Search results for "Catheter"
showing 10 items of 482 documents
Thrombosis, fracture, and percutaneous removal of a patent foramen ovale closure device 1 month after successful deployment
2010
Several different devices have been developed for the percutaneous closure of interatrial defects and patent foramen ovale. Although the implantation of these devices is both safe and effective, a number of complications, both in the early and the late follow-up, may occur. We describe a case of device fracture manifested early (1 month after implantation) with the formation of massive thrombosis on the right atrial disc. The patient was treated with anticoagulants and the device was percutaneously retrieved. Our images allowed early noninvasive therapy and emphasize the need for echocardiographic follow-up early after implantation. © 2010 Wiley-Liss, Inc.
Electrocardiographic Imaging for Atrial Fibrillation: A Perspective From Computer Models and Animal Experiments to Clinical Value
2021
[EN] Electrocardiographic imaging (ECGI) is a technique to reconstruct non-invasively the electrical activity on the heart surface from body-surface potential recordings and geometric information of the torso and the heart. ECGI has shown scientific and clinical value when used to characterize and treat both atrial and ventricular arrhythmias. Regarding atrial fibrillation (AF), the characterization of the electrical propagation and the underlying substrate favoring AF is inherently more challenging than for ventricular arrhythmias, due to the progressive and heterogeneous nature of the disease and its manifestation, the small volume and wall thickness of the atria, and the relatively large…
PiCCO plus: monitorización cardiopulmonar mínimamente invasiva
2008
Insertion of a central venous catheter and an arterial catheter would be indicated in hemodynamically unstable or severely hypoxic patients in critical care units. In this setting, cardiorespiratory monitoring by transpulmonary thermodilution (TPTD) can be considered minimally invasive given that only a single arterial thermodilution catheter and a single central venous catheter are required to be connected to a specific monitor (the PiCCO Plus, Pulsion Medical Systems, Munich, Germany). TDTP simultaneously measures cardiac output, preloading, and cardiac function in hemodynamically unstable patients and predicts the response to volume. The technique can be managed by any health care profes…
Comparison of heparin to citrate as a catheter locking solution for non-tunneled central venous hemodialysis catheters in patients requiring renal re…
2014
Background The incidence of acute kidney injury (AKI) is estimated at 10 to 20% in patients admitted to intensive care units (ICU) and often requires renal replacement therapy (RRT). ICU mortality in AKI patients can exceed 50%. Venous catheters are the preferred vascular access method for AKI patients requiring RRT, but carry a risk of catheter thrombosis or infection. Catheter lock solutions are commonly used to prevent such complications. Heparin and citrate locks are both widely used for tunneled, long-term catheters, but few studies have compared citrate versus heparin for patients with short-term, non-tunneled catheters. We aim to compare citrate 4% catheter lock solution versus hepar…
Near-infrared imaging and structured light ranging for automatic catheter insertion
2006
Vein localization and catheter insertion constitute the first and perhaps most important phase of many medical procedures. Currently, catheterization is performed manually by trained personnel. This process can prove problematic, however, depending upon various physiological factors of the patient. We present in this paper initial work for localizing surface veins via near-infrared (NIR) imaging and structured light ranging. The eventual goal of the system is to serve as the guidance for a fully automatic (i.e., robotic) catheterization device. Our proposed system is based upon near-infrared (NIR) imaging, which has previously been shown effective in enhancing the visibility of surface vein…
Catheters in Regional Anesthesia
2014
Anesthesiologists use different types of catheters in the performance of continuous regional anesthetic techniques such as epidural, subarachnoid, and paravertebral blocks, as well as peripheral nerve blocks.
Analyzing central-line associated bloodstream infection prevention bundles in 22 countries: The results of ID-IRI survey
2022
International audience; BACKGROUND: Because central line-associated bloodstream infections (CLABSIs) are a significant complication of central venous access, it is critical to prevent CLABSIs through the use of central line bundles. The purpose of this study was to take a snapshot of central venous access bundles in various countries. METHODS: The participants in intensive care units (ICUs) completed a questionnaire that included information about the health center, infection control procedures, and central line maintenance. The countries were divided into 2 groups: those with a low or low-middle income and those with an upper-middle or high income. RESULTS: Forty-three participants from 22…
Reproducibility of FFR
2016
This chapter describes the repeatability of FFR assessments using IC and IV infusions of Adenosine. Further, it demonstrates that is possible to assess FFR with a diagnostic catheter.
Regional Cerebral Blood Flow in Cases of Brain Tumor
1969
The present series consists of 21 patients with brain tumors: 12 malignant gliomas, 4 oligo- dendro gliomas, 3 meningeomas and 2 metastases, studied by the133Xe-gamma-clearance rCBF method. In 16 patients at least 3 determinations of rCBF were performed: a) in the resting state, R; b) during hyperventilation, HV, and c) during hypertension, HT. Of the remaining 5 patients, 1 was studied only during R, while the other 4 were submitted either to HV or to HT additionally to the R study. The average age of this series of patients was 47 years, the youngest being 19 and the oldest 64. rCBF studies had to be performed under general anesthesia (N2O + O2, Engstrom respirator) in 5 instances in whic…