusses the dangers and ineffectiveness of angioplasty compared to lifestyle changes and bypass surgery for treating coronary obstruction. It states that angioplasty is risky, provides only a temporary solution, and has high costs both financially and in terms of health risks. By contrast, lifestyle changes can prevent or reverse obstruction in many cases. For those who need intervention, bypass surgery provides a complete and long-term solution at a lower cost than repeated angioplasty procedures. The document concludes that lifestyle changes should be the first approach, with bypass surgery as the preferred intervention over angioplasty.
Medición segundo ciclo
El documento trata sobre la enseñanza de conceptos de área y volumen. Explica que son temas complejos tanto para los estudiantes como para los maestros. Describe actividades para ayudar a los estudiantes a desarrollar una comprensión del volumen, como comparar y medir volúmenes usando bloques. También recomienda actividades para trabajar en la formación del concepto de medida, incluyendo comparar y clasificar recipientes por su capacidad.
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Dzavik V 201111
This document discusses the transradial approach for unprotected left main PCI. It recommends the transradial approach due to its safety advantages over transfemoral access. It provides guidance on guide catheter selection for different left main lesion locations and sizes. It emphasizes avoiding ad hoc PCI and using appropriate hemodynamic support for patients with reduced left ventricular function.
17 aimradial2016 fri S Goel
17 aimradial2016 fri S GoelInternational Chair on Interventional Cardiology and Transradial Approach
This study compared the performance of standard Judkins catheters versus the Tiger radial artery specific catheter in 110 patients undergoing coronary angiography via the radial artery approach. The primary findings were that the Tiger catheter resulted in significantly shorter fluoroscopy time but higher failure rates requiring exchange for Judkins catheters. Secondary outcomes of dose area product, contrast volume and procedure time were also lower but not significantly for the Tiger catheter. The safety profiles were similar for both catheters.Diabetic Foot Interventions
Endovascular Vs Surgery in Diabetic Foot Patients
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Preoperative hematological parameters predicting mortality in stanford type a...
Preoperative hematological parameters predicting mortality in stanford type a...Clinical Surgery Research Communications
This study aimed to determine if preoperative hematological parameters and risk factors could predict in-hospital mortality for patients undergoing surgery to repair Type A aortic dissection. The study reviewed data from 78 patients who underwent deep hypothermic circulatory arrest surgery. Only preoperative creatinine levels were higher in patients who died. Total circulatory arrest time and cross-clamp time during surgery were found to be factors affecting mortality, with times over 44.5 minutes and 71 minutes respectively predicting higher risk of death. The study concluded that hematological biomarkers alone may be insufficient for estimating mortality risk, and intraoperative factors like longer circulatory arrest and clamp times impact outcomes for Type A aortic dissection surgery.A comparison of health related quality of life among knee osteoarthritis pati...
A comparison of health related quality of life among knee osteoarthritis pati...Clinical Surgery Research Communications
This research article compares the health-related quality of life of knee osteoarthritis patients in two cities in Pakistan - Lahore and Sialkot. The study involved 158 patients (105 female, 53 male) aged 40-80 years old who were given the SF-12 questionnaire to assess their physical and mental health. The results found no significant difference in health-related quality of life between patients in Lahore, a major urban center, and Sialkot, a smaller city. This suggests that levels of disability and health awareness were effectively the same between the two cities for knee osteoarthritis patients.Clinical application and efficacy analysis of 3 d navigation module in the tr...
Clinical application and efficacy analysis of 3 d navigation module in the tr...Clinical Surgery Research Communications
This study evaluated the safety and accuracy of using a 3D navigation module to assist with posterior atlantoaxial pedicle screw fixation for the treatment of atlantoaxial instability. Twenty patients underwent the procedure with the 3D navigation module, which was designed as a double-sided positioning hole guide with a guide rod. Post-operative CT scans found two screws deviated slightly but did not cause neurological issues. Accuracy of screw placement was high. Patients had improved neurological function scores after surgery. The 3D navigation module helped safely and accurately guide atlantoaxial pedicle screw insertion.ROMICAT II trial - Summary & Results
http://www.theheart.org/web_slides/1384519.do
ROMICAT II (Rule Out Myocardial Infarction Using Computer Assisted Tomography II) was designed following the completion of the observational ROMICAT study, which showed that about 8% of patients screened for ACS in emergency departments are actually suffering ACS
02 aimradial2016 fri2 EM Vegh
02 aimradial2016 fri2 EM VeghInternational Chair on Interventional Cardiology and Transradial Approach
This study investigated the learning curve for transradial carotid interventions in two high-volume centers between 2010-2016. It found that after performing the first 50-100 cases, procedure duration, fluoroscopy time, and contrast usage decreased significantly. While the success rate remained high at 99.8% and the rate of femoral conversion did not change, complications were low. The study concludes that transradial carotid intervention can be performed safely, with the learning curve to transition taking about 2 years in high-volume centers.Git j club colon esd22
This document discusses the treatment of large sessile colon polyps (LSTs) and the challenges of differentiating between benign and cancerous lesions. It notes that endoscopic mucosal resection (EMR) is usually used but has limitations, while endoscopic submucosal dissection (ESD) enables complete removal and better histological assessment. ESD may avoid unnecessary surgery for lesions with superficial submucosal cancer invasion that can be cured endoscopically. The document reviews different classification systems to predict cancer risk but notes limitations. It advocates that ESD skills and adoption continue improving to help incorporate it more into clinical practice for treating difficult colon polyps.
01 endovascular Nyerges aimradial20170921 TRA and peripheral
01 endovascular Nyerges aimradial20170921 TRA and peripheralInternational Chair on Interventional Cardiology and Transradial Approach
The study compared outcomes of transradial vs transfemoral access for lower limb interventions. It analyzed 1,101 interventions between 2011-2016. Technical success was similar for both approaches (97.26% for transradial vs 96.61% for transfemoral). Major access site complications were lower for transradial (1.95% vs 4.02% for transfemoral). Time of hospitalization was shorter for transradial patients (3.29 days vs 4.61 days). The transradial approach was found to be safe and effective compared to transfemoral with less access site complications and MAEs.1428931228
This study reviewed 86 patients who underwent pericardiectomy for chronic constrictive pericarditis (CCP) at a single center from 2010-2014. Preoperatively, most patients were in NYHA class II or III. Tuberculosis was the cause of CCP in 32.6% of patients. The overall mortality rate was 2.3%. Postoperatively, 90.6% of surviving patients were in NYHA class I or II. The results showed pericardiectomy to be an effective treatment for CCP, with tuberculosis remaining a common cause in India.
Leads free trial)
- The LEADERS FREE trial compared outcomes of patients at high risk of bleeding who received either a polymer-free drug-coated stent releasing umirolimus (BioFreedom stent) or a bare-metal stent, both with 1 month of dual antiplatelet therapy.
- Use of the drug-coated stent was associated with lower rates of the primary safety composite of cardiac death, MI, or stent thrombosis and the primary efficacy endpoint of clinically-driven TLR compared to the bare-metal stent.
- The drug-coated stent showed benefit over the bare-metal stent in reducing rates of MI, likely driven by lower rates of in-stent restenosis, without increasing the risk of bleeding which
Subjects and methods
This study will evaluate single incision laparoscopic cholecystectomy with cholangiography for patients with calcular cholecystitis. A prospective randomized clinical trial will be conducted at Zagazig University Hospitals in Egypt, enrolling a simple randomized sample of approximately 100 patients undergoing the procedure. Laboratory tests, ultrasound, and other imaging will be used to collect data and ensure patients meet inclusion criteria for the study.
Endovascular Management of Carotid Artery Dissection
Use of endovascular technique for the treatment of carotid artery dissection to reanalyze and decrease risk of stroke.
Norwood:rastelli
This study evaluated outcomes of 44 neonates who underwent staged biventricular repair for left ventricular outflow tract obstruction, ventricular septal defect, and aortic arch obstruction. The first stage was a Norwood procedure. Stage one mortality was 9%. Interstage survival was 100% for nonsyndromic patients and 46% for syndromic patients. Twenty-four patients later underwent successful biventricular completion repair. The study found that genetic syndromes and prematurity significantly increased the risk of mortality. The staged approach allowed for repair using a larger conduit and delayed need for reintervention compared to previous studies.
Popliteus is a safe location for all-inside meniscal repair devices in poster...
Popliteus is a safe location for all-inside meniscal repair devices in poster...Adnan Saithna - Orthopedic Surgeon, Scottsdale, Arizona
Healing rates of the posterior horn of the lateral meniscus appear to be less favourable than other locations. In part this is due to the loose capsular attachment in this region reducing the success of deployment of anchors on the capsule. Using popliteus as an anchor point is safe and results in a very low rate of re-operation for failure of repairGit j club eus interventions s es22
EUS has become a commonly used diagnostic and therapeutic procedure performed by endoscopists, with its uses expanding yearly. EUS is used for a broad range of indications including diagnosing and staging cancers, assessing the pancreas and bile ducts, draining cystic structures, treating pancreatic fluid collections, and performing biliary and gastric drainage when standard approaches fail. Due to the specialized skills required, additional training beyond a general GI fellowship is typically needed to perform EUS safely and according to evidence-based quality standards, which also define the potential adverse events specific to EUS procedures.
REVIEW Stent Fractures Sfyroeras et al 2010c
This document discusses a journal article that appeared in Elsevier and summarizes its key points:
- The article reviewed 55 reported cases of carotid stent fractures from case reports, clinical studies, and an FDA database.
- Most fractures occurred in self-expandable nitinol stents, and plaque calcification may be a risk factor. No difference was seen between open and closed-cell designs.
- About 55% of fractures were associated with restenosis. Six patients presented with symptoms. Treatment included new stents, angioplasty, surgery, or follow-up in most cases.
- The incidence of fractures from studies of over 200 stents was around 9%, but larger prospective studies
Percutaneous transforaminal endoscopic discectomy in the treatment of lumbar ...
Percutaneous transforaminal endoscopic discectomy in the treatment of lumbar ...Clinical Surgery Research Communications
This study evaluated the early rehabilitation effects of percutaneous transforaminal endoscopic discectomy (PTED) for treating lumbar disc herniations. 91 patients underwent PTED and were followed for 6 months. Results showed significantly reduced low back and leg pain based on VAS and ODI scores after surgery compared to before. No significant differences in low back pain scores at 3 days, 3 months, and 6 months post-op were found. PTED resulted in less trauma, fewer complications, and markedly shortened postoperative rehabilitation time, demonstrating it is a safe and effective treatment for lumbar disc herniations.Protect Your Heart And Save You Life By
This document discusses the dangers and ineffectiveness of angioplasty compared to lifestyle changes and bypass surgery for treating coronary obstruction. It states that angioplasty is risky, provides only a temporary solution, and has high costs both financially and in terms of health risks. By contrast, lifestyle changes can prevent or reverse obstruction in many cases. For those who need intervention, bypass surgery provides a complete and long-term solution at a lower cost than repeated angioplasty procedures. The document concludes that lifestyle changes should be the first approach, with bypass surgery as the preferred intervention over angioplasty.
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01 endovascular Nyerges aimradial20170921 TRA and peripheral
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Endovascular Management of Carotid Artery Dissection
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Popliteus is a safe location for all-inside meniscal repair devices in poster...
Popliteus is a safe location for all-inside meniscal repair devices in poster...
Percutaneous transforaminal endoscopic discectomy in the treatment of lumbar ...
Percutaneous transforaminal endoscopic discectomy in the treatment of lumbar ...
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Medición segundo ciclo
El documento trata sobre la enseñanza de conceptos de área y volumen. Explica que son temas complejos tanto para los estudiantes como para los maestros. Describe actividades para ayudar a los estudiantes a desarrollar una comprensión del volumen, como comparar y medir volúmenes usando bloques. También recomienda actividades para trabajar en la formación del concepto de medida, incluyendo comparar y clasificar recipientes por su capacidad.
Content is Still King: A look at best practices for creating and distributing...
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Bus 475 capstone final exam new 2016 part 1
This document provides a summary of key points from a BUS 475 CAPSTONE FINAL EXAM NEW 2016 PART 1 study guide. It includes 5 multiple choice questions about topics like sampling distributions, ethical decision making frameworks, and logical fallacies. It encourages the reader to purchase access to solutions for entire courses, exams, and homework assignments from an online study site.
Johnson & Johnson: Contributing in a meaningful way - BDI Social Comm & Heal...
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www.bdionline.com
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www.bdionline.comBus 475 final exam new 2016 phoenix
This document provides the questions and answers for the BUS 475 FINAL EXAM. It includes 50 multiple choice questions covering topics like vertical analysis, accrual accounting, inventory accounting, regression analysis, sampling, internal controls, accounting standards, and corporate finance. The questions assess understanding of key concepts in financial accounting, managerial accounting, and business strategy.
The Road to ARA 2015Expo and #YourTurnChallenge
Joyce Sullivan, SocMediaFin founder and ceo explains how Seth Godin, #YourTurnChallenge, a kind act and a bit of serendipity brought her to the #ARA2015 Automotive Recyclers Association 72nd Annual Conference as social media keynote speaker in Charlotte, NC on October 9, 2015.
Mobile Pfizer - BDI 1/19/11 Mobile Healthcare Communications: Case Studies an...
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www.bdionline.comSopa de letras colores
The document contains three word searches with lists of colors to find in Spanish. It provides the colors Amarillo, Azul, Blanco, Gris, Marrón, Naranja, Negro, Rojo, Rosa and Verde to find hidden in the word searches. It also includes the instruction "Encuentra 11 colores en la siguiente sopa de letras" which translates to "Find 11 colors in the following word search".
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