A call for safety during electrophysiological procedures: US in, why not US out?

We read with great interest the paper by Sobolevet al.1 entitled ‘Ultrasound-guided cannulation of the femoral vein in electrophysiological procedures: a systematic review and meta-analysis’. Like all meta-analyses, it does not provide certainties but may set the stage for launching randomized trials on this important topic. Vascular damages during electrophy siological (EP) procedures are critical events which may have a substantial impact on patients prognosis, thus increasing their anxiety and fear towards the procedure. Furthermore, when compared with other complications (i.e. atrioventricular block, embolic events, cardiac tamponade), the vascular o nes seem to be relatively frequent, being recently reported in similar or even higher percentages in recent studies. These data are not surprising if we consider that over the last few years, patients on anticoagulant therapy have become a very represented population in the setting of EP procedures. Moreover, many of these procedures are complex and require the introduction of several wide sheaths often in the same vein, or—alternatively—a retrograde approach through the femoral artery when the ipsilateral vein is already cannulated.2 However, the major determinant of vascular complications is still represented by vein cannulation. Since femoral vein cannulation has been performed palpation of external anatomical landmarks has been usually employed to guide the insertion of the needle into the vessel. ...
Source: Europace - Category: Cardiology Source Type: research

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AbstractThe effect of a novel mentalization-based parenting intervention was explored on prenatal self-reported mentalization (P-PRFQ), attachment (MFAS), depression (EPDS) and anxiety (STAI) among women with substance use problems. The participants were 90 pregnant women referred to obstetric outpatient care due to recent or current substance use and randomized into intervention (n = 46) and control (n = 44) groups. The intervention group received three interactive 4D ultrasound sessions and a week-by-week pregnancy diary. The control condition was constituted of treatment-as-usual in obstetric...
Source: International Journal of Mental Health and Addiction - Category: Addiction Source Type: research
Authors: Steinsvik EK, Valeur J, Hausken T, Gilja OH Abstract Background/Aims: Dyspeptic symptoms are common in patients with functional gastrointestinal (GI) disorders, and may be related to visceral hypersensitivity. We aim to explore the relation between visceral hypersensitivity by using an ultrasonographic meal test and questionnaires in patients with irritable bowel syndrome (IBS) and/or functional dyspepsia (FD). Methods: Patients (FD, n = 94; IBS, n = 88; IBS + FD, n = 66, healthy controls [HC], n = 30) were recruited consecutively and examined with ultrasound of the proximal and distal stomach after dr...
Source: Journal of Neurogastroenterology and Motility - Category: Gastroenterology Tags: J Neurogastroenterol Motil Source Type: research
CONCLUSION: The current evidence does not support a negative impact on HRQoL from being under surveillance for an AAA. Qualitative data indicate that adequate patient information and professional care have the potential to reduce unnecessary worries and concerns in patients with an AAA. PMID: 31928908 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - Category: Surgery Authors: Tags: Eur J Vasc Endovasc Surg Source Type: research
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Source: Stress - Category: Research Tags: Stress Source Type: research
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Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Poster Session III Source Type: research
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Source: Urology - Category: Urology & Nephrology Authors: Source Type: research
Conditions:   Refractory Depression;   Anxiety Disorders;   Neurodegenerative Diseases Intervention:   Other: Exosomes Sponsor:   Neurological Associates of West Los Angeles Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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