Search results for " thoracic"
showing 7 items of 217 documents
Datortomogrāfijas protokola pielietojums pacientiem ar thoracic outlet sindromu
2021
Bakalaura darba tēmas “Datortomogrāfijas protokola pielietojums pacientiem ar thoracic outlet sindromu” darba mērķis ir noskaidrot datortomogrāfijas protokola pielietošanas iespējas pacientiem ar thoracic outlet sindromu Latvijā. Aktualitāte saistīta ar thoracic outlet sindroma sarežģīto diagnostiku. Vairumā gadījumu par šo sindromu aizmirst, kā dēļ netiek veikta atbilstoša diagnostika, patoloģijas atklāšanai. Līdz ar to pacients nesaņem savlaicīgu ārstēšanu, bet neārstēts sindroms rada neatgriezeniskus fiziskus un psihiskus traucējumus. Thoracic outlet sindroms ir nopietna, dzīves kvalitāti kropļojoša slimība, kas sāpju sindroma dēļ pacientiem rada psihiskus traucējumus. Neārstējot šo sind…
Protective ventilation with high versus low positive end-expiratory pressure during one-lung ventilation for thoracic surgery (PROTHOR): study protoc…
2019
Background: Postoperative pulmonary complications (PPC) may result in longer duration of in-hospital stay and even mortality. Both thoracic surgery and intraoperative mechanical ventilation settings add considerably to the risk of PPC. It is unclear if one-lung ventilation (OLV) for thoracic surgery with a strategy of intraoperative high positive end-expiratory pressure (PEEP) and recruitment maneuvers (RM) reduces PPC, compared to low PEEP without RM. Methods: PROTHOR is an international, multicenter, randomized, controlled, assessor-blinded, two-arm trial initiated by investigators of the PROtective VEntilation NETwork. In total, 2378 patients will be randomly assigned to one of two diffe…
Is the sporadic thoracic aneurysm the result of inflammatory process
2014
Genetic Factors as Promising Biomarkers of Sporadic Ascending Aortic Aneurysm
2014
Thoracic aorta shows various changes with advancing age and a progressive deterioration in structure and function. As a result, vascular remodeling (VR) and medial degeneration (MD) occur. VR and MD are typical entities of sporadic thoracic aortic aneurysm (TAA), actually considered a common and serious health risk and a pathology by unclear mechanisms. Increased activity of the coagulation system, inflammation, activation of extracellular matrix remodeling and endothelial dysfunction pathways have been recently evidenced to have a key role in its onset. Thus, polymorphisms of the coagulation system [fibrinogen (rs1800790); Factor II ( rs1799963); Factor V (rs6025); Factor VII (rs121964926)…
Periscope endograft technique to revascularize the left subclavian artery during thoracic endovascular aortic repair.
2013
Purpose: To present early and midterm results of the periscope endograft (PG) technique to maintain left subclavian artery (LSA) blood flow in thoracic endovascular aortic repairs (TEVAR) involving zone 3. Methods: From April 2010 to January 2013, 14 consecutive high-risk patients (11 men; mean age 7068 years, range 56–87) underwent TEVAR with the PG technique for 10 thoracic aortic aneurysms (TAA), 2 traumatic aortic ruptures, and 2 aortic dissections without a suitable landing zone (.2 cm distal to the LSA). Five procedures were performed emergently for rupture (3 TAAs and the 2 trauma cases). Two patients had a periscope deployed in an aberrant right subclavian artery. The periscope endo…
Uniportal bilateral video-assisted sequential thoracoscopic extended thymectomy
2017
Standard video-assisted thoracoscopic surgery has been reported as a minimally invasive approach alternative to sternotomy for management of myasthenia gravis (MG) associated with thymoma or thymic hyperplasia. Uniportal video-thoracoscopy is an evolution of standard multi-portal video-thoracoscopy for management of several thoracic diseases but its role for resecting mediastinal tumor remains under-evaluated. Herein, we describe our experience with bilateral uniportal thoracoscopic sequential extended thymectomy with case and video illustrations.