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  1. Article ; Online: Longitudinal Changes in Size of Conservatively Managed Flow-Related Aneurysms Associated with Brain Arteriovenous Malformations.

    Budohoski, Karol P / Mohan, Midhun / Millar, Zack / Tajsic, Tamara / Barone, Damiano G / Cao, Jennifer J L / Mediratta, Saniya / Phelps, Ellie / Sukthankar, Tanmay / Kirollos, Ramez W / Helmy, Adel E / Guilfoyle, Mathew R / Trivedi, Rikin A

    World neurosurgery

    2021  Volume 154, Page(s) e754–e761

    Abstract: Background: Flow aneurysms (FAs) associated with brain arteriovenous malformations (AVMs) are thought to arise from increased hemodynamic stress due to high-flow shunting. This study aims to describe the changes in conservatively managed FAs after ... ...

    Abstract Background: Flow aneurysms (FAs) associated with brain arteriovenous malformations (AVMs) are thought to arise from increased hemodynamic stress due to high-flow shunting. This study aims to describe the changes in conservatively managed FAs after successful AVM treatment.
    Methods: Patients with symptomatic AVMs and associated FAs who underwent successful treatment of the AVM between 2008 and 2017 were included. FA dimensions were measured on surveillance angiography to assess longitudinal changes.
    Results: Thirty-two patients were identified with 48 FAs. Sixteen (33%) FAs were treated endovascularly; 18 (38%) FAs were treated surgically; and 14 (29%) FAs (11 patients) were monitored. FAs demonstrated a decrease in size from 5.0 mm to 3.8 mm (24%; P = 0.016) and 4.9 mm to 3.6 mm (27%; P = 0.013) in height and width, respectively, over a median 35 months. However, on subgroup analysis, only class IIb aneurysms demonstrated a significant decrease in size (51% reduction in largest diameter, P = 0.046) and only 3 FAs (21%) resolved. There were no hemorrhages observed during follow-up.
    Conclusions: While conservatively managed FAs demonstrated a reduction in size after the culprit AVM was treated, this was only significant in FAs located close to an AVM nidus (class IIb). There were no hemorrhages during the median 35 months' follow-up; however, long-term data are lacking. Our data support close observation of all conservatively managed aneurysms and a tailored approach based on the proximity to the nidus and observed changes in size.
    MeSH term(s) Adult ; Aged ; Conservative Treatment ; Endovascular Procedures ; Female ; Humans ; Intracranial Aneurysm/complications ; Intracranial Aneurysm/diagnostic imaging ; Intracranial Aneurysm/pathology ; Intracranial Aneurysm/therapy ; Intracranial Arteriovenous Malformations/complications ; Intracranial Arteriovenous Malformations/surgery ; Longitudinal Studies ; Male ; Middle Aged ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2021-08-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2021.07.125
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1159: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Threshold limit of postoperative astigmatism for patient satisfaction after refractive lens exchange and multifocal intraocular lens implantation.

    McNeely, Richard N / Pazo, Eric / Millar, Zack / Richoz, Olivier / Nesbit, Andrew / Moore, Tara C B / Moore, Jonathan E

    Journal of cataract and refractive surgery

    2016  Volume 42, Issue 8, Page(s) 1126–1134

    Abstract: Purpose: To determine the degree of tolerance toward different magnitudes of residual refractive astigmatism and corneal astigmatism and the angles of corneal astigmatism after implantation of an asymmetric multifocal intraocular lens (IOL).: Setting!# ...

    Abstract Purpose: To determine the degree of tolerance toward different magnitudes of residual refractive astigmatism and corneal astigmatism and the angles of corneal astigmatism after implantation of an asymmetric multifocal intraocular lens (IOL).
    Setting: Cathedral Eye Clinic, Belfast, United Kingdom.
    Design: Retrospective comparative case series.
    Methods: The study enrolled patients having refractive lens exchange and implantation of a Lentis Mplus LS-312 MF30 IOL. Uncorrected (UDVA) and corrected distance visual acuities, uncorrected near and intermediate visual acuities, and quality-of-vision questionnaires were evaluated. Groups were categorized based on the magnitude of refractive astigmatism and corneal residual astigmatism. Refractive astigmatism of less than 0.50 diopter (D) and more than 0.50 D and corneal astigmatism of 0.50 D or less, 0.51 to 0.75 D, 0.76 to 1.00 D, and more than 1.00 D were categorized.
    Results: The study comprised 117 patients (234 eyes). There was a significant difference in UDVA (P = .003), refractive sphere (P = .001), and defocus equivalent (P ≤ .001) between the residual refractive astigmatism groups; however, there was no difference in quality of vision (P = .28). The same was found for corneal astigmatism with UDVA (P ≤ .001) and quality of vision (P = .16). The angle of corneal astigmatism in relation to IOL placement did not statistically affect postoperative outcomes.
    Conclusions: The IOL appeared to subjectively tolerate residual astigmatism well despite a statistically significant difference in UDVA with higher magnitudes of residual astigmatism. The angle of residual corneal astigmatism in relation to IOL placement did not have a significant effect on postoperative outcomes.
    Financial disclosure: None of the authors has a financial or proprietary interest in any material or method mentioned.
    MeSH term(s) Astigmatism ; Humans ; Lens Implantation, Intraocular ; Lenses, Intraocular ; Patient Satisfaction ; Phacoemulsification ; Prospective Studies ; Refraction, Ocular ; Retrospective Studies ; United Kingdom
    Language English
    Publishing date 2016-08-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632744-8
    ISSN 1873-4502 ; 0886-3350
    ISSN (online) 1873-4502
    ISSN 0886-3350
    DOI 10.1016/j.jcrs.2016.05.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1806: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article: Gathering Global Perspectives to Establish the Research Priorities and Minimum Data Sets for Degenerative Cervical Myelopathy: Sampling Strategy of the First Round Consensus Surveys of AO Spine RECODE-DCM.

    Mowforth, Oliver D / Khan, Danyal Z / Wong, Mei Yin / Pickering, George A E / Dean, Lydia / Magee, Joe / Mullarkey, Laura / Hirayama, Yuri / Rihova, Martina / Butler, Max / Stewart, Max / Goulson, Beth / Ahmed, Shahzaib / Fricke, Kai / Popa-Nimigean, Vladimir / Millar, Zack / Venkatesh, Ashwin / Willison, Alice / Senthil, Keerthi /
    Hazenbiller, Olesja / Sarewitz, Ellen / Sadler, Iwan / Gronlund, Toto / Tetreault, Lindsay / Harrop, James S / Aarabi, Bizhan / Rahimi-Movaghar, Vafa / Kurpad, Shekar N / Guest, James D / Wilson, Jefferson R / Kwon, Brian K / Fehlings, Michael G / McNair, Angus G K / Davies, Benjamin M / Kotter, Mark R N

    Global spine journal

    2021  Volume 12, Issue 1_suppl, Page(s) 8S–18S

    Abstract: Study design: Survey.: Introduction: AO Spine Research Objectives and Common Data Elements for Degenerative Cervical Myelopathy (AO Spine RECODE-DCM) is an international initiative that aims to accelerate knowledge discovery and improve outcomes by ... ...

    Abstract Study design: Survey.
    Introduction: AO Spine Research Objectives and Common Data Elements for Degenerative Cervical Myelopathy (AO Spine RECODE-DCM) is an international initiative that aims to accelerate knowledge discovery and improve outcomes by developing a consensus framework for research. This includes defining the top research priorities, an index term and a minimum data set (core outcome set and core data elements set - core outcome set (COS)/core data elements (CDE)).
    Objective: To describe how perspectives were gathered and report the detailed sampling characteristics.
    Methods: A two-stage, electronic survey was used to gather and seek initial consensus. Perspectives were sought from spinal surgeons, other healthcare professionals and people with degenerative cervical myelopathy (DCM). Participants were allocated to one of two parallel streams: (1) priority setting or (2) minimum dataset. An email campaign was developed to advertise the survey to relevant global stakeholder individuals and organisations. People with DCM were recruited using the international DCM charity Myelopathy.org and its social media channels. A network of global partners was recruited to act as project ambassadors. Data from Google Analytics, MailChimp and Calibrum helped optimise survey dissemination.
    Results: Survey engagement was high amongst the three stakeholder groups: 208 people with DCM, 389 spinal surgeons and 157 other healthcare professionals. Individuals from 76 different countries participated; the United States, United Kingdom and Canada were the most common countries of participants.
    Conclusion: AO Spine RECODE-DCM recruited a diverse and sufficient number of participants for an international PSP and COS/CDE process. Whilst PSP and COS/CDE have been undertaken in other fields, to our knowledge, this is the first time they have been combined in one process.
    Language English
    Publishing date 2021-12-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2648287-3
    ISSN 2192-5690 ; 2192-5682
    ISSN (online) 2192-5690
    ISSN 2192-5682
    DOI 10.1177/21925682211047546
    Database MEDical Literature Analysis and Retrieval System OnLINE

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