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  1. Article: Angioödeme ohne Urtikaria: Anamnese und Befunde.

    Badini, Matteo / Georgitsogiannakos, Nikolaos / Angelella, Jennifer / Wu, Maddalena Alessandra

    Praxis

    2023  Volume 112, Issue 4, Page(s) 223–225

    Abstract: Angioedema without Urticaria: Medical History and ... ...

    Title translation Angioedema without Urticaria: Medical History and Findings.
    Abstract Angioedema without Urticaria: Medical History and Findings
    MeSH term(s) Female ; Humans ; Angioedema/diagnosis ; Angioedema/drug therapy ; Angioedema/etiology ; Urticaria/diagnosis ; Urticaria/drug therapy ; Urticaria/etiology ; Bradykinin/therapeutic use
    Chemical Substances Bradykinin (S8TIM42R2W)
    Language German
    Publishing date 2023-03-08
    Publishing country Switzerland
    Document type Case Reports ; English Abstract ; Journal Article
    ZDB-ID 209026-0
    ISSN 1661-8165 ; 1661-8157 ; 0369-8394
    ISSN (online) 1661-8165
    ISSN 1661-8157 ; 0369-8394
    DOI 10.1024/1661-8157/a003995
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Apical closure device for full-percutaneous transapical valve implantation: stress-test in an animal model†.

    Ferrari, Enrico / Demertzis, Stefanos / Angelella, Jennifer / Berdajs, Denis / Tozzi, Piergiorgio / Moccetti, Tiziano / Maisano, Francesco / von Segesser, Ludwig K

    Interactive cardiovascular and thoracic surgery

    2017  Volume 24, Issue 5, Page(s) 721–726

    Abstract: Objectives: Transapical valve implantation is traditionally performed through a left antero-lateral mini-thoracotomy. A self-expandable apical closure device has recently been developed for full-percutaneous transapical valve implantation. We performed ... ...

    Abstract Objectives: Transapical valve implantation is traditionally performed through a left antero-lateral mini-thoracotomy. A self-expandable apical closure device has recently been developed for full-percutaneous transapical valve implantation. We performed haemodynamics stress-tests on an animal model to evaluate the sealing properties.
    Methods: Under general anaesthesia 5 pigs (mean weight: 67 ± 6 Kg) received full heparinization (100 IU/Kg; activated clotting time >250 s and, through inferior mini-sternotomies, 21-Fr introducer sheaths for transapical aortic valve implantation (outer diameter: 25-Fr) were placed over-the-wire in the apexes. Delivery-catheters carrying folded occluders (SAFEX TM final design) were inserted in the introducer sheaths and plugs were then deployed under fluoroscopic guidance. Phase 1: after protamine injection, apical bleeding was monitored for 1 h with standard haemodynamics condition. Phase 2: we induced systemic hypertension with adrenaline infusion to test the sealing properties under stress. Animals were sacrificed after Phase 2 and hearts were removed and inspected.
    Results: Five plugs were successfully introduced and deployed in 5 pig hearts. Plugs provided good apical sealing in each animal and a mean of 7 ± 4 ml of blood lost per animal was collected during Phase 1: haemodynamics remained stable and no plug dislodgement was detected (mean blood pressure: 52 ± 9 mmHg). During Phase 2, mean systolic and diastolic peak levels reached 268 ± 24 mmHg and 175 ± 17 mmHg, respectively, without plug dislodgment or bleeding. Post-mortem inspection showed good plug deployment and fixation without myocardial damage.
    Conclusions: The new apical occluder seals large-sized apical access sites in animal models also during induced systemic hypertension. This pilot study is a further step towards full-percutaneous transapical valve procedures in the clinical setting.
    MeSH term(s) Animals ; Aortic Valve/surgery ; Cardiac Catheters ; Equipment Design ; Feasibility Studies ; Heart Valve Diseases/physiopathology ; Heart Valve Diseases/surgery ; Heart Valve Prosthesis Implantation/instrumentation ; Hemodynamics/physiology ; Mitral Valve/surgery ; Pilot Projects ; Swine ; Treatment Outcome
    Language English
    Publishing date 2017-05-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2095298-3
    ISSN 1569-9285 ; 1569-9293
    ISSN (online) 1569-9285
    ISSN 1569-9293
    DOI 10.1093/icvts/ivw433
    Database MEDical Literature Analysis and Retrieval System OnLINE

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