Near-Infrared Spectroscopy (NIRS) Tissue Oximetry
Discussion. Cureus. 2021 Mar 14;13(3):e13875. doi: 10.7759/cureus.13875. PMID: 33868839; PMCID: PMC8043135.
Tanidir IC, Ozturk E, Ozyilmaz I, Saygi M, Kiplapinar N, Haydin S, Guzeltas A, Odemis E. Near infrared spectroscopy monitoring in the pediatric cardiac catheterization laboratory. Artif Organs. 2014 Oct;38(10):838-44. doi: 10.1111/aor.12256. Epub 2014 Jan 10. PMID: 24404951.
Zaleski KL, Staffa SJ, Kussman BD. A Survey of the Congenital Cardiac Anesthesia Society on the Use and Clinical Application of Near- Infrared Tissue Oximetry in Pediatric Cardiac Surgery. J Cardiothorac Vasc Anesth. 2022 Sep;36(9):3617-3625. doi...
Source: Cardiophile MD - September 9, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
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
Bilateral ICA block: MRI
Case Report 76 yrs old female pt. presets for MR brain angio with c/o giddiness of long duration.MRA shows– marked narrowing& grossly reduced flow signal of both ICA in carotid canal with complete absence of cavernous ICA with source images suggesting right PCOM feeding ipsilateral MCA& left MCA possibly filling from right side. Both MCA are grossly reduced in caliber with origins not identified along with poorly visualized both ACA& ACOM.Dominant grossly tortuous& atheromatous vertebral system with basilar artery suggesting tortuosity/atheromatous looping / redundancy with both PCA normal ...
Source: Sumer's Radiology Site - February 23, 2019 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Gecko Biomedical receives CE Mark Approval for SETALUM ™ Sealant
Paris, France, September 11, 2017 – Gecko Biomedical (“Gecko”), a medical device company developing innovative polymers to support tissue reconstruction, announced today that it has received CE Mark approval for its SETALUM™ Sealant allowing the company to market its technology in Europe.The SETALUM ™ Sealant is a biocompatible, bioresorbable and on-demand activated sealant usable in wet and dynamic environments as an add-on to sutures during vascular surgery. The polymer is applied to tissue in-situ and activated using a proprietary light activation pen.The technology at the foundation of the SETALUM ™ Sealant...
Source: Medical Hemostat - October 25, 2017 Category: Medical Devices Authors: hemostatguy at gmail.com (hemostat guy) Source Type: blogs
MKSAP: 57-year-old man is seen after results of a carotid ultrasound
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 57-year-old man is seen for follow-up evaluation after results of a carotid ultrasound obtained to investigate a left neck bruit show a mixed density plaque at the origin of the left internal carotid artery. Stenosis is estimated to be 60% to 80%. He has had no focal neurologic symptoms or visual loss. The patient has coronary artery disease (CAD) with stable angina, hypertension, dyslipidemia, type 2 diabetes mellitus, and mild kidney failure. He has a 30-pack-year smoking history but stopped smoking 7 years ...
Source: Kevin, M.D. - Medical Weblog - May 6, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Heart 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
Carotid artery stenting versus carotid endarterectomy: Results...
Carotid artery stenting versus carotid endarterectomy: Results of two randomized trials via Now@NEJM Posted on infosnack. (Source: Kidney Notes)
Source: Kidney Notes - March 14, 2016 Category: Urology & Nephrology Authors: Joshua Schwimmer Source Type: blogs
A case that illustrates the good, the bad and the ugly of American medicine
I had a recent conversation with an old friend about her elderly father that encapsulates a lot of what is both great and terribly wrong with health care in America today.
Here are the basic facts: the man is in his mid-80s, retired from teaching school, and is active and vigorous, living in the community; he is cognitively intact. He has a history of coronary disease and had an intracoronary stent placed some years back. He is asymptomatic on a typical “cocktail” of meds including aspirin, a statin, and an ACE inhibitor. Over the summer, he had a routine follow-up visit with his cardiologist, who detected a carotid br...
Source: Kevin, M.D. - Medical Weblog - October 23, 2014 Category: Journals (General) Authors: Ira Nash, MD Tags: Physician Geriatrics Heart Surgery Source Type: blogs
Na-fluoride PET for identification of high-risk coronary atherosclerotic plaques-Lancet Reports
Nikhil Joshi et al in The Lancet, Early Online Publication, 11 November 2013 doi:10.1016/S0140-6736(13)61754-7 discuss the use of non-invasive imaging to identify ruptured or high-risk coronary atherosclerotic plaques which would represent a major clinical advance for prevention and treatment of coronary artery disease. Brief:"In this prospective clinical trial, patients with myocardial infarction and stable angina underwent 18F-NaF and 18F-FDG PET-CT, and invasive coronary angiography. 18F-NaF uptake was compared with histology in carotid endarterectomy specimens from patients with symptomatic carotid dis...
Source: Sumer's Radiology Site - November 14, 2013 Category: Radiologists Authors: Sumer Sethi 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
Surgery Preferable To Stents In Elderly People With Carotid Disease
Age should play an important role in choosing a revascularization procedure for people with blocked carotid arteries, according to a new paper published in JAMA Surgery. Carotid endarterectomy surgery (CEA) is preferable to carotid artery stenting (CAS) in elderly people; for younger patients the two revascularization procedures are broadly similar. George Antoniou and colleagues analyzed data from 44 studies containing more than half a million CEA and 75,000 CAS procedures. In the CAS group, when compared to younger patients elderly patients were at increased risk for stroke (odds ratio 1.56,CI 1.40-1.75). In the CE...
Source: CardioBrief - October 23, 2013 Category: Cardiology Authors: Larry Husten Tags: Interventional Cardiology & Surgery Prevention, Epidemiology & Outcomes Cardiovascular Disorders Carotid artery Carotid endarterectomy health stents Source Type: blogs
Complex Carotid Artery Stenting
In an article published in Indian Journal of Neurosurgery, Sibasankar Dalai has discussed complex carotid artery stenting. Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are safe, effective, and standard methods to treat significant carotid artery stenosis. CAS is generally performed through femoral arterial access. in this article they have concluded CAS can be done safely through non-femoral arterial approach in patients with difficult anatomy.
Full text article in IJNS
From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradprovi...
Source: Sumer's Radiology Site - April 12, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs
