National Vascular Registry: 2019 annual report
Royal College of Surgeons of England - This is the seventh annual report since the National Vascular Registry was launched in 2013. It contains comparative information on five major interventions for vascular disease: lower limb bypass; lower limb angioplasty/stenting; major lower limb amputation; carotid endarterectomy; and repair of aortic aneurysms, including elective infra-renal, ruptured infra-renal, and more complex aneurysms.ReportMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - December 15, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: NHS finances and productivity NHS measurement and performance Source Type: blogs
Vanguard IEP Peripheral Balloon Angioplasty System with Emboli Filter Cleared in U.S.
Contego Medical, based in Raleigh, North Carolina, landed FDA clearance for its Vanguard IEP peripheral balloon angioplasty system. The product features the Congego’s proprietary Integrated Embolic Protection (IEP) technology that captures embolic debris breaking off from occlusions being treated within the superficial femoral artery. It was cleared last year in Europe under the CE Mark.
The IEP component is a parachute-like filter that captures anything larger than 150 microns in diameter, thanks to tiny pores that let blood through but blocks most of the plaque that can dislodge from an occlusion. The device enl...
Source: Medgadget - December 11, 2018 Category: Medical Devices Authors: Editors Tags: Cardiology Radiology Vascular Surgery Source Type: blogs
Paladin Carotid PTA Balloon with Embolic Protection Filter Cleared by FDA
Contego Medical, out of Raleigh, North Carolina, won FDA clearance for its Paladin carotid PTA (Percutaneous Transluminal Angioplasty) balloon catheter. The device, used to open up narrow arteries and to post-dilation of self-expanding stents, has a built-in embolic protection filter that traps any debris that may become dislodged and forced to flow downstream of the treatment site.
The filter has pores only 40 micron in width, allowing it to grab onto pretty small pieces of plaque while letting whole blood flow through. The filter is connected directly to the balloon and the two are delivered and deployed at the same time...
Source: Medgadget - September 20, 2018 Category: Medical Devices Authors: Editors Tags: Neurology Neurosurgery Radiology Vascular Surgery Source Type: blogs
Orbiting ORBITA
By ANISH KOKA, MD
I’m sitting amidst a number of cardiologists to go over the most recent trials presented at the interventional cardiology conference in Denver. The cardiology fellow presenting goes quickly through the hors de oeuvres until finally getting to the main course – ORBITA.
ORBITA sought to test the very foundations interventional cardiology was built on – the simple idea that opening a stenosed coronary artery was good for patients. The trial was a double blind randomized control trial of patients with tightly stenosed arteries who either had a stent placed or had a sham procedure. Before the resul...
Source: The Health Care Blog - December 4, 2017 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Anish Koka cardiology Orbita Source Type: blogs
When do you use a tapering coronary stent ? Which company makes it ?
Coronary artery lumen has unique character . Its well-known LAD diameter is not constant , it tapers in its distal course.(Unlike RCA which is more tubular ) It is estimated LAD looses 15 % of its diameter for every 30mm length.Fortunately LCX has no such long course to make tapering a visible threat. (Though it may still be an Issue !)
Is there a hemodyanmic purpose for this tapering in LAD ?
Should be, God never designs anatomy without a physiological purpose.We have to find it out.(Can it be meant for flow acceleration as the flow is entriely diastolic in LAD while in RCA its both in systole ...
Source: Dr.S.Venkatesan MD - April 2, 2017 Category: Cardiology Authors: dr s venkatesan Tags: Cardiology -Technology Cardiology Innovations Cath lab Hardware Uncategorized biomime morph long tapering coronary stent lad coronary diameter tapers rca long stent tapering meril morph overlapping vs tapering stent rate of tapering of cor Source Type: blogs
Underuse is Rampant, But Overuse is All We Talk About
By KIP SUILLIVAN, JD
This is my fourth in a series of imaginary lectures on remedial health policy for President Obama. My goal is to convince Obama that he relied on the wrong people for health policy advice. I am focusing on three people in particular: Elliott Fisher and his colleagues at the Dartmouth Institute, Peter Orszag, and Atul Gawande.
In my first comment , I criticized Obama for clinging to the belief that the Affordable Care Act has already reduced health care inflation and will continue to do so in the future. I devoted my second comment to explaining how influential the Dartmouth Institute has been. In my ...
Source: The Health Care Blog - October 6, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Should Fluoro be Your New Go-To?
Part Three in a Three-Part Series
This is the third and final part of our series on foreign bodies and fluoroscopy. Click here for part one and here for part two.
This month, we walk you through a step-by-step guide with bonus video footage to aid in your technique. This progressive procedure is absolutely significant to your practice, and we hope you all get a chance to try it.
The Approach
n Identification of foreign body on plain film or ultrasound
n Saphenous or posterior tibial nerve block
n Enlargement of the wound or entrance site using incision...
Source: The Procedural Pause - January 4, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Think twice before having carotid artery surgery
Hundreds of thousands of people have undergone surgery or stents to “fix” blockages in their carotid arteries. (The left and right carotids are the main arteries to the brain.) Most of the these people (about 90%) reported no complaints. We say they are asymptomatic. The blockages were discovered on exam or by ultrasound of the neck.
The idea is that major blockages can progress to full blockages and cause stroke. Since it’s best to prevent stroke, patients with blockages get referred to surgeons and surgeons operate. The fix entails cleaning out the blockage, which we call endarterectomy. More recently, ...
Source: Dr John M - October 1, 2015 Category: Cardiology Authors: Dr John Source Type: blogs
Cerebral hyperperfusion syndrome
is a rare complication described after:
a) Carotid endarterectomy
b) Carotid angioplasty
c) All of the above
d) None of the above
Correct answer: c) All of the above
Ipsilateral headache, nausea, vomiting, focal seizures and altered mental status are the features of cerebral hyperperfusion syndrome. Long standing hypoperfusion due to severe carotid stenosis impairs the cerebral autoregulation of microcirculation. Sudden improvement of perfusion pressure after revascularization overwhelms the ability of dilated arterioles to constrict causing the hyperperfusion syndrome. (Source: Cardiophile MD)
Source: Cardiophile MD - November 1, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance cerebral autoregulation hyperperfusion syndrome Source Type: blogs
Top stories in health and medicine, October 24, 2013
From MedPage Today:
Blood Sugar Tied to Cognitive Function. Variations in glycated hemoglobin levels within the normal range were modestly correlated with performance on certain cognitive tests and with differences in hippocampal structure.
Sleep Problems, Poor Angioplasty Outcomes Linked. Disturbed sleep is common in heart patients following coronary angioplasty and is an independent risk factor for poor cardiac outcomes.
Stenting Carotid Arteries Risky for Seniors. Carotid endarterectomy and carotid stenting to treat carotid disease worked equally well in younger patients, but in elderly patients endarterectomy was ass...
Source: Kevin, M.D. - Medical Weblog - October 24, 2013 Category: Family Physicians Tags: News Heart Neurology Obesity Source Type: blogs
Bombing Suspect’s Wounds
Bomb suspect’s wounds as possible clinical scenarios are discussed below:
Although we are not directly involved in the care of the alleged bombing suspect of the Boston Marathon Dzhokar Tsarnaev who was recently apprehended, we are closely following media reports of his arrest and subsequent transfer to the Beth Israel Deaconess Medical Center.
News reports have shown photos of him lying on the grass with his hands apparently cuffed and his shirt pulled up with law enforcement officers working over him. Also photos have been published of him climbing out of the boat under his own power and also of him on a stretcher...
Source: Inside Surgery - April 20, 2013 Category: Surgeons Authors: Editor Tags: Musings bombing Boston marathon Dzhokar Tsarnaev suspect wounds Source Type: blogs
