Search results for "Occlusion"

Minimally invasive prosthetic procedures in the rehabilitation of a bulimic patient affected by dental erosion

2015

The population affected by dental erosion due to bulimia is generally very young. This population group has a high aesthetic requirement; the dentition in these patients is severely damaged, especially in the anterior maxillary quadrant. In terms of treatment, it is still controversial whether an adhesive rehabilitation is preferable to a longer-lasting but more aggressive conventional treatment, such as full-crown coverage of the majority of teeth. This case report describes the prosthetic rehabilitation of a young female patient previously affected by bulimia nervosa and presenting erosion of the maxillary teeth. The prosthetic rehabilitation was performed through indirect adhesive restor…

European guidelines on chronic mesenteric ischaemia - joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy an…

2020

Chronic mesenteric ischaemia is a severe and incapacitating disease, causing complaints of post-prandial pain, fear of eating and weight loss. Even though chronic mesenteric ischaemia may progress to acute mesenteric ischaemia, chronic mesenteric ischaemia remains an underappreciated and undertreated disease entity. Probable explanations are the lack of knowledge and awareness among physicians and the lack of a gold standard diagnostic test. The underappreciation of this disease results in diagnostic delays, underdiagnosis and undertreating of patients with chronic mesenteric ischaemia, potentially resulting in fatal acute mesenteric ischaemia. This guideline provides a comprehensive overvi…

Chronic Mesenteric Ischemia: Critical review and guidelines for management

2011

Background CMI is caused by chronic occlusive disease of mesenteric arteries. In such an uncommon disease, clear recommendations are strongly needed. Unfortunately, treatment options for symptomatic CMI are still controversial and no guidelines exist. Methods A systematic literature review of the last 25-years was conducted through MEDLINE, Embase, and Cochrane Review/Trials register to identify studies reporting on CMI treatment with more than 10 patients. Primary outcomes were perioperative mortality and morbidity rates. Secondary outcomes were survival rates, primary and secondary patency rates, vessels treated, CMI recurrence, follow-up (FU), technical success (TS), and in-hospital leng…

Computed tomography assessment of temporomandibular joint position and dimensions in patients with class II division 1 and division 2 malocclusions

2016

Background This study aimed to investigate and compare the positions and dimensions of the temporomandibular joint and its components, respectively, in patients with Class II division 1 and division 2 malocclusions. Material and methods Computed tomography images of 14 patients with Class II division 1 and 14 patients with Class II division 2 malocclusion were included with a mean age of 11.4 ± 1.2 years. The following temporomandibular joint measurements were made with OsiriX medical imaging software program. From the sagittal images, the anterior, superior, and posterior joint spaces and the mandibular fossa depths were measured. From the axial images, the greatest anteroposterior and med…

Chronic total occlusions: A European global perspective

2008

Treatment of chronic total occlusion (CTO) lesions still represents the last frontier for the interventionalist. Although the most important cause of procedural failure is the inability to cross the occlusion with the guide wire and to reach the distal true lumen end, other factors may prevent balloon crossing and final recanalisation. Moreover, the recurrence rate of restenosis and reocclusion is higher compared with other subsets of lesions. Data obtained over the past decade have shown that successful recanalisabon of CTO provides long-term outcome improvement, left ventricular ejection fraction improvement, electrical stability of myocardium and improved tolerance for future coronary ev…

Relationships between stomatognathic and oculomotor systems in the postural determinism

2009

Objectives To establish if oculomotor apparatus, stomatognathic apparatus and postural system are someway related. Materials and methods Ocular deficit, postural stabilization, head inclination and rotation, shoulder position and dental class were assessed by convergence test, cover test, postural and stomatognathic examination in a sample of 22 patients with ocular disease (convergence deficit, strabismus and heterophoria) aged from 10 to 18 years. Results In patients with convergence's deficit, body axis deviated to left (65%) and head inclination to right (65%), right shoulder was higher (68%) and I dental class was observed (49%); in patients with strabismus, body axis deviated to left …

Outcomes With Retrograde Versus Antegrade Chronic Total Occlusion Revascularization

2019

Objectives: The aim of the study was to evaluate the outcomes of retrograde versus antegrade approach in chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Background: The retrograde approach has increased the success rate of CTO PCI but has been associated with a higher risk for complications. Methods: We conducted a meta-analysis of studies published between 2000 and August 2019 comparing the in-hospital and long-term outcomes with retrograde versus antegrade CTO PCI. Results: Twelve observational studies (10,240 patients) met our inclusion criteria (retrograde approach 2,789 patients, antegrade approach 7,451 patients). Lesions treated with the retrograde approach ha…

Mid-term and late results of endovascular treatment for symptomatic carotid artery stenosis under proximal protection

2021

Introduction: Although filters are still preferred during carotid stenting, proximal protection systems (PPS) are increasingly used during these procedures. PPS seem to be safer than distal systems, especially in symptomatic patients, but evidence supporting their use is limited. Aim: This was a post hoc survey with 30-day mid-term and long-term follow up, which was aimed at assessment of the safety and efficacy of stenting of the internal carotid artery under PPS in symptomatic patients. Material and methods: We analysed the results of stenting in 120 symptomatic patients presenting with at least 60% stenosis. Patients were aged 67.9 ±9.8 years, and 12 patients were older than 80 years. An…

Blood Flow Restriction Exercise: Considerations of Methodology, Application, and Safety

2020

Percutaneous Recanalization of Chronic Total Occlusions : 2019 Consensus Document from the EuroCTO Club

2019

Since its inception in December 2006, the EuroCTO Club has strived to provide the framework for state-of-the-art chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in Europe and nearby regions. Among its initiatives, the EuroCTO Club has published a set of recommendations regarding the technical aspects of CTO PCI, whose last edition dates to 2012. The EuroCTO Club consensus document discusses CTO PCI clinical indications, techniques and equipment use, as well as the qualifications of operators/centres. Given the considerable amount of progress made by this subspecialty in recent years, there is a need for an updated document that includes data from recent clinical trial…