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  1. Article ; Online: Caution: Air Embolism Related to Heli-Fx EndoAnchor System in Zone 2 Thoracic Aneurysm Repair.

    Rosu, Cristian / Ruz, Ricardo / Overbeek, Charles / Elkouri, Stéphane

    Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

    2021  Volume 29, Issue 5, Page(s) 808–812

    Abstract: Purpose: We report a case of significant air embolization to the ascending aorta immediately following deployment of EndoAnchors in the aortic arch during a procedure to correct a type 1A endoleak.: Case report: The novel Heli-Fx EndoAnchor system ( ... ...

    Abstract Purpose: We report a case of significant air embolization to the ascending aorta immediately following deployment of EndoAnchors in the aortic arch during a procedure to correct a type 1A endoleak.
    Case report: The novel Heli-Fx EndoAnchor system (Medtronic Vascular, Santa Rosa, CA, USA) was used to deploy helical anchors in the distal aortic arch during a procedure to correct a type 1A endoleak following Zone 2 thoracic endovascular aortic repair of a saccular proximal descending thoracic aorta aneurysm (DTAA). The patient developed ST-segment elevations principally in the inferior leads and severe hypotension moments after EndoAnchor deployment at the proximal edge of the endograft. Transesophageal echocardiogram revealed severe right ventricular hypokinesis and a large amount of air in the ascending aorta. Subsequent management and clinical and radiological 30-day follow-up is presented in addition to a review of the literature and ex vivo testing with the Heli-Fx system to examine potential causes and solutions.
    Conclusion: Precautions, such as pressurized saline infusion to the side port of guiding sheath, should be used whenever manipulating catheters and sheaths such as the EndoAnchor system in the aortic arch to prevent this potentially lethal complication.
    MeSH term(s) Aorta, Thoracic ; Aortic Aneurysm, Abdominal/surgery ; Aortic Aneurysm, Thoracic/complications ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/surgery ; Blood Vessel Prosthesis/adverse effects ; Blood Vessel Prosthesis Implantation/adverse effects ; Embolism, Air/diagnostic imaging ; Embolism, Air/etiology ; Embolism, Air/therapy ; Endoleak/etiology ; Endovascular Procedures/adverse effects ; Humans ; Prosthesis Design ; Risk Factors ; Treatment Outcome
    Language English
    Publishing date 2021-12-02
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2006618-1
    ISSN 1545-1550 ; 1526-6028
    ISSN (online) 1545-1550
    ISSN 1526-6028
    DOI 10.1177/15266028211062562
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4547: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Randomized trial of routine versus on-demand intraoperative extracorporeal membrane oxygenation in lung transplantation: A feasibility study.

    Nasir, Basil S / Weatherald, Jason / Ramsay, Tim / Cypel, Marcelo / Donahoe, Laura / Durkin, Chris / Schisler, Travis / Nagendran, Jayan / Liberman, Moishe / Landry, Caroline / Overbeek, Charles / Moore, Alex / Ferraro, Pasquale

    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation

    2024  

    Abstract: In most centers, extracorporeal membrane oxygenation (ECMO) is the preferred means to provide cardiopulmonary support during lung transplantation. However, there is controversy about whether intraoperative venoarterial (VA) ECMO should be used routinely ... ...

    Abstract In most centers, extracorporeal membrane oxygenation (ECMO) is the preferred means to provide cardiopulmonary support during lung transplantation. However, there is controversy about whether intraoperative venoarterial (VA) ECMO should be used routinely or selectively. A randomized controlled trial is the best way to address this controversy. In this publication, we describe a feasibility study to assess the practicality of a protocol comparing routine versus selective VA-ECMO during lung transplantation. This prospective, single-center, randomized controlled trial screened all patients undergoing lung transplantation. Exclusion criteria include retransplantation, multiorgan transplantation, and cases where ECMO is mandatory. We determined that the trial would be feasible if we could recruit 19 participants over 6 months with less than 10% protocol violations. Based on the completed feasibility study, we conclude that the protocol is feasible and safe, giving us the impetus to pursue a multicenter trial with little risk of failure due to low recruitment.
    Language English
    Publishing date 2024-02-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1062522-7
    ISSN 1557-3117 ; 1053-2498
    ISSN (online) 1557-3117
    ISSN 1053-2498
    DOI 10.1016/j.healun.2024.02.1454
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2056: 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 ; Online: Predictive Value of a New Brief Cognitive Test for Long-term Functional Outcome in Acute Traumatic Brain Injury.

    Potvin, Marie-Julie / Brayet, Pauline / Paradis, Véronique / Overbeek, Charles / Therrien, Érik / Dion, Laurie-Anne / Bernard, Francis / Gosselin, Nadia / Rouleau, Isabelle / Boucher, Olivier / Giguère, Jean-François

    Archives of physical medicine and rehabilitation

    2022  Volume 103, Issue 11, Page(s) 2131–2137

    Abstract: Objective: To determine how results on the EXAmen Cognitif abrégé en Traumatologie (EXACT), a new test specifically designed to briefly assess global cognitive functioning during the acute phase of traumatic brain injury (TBI), can predict long-term ... ...

    Abstract Objective: To determine how results on the EXAmen Cognitif abrégé en Traumatologie (EXACT), a new test specifically designed to briefly assess global cognitive functioning during the acute phase of traumatic brain injury (TBI), can predict long-term functional outcome compared with length of posttraumatic amnesia (PTA), a well-established predictor.
    Design: Inception cohort.
    Settings: Level 1 trauma center.
    Participants: A total of 90 patients (N=90) hospitalized for a moderate or severe TBI.
    Interventions: Not applicable.
    Main outcome measures: Performance on the EXACT in the first 3 months after injury and results on the Disability Rating Scale (DRS) at follow-up 1-2 years later.
    Results: EXACT scores were all correlated with length of PTA and DRS result. Compared with length of PTA, the EXACT added significantly to the regression and improved prediction of functional outcome. More specifically, a total score ≤80 on the EXACT was associated with a higher rate of long-term disability because of more severe TBI consequences. Behavioral regulation and executive functions were the cognitive domains that showed the most impairment, followed by attention and working memory as well as episodic memory. Except for length of PTA and hospital stay, the DRS score was not correlated with other demographic (age, education) or clinical variables (Glasgow Coma Scale and maximum score on the Therapy Intensity Level Scale).
    Conclusions: The EXACT can be administered to most patients early in the acute phase of TBI, and results could be used, along with other predictors such as PTA, to estimate their long-term functional sequelae. The EXACT may be a promising brief cognitive instrument for future studies investigating recovery after TBI.
    MeSH term(s) Humans ; Brain Injuries/psychology ; Brain Injuries, Traumatic/psychology ; Glasgow Coma Scale ; Neuropsychological Tests ; Executive Function ; Recovery of Function
    Language English
    Publishing date 2022-03-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80057-0
    ISSN 1532-821X ; 0003-9993
    ISSN (online) 1532-821X
    ISSN 0003-9993
    DOI 10.1016/j.apmr.2022.02.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ue I Zs.71: Show issues Location:
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  4. Article ; Online: Protocol for the electroencephalography guidance of anesthesia to alleviate geriatric syndromes (ENGAGES-Canada) study: A pragmatic, randomized clinical trial.

    Deschamps, Alain / Saha, Tarit / El-Gabalawy, Renée / Jacobsohn, Eric / Overbeek, Charles / Palermo, Jennifer / Robichaud, Sophie / Dumont, Andrea Alicia / Djaiani, George / Carroll, Jo / Kavosh, Morvarid S / Tanzola, Rob / Schmitt, Eva M / Inouye, Sharon K / Oberhaus, Jordan / Mickle, Angela / Ben Abdallah, Arbi / Avidan, Michael S / Clinical Trials Group, Canadian Perioperative Anesthesia

    F1000Research

    2019  Volume 8, Page(s) 1165

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2019-07-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2699932-8
    ISSN 2046-1402 ; 2046-1402
    ISSN (online) 2046-1402
    ISSN 2046-1402
    DOI 10.12688/f1000research.19213.2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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