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Acute leg ischemia secondary to embolization of an Angio-Seal device.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Angio-Seal is a vascular closure device designed for repairing arterial puncture sites used for various endovascular procedures. It has a better safety and efficacy profile compared to manual compression in the previous studies. However, there are significant complications that may arise from the use of Angio-Seal like infections, aneurysm formation, and vessel occlusion. Our case is a demonstration of one such complication. We conclude with a dicussion of the present literature available with regards to the Angio-Seal device. PMID: 19908180 [PubMed - as supplied by publisher] (Source: Diagnostic and Interventional...
Source: Diagnostic and Interventional Radiology : The Turkish Society of Radiology - November 10, 2009 Category: Radiology Authors: Adusumilli S, Mah J, Richardson A Tags: Diagn Interv Radiol Source Type: journals

Acute transient thyroid swelling after catheterization of the subclavian veinEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report, we present a remarkable case of acute diffuse edematous swelling of the thyroid gland as an unexpected and rare complication after attempted subclavian vein catheterization. Acute thyroid swelling rarely occurs after fine needle aspiration, and to our knowledge, we are the first to describe acute thyroid swelling after central venous catheter insertion. (Source: Critical Care)
Source: Critical Care - October 6, 2009 Category: Intensive Care Authors: R. Arthur BouwmanMartijn MeijerinkAlbertus Beishuizen Source Type: journals

Use of the Starclose Device for Closure of Inadvertent Subclavian Artery PuncturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion: Based on our limited experience, we feel that this method can be performed safely and expeditiously not only in the operating room but also at the bedside. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - August 31, 2009 Category: Surgery Authors: Victor Tran, Alexander Shiferson, Anil P. Hingorani, Enrico Ascher, Natalie Marks, Kapil Gopal, Nirav Patel, Theresa Jacob Tags: Basic Science Research Source Type: journals

Comparison of 10 hemostatic dressings in a groin puncture model in swineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The findings indicated that the efficacy of Woundstat, Celox, X-Sponge, and ACS+ were similar and superior in improving survival, hemostasis, and maintenance of mean arterial pressure in an actively bleeding wound caused in this severe vascular injury model.Clinical Relevance: Major improvements have been made in the development of novel dressings with hemostatic properties to control heavy bleeding in noncompressible areas. Hemostatic dressings offer promise in the military and civilian surgical environment for hemorrhage control in difficult situations. This animal-based study identified dressings with good ...
Source: Journal of Vascular Surgery - August 26, 2009 Category: Surgery Authors: Françoise Arnaud, Kohsuke Teranishi, Toshiki Tomori, Walter Carr, Richard McCarron Tags: Basic research studies Source Type: journals

Radial artery pseudoaneurysm after a single arterial puncture for blood-gas analysis: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a radial artery pseudoaneurysm complicating a single arterial puncture for blood-gas analysis that was treated with excision of pseudoaneurysm and suture of the defect of wall of radial artery. The puncture for continuous blood pressure monitoring and serial blood gas analysis have been reported in critically ill patients, but, to the best of our knowledge, there are no cases reported of pseudoaneurysm after a single arterial puncture for blood-gas analysis. In the reported case we think that the main cause of the pseudoaneurysm onset was an incorrect compression and/or a too much short time of compress...
Source: Cases Journal - July 20, 2009 Category: Journals (General) Source Type: journals

Popliteal artery embolization with the Mynx closure deviceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of popliteal artery emobilization after using an extravascular water soluble plug-mediated vascular puncture closure device. © 2009 Wiley-Liss, Inc. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - July 12, 2009 Category: Cardiovascular & Thoracic Surgery Authors: M. Ashequl Islam, Anil K. George, Marc Norris Source Type: journals

Ultrasound-Guided Central Venous Cannulation in Bariatric PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions  The use of ultrasound guidance may increase the success rate and decrease the incidence of complications associated with central venous cannulation. The advantages of this approach is visualization of the anatomical structures at puncture site prior to skin puncture and the ability to track needle and guide-wire placement during the procedure. With its high accuracy in detecting catheter misplacement, bedside ultrasonic examination combined with intraatrial electrocardiogram may further decrease morbidity associated with misplaced central venous catheters. Content Type Journal ArticleCateg...
Source: Obesity Surgery - June 25, 2009 Category: Surgery Tags: Obesity Surgery Source Type: journals

The Anatomic Relationship between the Common Femoral Artery and Common Femoral Vein in Frog Leg Position Versus Straight Leg Position in Pediatric PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: A significant percentage of children have FAs that overlap their FVs. This overlap may be responsible for complications such as FA puncture with CVL placement. Ultrasound-guided techniques may decrease these risks. Placing children in the frog leg position increases the diameter of the FV visualized on ultrasound. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]6 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - June 10, 2009 Category: Emergency Medicine Authors: Jennifer W. Hopkins, Fred Warkentine, Edward Gracely, In K. Kim Source Type: journals

Fluoroscopy vs. Traditional guided femoral arterial access and the use of closure devices: A randomized controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The angiographic suitability for VCD was not different between FG and TALG groups. Fluoroscopy decreased the number of low arteriotomies. The time to sheath insertion, number of arterial punctures needed to obtain access, and the incidence of complications were also similar. © 2009 Wiley-Liss, Inc. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - June 8, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Mazen S. Abu-Fadel, Jeffrey M. Sparling, Soni J. Zacharias, Christopher E. Aston, Jorge F. Saucedo, Eliot Schechter, Thomas A. Hennebry Source Type: journals

A randomized study of a new landmark-guided vs traditional para-carotid approach in internal jugular venous cannulation in infants.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Compared with traditional para-carotid approach, the new landmark-guided approach for access of the IJV during teaching central catheterization significantly reduced carotid arterial puncture, provided a higher success rate and minimized procedure time in infants aged 3-12 months. PMID: 19453580 [PubMed - in process] (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 30, 2009 Category: Anesthesiology Authors: Xiao W, Yan F, Ji H, Liu M, Li L Tags: Paediatr Anaesth Source Type: journals

[Original articles] Evaluation of a method for converting venous values of acid-base and oxygenation status to arterial valuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Arterial pH and Pco2 can be calculated precisely from peripheral venous blood in a broad patient population. The method has potential for use as a screening tool in emergency medical departments and in medical and surgical wards to assess a patient’s acid-base and oxygenation status prior to sampling arterial blood or to help in the decision to refer the patient to the ICU. In departments where arterial blood gas values are used to monitor patients (eg, pulmonary medicine), the method might reduce the number of arterial samples taken by replacing them with peripheral venous blood samples, thus reducing th...
Source: Emergency Medicine Journal - March 23, 2009 Category: Emergency Medicine Authors: Toftegaard, M, Rees, S E, Andreassen, S Tags: Original articles Source Type: journals

Management of Subclavian Arterial Injuries following Inadvertent Arterial Puncture during Central Venous Catheter Placement.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Subclavian artery injuries after central venous catheter placement constitute a rare but potentially fatal complication. In this case series, the authors describe several endovascular treatment options in the management of iatrogenic subclavian arterial injuries resulting from inadvertent arterial placement of central catheters. PMID: 19167239 [PubMed - as supplied by publisher] (Source: Journal of Vascular and Interventional Radiology : JVIR)
Source: Journal of Vascular and Interventional Radiology : JVIR - January 21, 2009 Category: Radiology Authors: Abi-Jaoudeh N, Turba UC, Arslan B, Hagspiel KD, Angle JF, Schenk WG, Matsumoto AH Tags: J Vasc Interv Radiol Source Type: journals

[Pharyngeal hemorrhaging due to iatrogenic false aneurysm : Complication after cannulation of the internal jugular vein.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Catheterization of the internal jugular vein is used for temporary access to the central vein in patients with acute or chronic renal failure. The most frequent problem is the arterial puncture and accidental placement of the large catheter in an artery. This case report describes a rare secondary complication by accidental catheterization of the right common carotid artery after intended dual lumen catheter insertion into the right internal jugular vein. A false aneurysm with pharyngeal hemorrhaging developed 2 weeks after the puncture. The diagnosis was made using colour-Doppler ultrasound and the aneurysm was treate...
Source: Der Anaesthesist - December 25, 2008 Category: Anesthesiology Authors: Kreckel V, Langwara H Tags: Anaesthesist Source Type: journals

Where's the Point?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DR. WILKOFF practices general pediatrics in a multispecialty group practice in Brunswick, Maine. Write to Dr. Wilkoff at our editorial offices (pdnews@elsevier.com). If you have given more than a thousand intramuscular injections, you have probably hit bone at least once or twice. This is not the “Eureka!” kind of discovery that one gets from striking oil or seeing that crimson flashback from a successful and intentional arterial puncture. Pricking the periosteum is more of a fingernails-on-the-blackboard moment. Even if somehow you managed to ignore the bone-chilling vibrations that traveled up the syringe, the patie...
Source: Pediatric News - December 1, 2008 Category: Journals (General) Authors: William G. Wilkoff Tags: Letters From Maine Source Type: news

Risk predictors of retroperitoneal hemorrhage following percutaneous coronary intervention.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, this large prospective cohort study identified CRI, but not VCD use, as an independent predictor for RPH and peripheral vascular disease. PMID: 19026298 [PubMed - in process] (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - November 27, 2008 Category: Cardiology Authors: Tiroch KA, Arora N, Matheny ME, Liu C, Lee TC, Resnic FS Tags: Am J Cardiol Source Type: journals

Incidents and complications of totally implanted vascular access devices in children : a prospective study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Prospective recording of TIVA insertion in children reveals a significant number of early incidents and complications, mainly associated with the percutaneous puncture technique. We found no infection in this series. Results of a longer follow-up in the same population are pending. PMID: 19014527 [PubMed - as supplied by publisher] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - November 13, 2008 Category: Surgery Authors: Tercier S, Gapany C, Diezi M, Clement C, Lemay K, Joseph JM Tags: Patient Saf Surg Source Type: journals

Modified Trapdoor Exposure for Open Repair of Brachiocephalic Artery Branch Injury: Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe 2 cases of successful open surgical repair of iatrogenic cervicothoracic arterial injuries secondary to central venous catheterization. In both patients, a novel transmanubrial approach was incorporated to expose and control the brachiocephalic artery. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - November 9, 2008 Category: Surgery Authors: Wall, M. L., Davies, R. S. M., Simms, M. H. Tags: Case Reports Source Type: journals

The clinical effectiveness of length of bed rest for patients recovering from trans-femoral diagnostic cardiac catheterisationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this review was to present the best available evidence for the optimal length of bed rest after trans-femoral diagnostic cardiac catheterisation. The main outcome of interest was the incidence of bleeding and haematoma formation following varying periods of bed rest.Search strategy We searched the following databases: CINAHL, Medline, Cochrane Library, Current Contents, EBSCO, Web of Science, Embase, British Nursing Index, Controlled clinical trials database, Google Scholar. Reference lists of relevant articles and conference proceedings were searched. We also contacted key organisations and researchers in...
Source: International Journal of Evidence-Based Healthcare - November 5, 2008 Category: Nursing Authors: Sek Ying Chair, Ritin Fernandez, May How-Lin Lui, Violeta Lopez, David R Thompson Tags: EVIDENCE SYNTHESIS Source Type: journals

Prediction of arterial blood gas values from arterialized earlobe blood gas values in patients treated with mechanical ventilationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions:</b> Arterialized earlobe blood gas can accurately predict the ABG values of pH, <i>P</i>CO<sub> 2</sub> , BE, and HCO<sub> 3</sub> - for patients who do not require regular continuous blood pressure measurements and close monitoring of arterial <i>P</i>O<sub> 2</sub> measurements. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - October 29, 2008 Category: Intensive Care Authors: Honarmand Azim, Safavi Mohammadreza Source Type: journals

Safety and Effectiveness of Repeat Arterial Closure Using the AngioSeal Device in Patients with Hepatic Malignancy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The repeat use of the AngioSeal closure device is safe and effective in patients with hepatic malignancy undergoing regional oncologic interventional procedures. PMID: 18951046 [PubMed - as supplied by publisher] (Source: Journal of Vascular and Interventional Radiology : JVIR)
Source: Journal of Vascular and Interventional Radiology : JVIR - October 22, 2008 Category: Radiology Authors: Hieb RA, Neisen MJ, Hohenwalter EJ, Molnar JA, Rilling WS Tags: J Vasc Interv Radiol Source Type: journals

Prospective clinical evaluation of a new manometer syringe that distinguishes pressures below 30 and above 50 mmHg.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Certofix PresSure Check provides a unique way of testing whether a catheter is placed in a low or high pressure system. It can be used for identifying inadvertent arterial punctures. PMID: 18929281 [PubMed - in process] (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - September 1, 2008 Category: Anesthesiology Authors: Schummer W, Schummer C Tags: J Clin Anesth Source Type: journals

Pain and tactile stimuli during arterial puncture in preterm neonates.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to assess the behavioral and physiological reactivity of preterm neonates during different phases of a blood collection procedure involving arterial puncture. The sample consisted of 43 preterm and very low birth weight neonates with a postnatal age of 1 to 21 days who were hospitalized in the Neonatal Intensive Care Unit. The neonates were evaluated during the whole blood collection procedure. The assessment was divided into five consecutive phases: Baseline (BL); Antisepsis (A), covering the period of handling of the neonate for antisepsis prior to puncture; Puncture (P); Recovery-Dressi...
Source: Pain - August 25, 2008 Category: Anesthesiology Authors: Gaspardo CM, Chimello JT, Cugler TS, Martinez FE, Linhares MB Tags: Pain Source Type: journals

Long-term outcomes of peripheral arm ports implanted in patients with colorectal cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion  Peripheral arm ports can be maintained with excellent short-and long-term outcomes. Peripheral arm ports are considered to be a good alternative to central venous ports implanted in the chest in patients with MCRC. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10147-008-0766-2Authors Junichiro Kawamura, Kyoto University Department of Surgery, Graduate School of Medicine 54 Shogoin Kawahara-cho, Sakyo-ku Kyoto 606-8507 JapanSatoshi Nagayama, Kyoto University Department of Surgery, Graduate School of Medicine 54 Shogoin Kawahara-cho, Sakyo-ku Kyoto 606-8507 JapanAkinari Nom...
Source: International Journal of Clinical Oncology - August 15, 2008 Category: Cancer & Oncology Tags: International Journal of Clinical Oncology Source Type: journals

Complications Associated With the Arterial Puncture Closure Device--Angio-SealEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The Angio-Seal device should not be used for closure of the superficial femoral artery and in patients with severe arteriosclerosis. The application of arteriography as well as the use of ultrasound-guided puncture is advisable. In all cases, surgical intervention was successful and an adequate therapy for management of complications. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - July 30, 2008 Category: Surgery Authors: Kadner, A., Schmidli, J., Schwegler, I., Dick, F., Schonhoff, F., Carrel, T., Savolainen, H. Tags: Article Source Type: journals

Anaesthesia for arterial puncture in the emergency department: a randomized trial of subcutaneous lidocaine, ethyl chloride or nothing.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Page: 218DOI: 10.1097/MEJ.0b013e3282f4d19bAuthors: France, James E. a; Beech, Fiona J.M. b; Jakeman, Nicola a; Benger, Jonathan R. c (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - July 9, 2008 Category: Emergency Medicine Tags: Abstract HTML PDF (54 K) Source Type: journals

Success of Ultrasound-guided Peripheral Intravenous Access with Skin Marking.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: LAMP did not improve success of USGPIVA in variably experienced operators. Experience was associated with higher rates of success for USGPIVA. PMID: 18637084 [PubMed - as supplied by publisher] (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - July 9, 2008 Category: Emergency Medicine Authors: Resnick JR, Cydulka RK, Donato J, Jones RA, Werner SL Tags: Acad Emerg Med Source Type: journals

Local Anesthesia in Arterial Puncture: Nurses' Knowledge and Attitudes.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Local anesthesia is used very little in arterial puncture. Knowledge about how to perform arterial blood extraction for blood gas analysis is insufficient and needs to be improved among both nurses and nursing students. Nonetheless it is noteworthy that most of those surveyed indicated a preference for receiving local anesthesia if they were to undergo the procedure. These data should be taken into consideration when training nurses to perform arterial puncture. PMID: 18727888 [PubMed - as supplied by publisher] (Source: Archivos de Bronconeumologia)
Source: Archivos de Bronconeumologia - July 1, 2008 Category: Respiratory Medicine Authors: Valero Marco AV, Martínez Castillo C, Maciá Soler L Tags: Arch Bronconeumol Source Type: journals

Ultrasound-guided supraclavicular vs infraclavicular brachial plexus blocks in children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: (i) Ultrasound-guided supraclavicular and infraclavicular brachial plexus blocks are effective in children. (ii) There has been no pneumothorax in 40 US-guided supraclavicular brachial plexus blocks performed by anaesthesiologists already trained in US-guided regional anaesthesia using an IP technique in children >/=5 years old. (iii) In this study, the supraclavicular approach of the brachial plexus was faster to perform than the infraclavicular one. PMID: 18544144 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - June 9, 2008 Category: Anesthesiology Authors: DE José María B, Banús E, Navarro Egea M, Serrano S, Perelló M, Mabrok M Tags: Paediatr Anaesth Source Type: journals

An observational study of emergency department intern activities.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The ED exposes interns to a broad range of activities. With the anticipated increase in intern numbers, dilution of the emergency medicine experience may occur, and requirements for supervision may increase. Substitution of ED rotations may deprive interns of a valuable learning experience. PMID: 18459922 [PubMed - as supplied by publisher] (Source: Med J Aust)
Source: Med J Aust - May 5, 2008 Category: Journals (General) Authors: Zhu JN, Weiland TJ, Taylor DM, Dent AW Tags: Med J Aust Source Type: journals

A potentially fatal complication during subclavian vein catheterization in an infant with congenital heart disease-puncture to pulmonary artery directly: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report an arterial puncture directly to the pulmonary artery in infant during subclavian vein catheterization. PMID: 18502370 [PubMed - in process] (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - May 1, 2008 Category: Anesthesiology Authors: Lu WH, Huang TC, Pan JY, Wang HP, Lin CC, Chen YY, Hsieh KS Tags: J Clin Anesth Source Type: journals

Validity of venous blood gas analysis for diagnosis of acid-base imbalance in children admitted to pediatric intensive care unit.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: VBG can be used instead of ABG in some diseases such as respiratory distress syndrome, neonatal sepsis, renal failure, pneumonia, diabetic ketoacidosis and status epilepticus, but in other diseases such as neonatal seizure, shock, congestive heart failure and congenital heart diseases, ABG is preferable and must not be replaced by VBG. These results may be used for the formulation of future guidelines for PICU. PMID: 18661766 [PubMed - in process] (Source: World Journal of Pediatrics : WJP)
Source: World Journal of Pediatrics : WJP - May 1, 2008 Category: Pediatrics Authors: Bilan N, Behbahan AG, Khosroshahi AJ Tags: World J Pediatr Source Type: journals

Kontinuierliche Nierenersatztherapie in der Behandlung des akuten Nierenversagens: Geschichte und EntwicklungEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract  Acute renal failure (ARF) is a frequent complication in patients with multiple organ failure and sepsis leading to a significant increase of mortality in these critically ill patients (50– 70%). While for years, ARF was considered an unavoidable complication of multiple organ failure and thus not essential for the progress, various studies in recent years have shown an independent and fundamental influence of ARF and therefore its therapy on the survival of the patient. In the late 1970s continuous forms of treatment were introduced into the intensive care units. The first form of this treatment...
Source: Intensivmedizin und Notfallmedizin - April 7, 2008 Category: Intensive Care Tags: Intensivmedizin und Notfallmedizin Source Type: journals

ExoSeal vascular plug gets good reviews in ECLIPSE studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A new bioabsorbable plug that seals the arterial puncture site used for threading catheters into the body during diagnostic angiography and interventional procedures significantly shortens bleeding time and enables patients to get up and walk around far sooner than when manual compression is applied to the groin. (Source: News-Medical News Feed)
Source: News-Medical News Feed - April 2, 2008 Category: Consumer Health News Source Type: news

Bioabsorbable Plug Gets Good Reviews In ECLIPSE StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A new bioabsorbable plug that seals the arterial puncture site used for threading catheters into the body during diagnostic angiography and interventional procedures significantly shortens bleeding time and enables patients to get up and walk around far sooner than when manual compression is applied to the groin. (Source: Cardiovascular / Cardiology News From Medical News Today)
Source: Cardiovascular / Cardiology News From Medical News Today - April 2, 2008 Category: Cardiology Source Type: news

Thrombotic and infectious complications of central venous catheters in patients with hematological malignanciesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Central venous catheters (CVCs) have considerably improved the management of patients with hematological malignancies, by facilitating chemotherapy, supportive therapy and blood sampling. Complications of insertion of CVCs include mechanical (arterial puncture, pneumothorax), thrombotic and infectious complications. CVC-related thrombosis and infections are frequently occurring complications and may cause significant morbidity in patients with hematological malignancies. CVC-related thrombosis and infections are related and can therefore not be seen as separate entities. The incidence of symptomatic CVC-related thrombosis ...
Source: Annals of Oncology - February 27, 2008 Category: Cancer & Oncology Authors: Boersma, R. S., Jie, K.-S. G., Verbon, A., van Pampus, E. C. M., Schouten, H. C. Tags: reviews Source Type: journals

Accuracy of Physical Examination and Intra-Access Pressure in the Detection of Stenosis in Hemodialysis Arteriovenous Fistula.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Both physical examination (PE) and intra-access pressure (IAP) measurements have been used in the identification of stenosis in an arteriovenous access. The aim of this study was to evaluate the accuracy of PE and IAP in the diagnosis of arteriovenous fistula (AVF) stenosis. A total of 84 patients were enrolled in the study (54% men, mean age of 50.7 +/- 12.7 years and mean AVF patency of 24.9 +/- 7.8 months, 52% radiocephalic). Abnormalities of pulse and thrill were used as the diagnostic tools for the detection of stenosis using the physical examination. For IAP, stenosis was suspected when the ratio between IAP at t...
Source: Seminars in Dialysis - February 1, 2008 Category: Urology & Nephrology Authors: Campos RP, Chula DC, Perreto S, Riella MC, do Nascimento MM Tags: Semin Dial Source Type: journals

Sonographically guided venous puncture and fluoroscopically guided placement of tunneled, large-bore central venous catheters for bone marrow transplantation—high success rates and low complication ratesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion  Percutaneous implantation of large-lumen, tunneled, central venous catheters can be achieved with a high technical success rate and a low complication rate under combined sonographic and fluoroscopic guidance. In cases of mechanical complications, catheter rescue by interventional techniques is possible in the vast majority of cases. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00520-007-0378-9Authors Bernhard Gebauer, Charité, Universitätsmedizin Berlin Department of Radiology Campus Virchow-Klinikum, Augustenburger Platz 1 13353 Berlin GermanyUlf Martin Karl Teichgr...
Source: Supportive Care in Cancer - January 16, 2008 Category: Cancer & Oncology Tags: Supportive Care in Cancer Source Type: journals

Nerve Injuries Related to Vascular Access Insertion and Assessment.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Nerve injury related to the insertion of peripheral IV catheters, venipuncture for blood collection, and the insertion of peripherally inserted central catheters is the most commonly reported insertion complication. Nurses who insert peripheral and central vascular access devices are responsible, both clinically and legally, to have a working knowledge of the vascular, arterial, and nerve anatomy of the upper extremity. Nerve compression injury is related to large infiltrations and extravasations that can cause compartment syndrome. A hematoma can develop when inadequate pressure is applied to vascular and arterial punctur...
Source: Journal of Infusion Nursing - November 20, 2007 Category: Nursing Tags: Abstract HTML PDF (105 K) Source Type: journals

Emergent treatment of an Iatrogenic arterial injury at femoral puncture site With Symbiot® self-expanding PTFE-covered coronary stent-graftEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report an intracranial stenting procedure complicated by active bleeding from the femoral puncture site because of high arterial puncture. The patient was treated by placement of two PTFE-covered self-expanding coronary stent-grafts. To our ... (Source: Australasian Radiology)
Source: Australasian Radiology - November 7, 2007 Category: Radiology Tags: article INTERVENTIONAL Source Type: journals

Iatrogenic stenosis following suture-mediated closure deviceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Australasian Radiology, Volume 51, Issue s4, Page B319-B323, December 2007. SUMMARY The use of percutaneous closure devices post arterial punctures has been introduced to reduce time to haemostasis, reduce haemorrhage, improve patient comfort and reduce time to ambulation. Their increased use has been a result of larger access ... (Source: Australasian Radiology)
Source: Australasian Radiology - November 7, 2007 Category: Radiology Tags: article INTERVENTIONAL Source Type: journals

Thrombotic and infectious complications of central venous catheters in patients with hematological malignancies.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Central venous catheters (CVCs) have considerably improved the management of patients with hematological malignancies, by facilitating chemotherapy, supportive therapy and blood sampling. Complications of insertion of CVCs include mechanical (arterial puncture, pneumothorax), thrombotic and infectious complications. CVC-related thrombosis and infections are frequently occurring complications and may cause significant morbidity in patients with hematological malignancies. CVC-related thrombosis and infections are related and can therefore not be seen as separate entities. The incidence of symptomatic CVC-related thrombo...
Source: Ann Oncol - October 24, 2007 Category: Cancer & Oncology Authors: Boersma RS, Jie KS, Verbon A, van Pampus EC, Schouten HC Tags: Ann Oncol Source Type: journals

Effect of radix paeoniae rubra on expression of p38 MAPK/iNOS/HO-1 in rats with lipopolysaccharide-induced acute lung injury.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The high expression of MAPK plays an important role in lipopolysaccharide-induced acute lung injury. Protective effect of RPR on lipopolysaccharide-induced acute lung injury may be related to the inhibition of the abnormal high expression of p38 MAPK/iNOS/HO-1. PMID: 17919363 [PubMed - indexed for MEDLINE] (Source: Chinese Journal of Traumatology)
Source: Chinese Journal of Traumatology - October 1, 2007 Category: Orthopaedics Authors: Li-ying Z, Zhong-yuan X, Fang X, Bang-chang C Tags: Chin J Traumatol Source Type: journals

[Best evidence topic reports] Capillary blood gases as an alternative to arterial puncture in diabetic ketoacidosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 27, 2007 Category: Emergency Medicine Tags: Best evidence topic reports Source Type: journals

Prospective Study of Elective Bilateral Versus Unilateral Femoral Arterial Puncture for Uterine Artery EmbolizationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract  The purpose of this study was to assess the effect of elective bilateral femoral arterial punctures for uterine artery embolization (UAE) of symptomatic fibroids on fluoroscopy and procedural time, patient dose, and ease of procedure. We conducted a prospective study of UAE with either the intention to catheterize both uterine arteries using a single femoral puncture (n = 12) or elective bilateral arterial punctures from the outset (n = 12). The same two operators undertook each case. Main outcome measures were total procedure time, fluoroscopy time, dose-area product (DAP), and t...
Source: CardioVascular and Interventional Radiology - September 14, 2007 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Correlation Between Peripheral and Central Venous Pressures in Children with Congenital Heart DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, although CVP measured from a peripheral intravenous catheter in infants and children with congenital heart disease is not as accurate as the measurement in adults, the aforementioned linear regression equation based on measurement of PVP gives a reliable estimate of CVP. Content Type Journal ArticleCategory OriginalDOI 10.1007/s00246-007-9067-1Authors H. Amoozgar, Shiraz University of Medical Sciences, Nemazee Hospital Division of Pediatric Cardiology Shiraz 71937-11351 IranN. Behniafard, Shiraz University of Medical Sciences, Nemazee Hospital Division of Pediatric Cardiology Shiraz 71937-11351 IranM....
Source: Pediatric Cardiology - September 13, 2007 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Ultrasound-Guided Versus Landmark-Guided Femoral Vein Access in Pediatric Cardiac CatheterizationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions  Ultrasound-guided access to the femoral vein minimizes the complication of inadvertent arterial puncture as compared with the landmark-guided approach. Content Type Journal ArticleCategory OriginalDOI 10.1007/s00246-007-9066-2Authors S. Iwashima, Hamamatsu University School of Medicine Department of Pediatrics Handayama 1-20-1 Hamamatsu City 431-3192 JapanT. Ishikawa, Hamamatsu University School of Medicine Department of Pediatrics Handayama 1-20-1 Hamamatsu City 431-3192 JapanT. Ohzeki, Hamamatsu University School of Medicine Department of Pediatrics Handayama 1-20-1 Hamamatsu City 431-319...
Source: Pediatric Cardiology - September 13, 2007 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

[Subintimal angioplasty for superficial femoral artery occlusions: first experience in Kaunas University of Medicine Hospital]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Subintimal angioplasty of occluded superficial femoral artery is a safe and minimally invasive procedure with a high initial technical success rate, low complication rate, and good early results, and in case of failure, subsequent surgery can be performed. PMID: 17637515 [PubMed - in process] (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - August 13, 2007 Category: Universities & Medical Training Authors: Aleksynas N, Kaupas RS Tags: Medicina (Kaunas) Source Type: journals

Subintimal angioplasty for superficial femoral artery occlusions: first experience in Kaunas University of Medicine Hospital.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS. Subintimal angioplasty of occluded superficial femoral artery is a safe and minimally invasive procedure with a high initial technical success rate, low complication rate, and good early results, and in case of failure, subsequent surgery can be performed. PMID: 17637515 [PubMed - as supplied by publisher] (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - July 21, 2007 Category: Universities & Medical Training Authors: Aleksynas N, Kaupas RS Tags: Medicina (Kaunas) Source Type: journals

The safety and efficacy of the Angio-Seal closure device in diagnostic and interventional neuroangiography setting: a single-center experience with 1,443 closuresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion  Our experience in a relatively large series of patients shows that the use of the Angio-Seal STS vascular closure device is safe and effective in patients undergoing cerebral diagnostic angiography and neurointerventional procedures with an acceptable rate of complications, although the complication rate was higher in the group of patients who received heparin and/or antiplatelet medication. Content TypeJournal Article JournalNeuroradiologyOnline ISSN 1432-1920Print ISSN 0028-3940 (Source: Neuroradiology)
Source: Neuroradiology - June 27, 2007 Category: Radiology Tags: Neuroradiology Source Type: journals

[Short reports] A quality control programme for acute myocardial infarction management in out-of-hospital critical care medicineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study, conducted over two time periods, aimed to evaluate the effectiveness of the diffusion of data, implementation of correctives measures and updated protocols in reducing time to reperfusion in acute myocardial infarction (AMI) management in the out-of-hospital setting. Mean (SD) time to hospital admission and to arterial puncture improved (58 (13) vs 67 (18) min, p = 0.03; and 82 (16) vs 95 (29) min, p = 0.02). The study, performed according to quality control programme methodology, showed that the chronology of AMI management could be improved by appropriate interventions and monitoring of intervention times. (S...
Source: Emergency Medicine Journal - June 20, 2007 Category: Emergency Medicine Authors: Duchateau, F.-X., Devaud, M L, Burnod, A, Mantz, J, Ricard-Hibon, A Tags: Ischemic heart disease, Other accident and emergency medicine, Resuscitation Short reports Source Type: journals