A method to determine suitable fluoroscopic projections for transcatheter aortic valve implantation by computed tomography.

Background: In transcatheter aortic valve implantation (TAVI), optimal selection of fluoroscopic projections that permit orthogonal visualization of the aortic valve plane is important but may be difficult to achieve.

Objective: We developed and validated a simple method to predict suitable fluoroscopic projections on the basis of cardiac CT datasets.

Methods: In 75 consecutive patients that underwent TAVI, angulations in which a 35-mm thick maximum intensity projection would render all aortic valve calcium into 1 plane were determined by manual interaction with contrast-enhanced dual-source CT datasets.

[DGAI-certified course series anaesthesia focused sonography: module 1: basics of sonography].

Understanding the principles of wave physics paves the way for appropriate utilization and interpretation of sonography. In module 1 of the course series "Anesthesia Focused Sonography", the course participants will learn by lectures and practical training, how ultrasonic waves emerge, how they travel in human tissue, and how a picture is generated from their echo signals. Furthermore, the technology of an ultrasound system and the development of artifacts will be demonstrated; moreover, the Doppler effect and its implementation into current sonographic procedures will be presented as a central theme.

Embolic cerebral insults after transapical aortic valve implantation detected by magnetic resonance imaging.

Objectives: This study assessed the rate of periprocedural embolic ischemic brain injury during transapical aortic valve replacement in 25 consecutive patients.

Background: Transcatheter aortic valve implantation is rapidly being established as a new therapeutic approach for aortic valve stenosis. Although initial clinical results are promising, it is unknown whether mobilization and embolization of calcified particles may lead to cerebral ischemia.

Update on ovarian hyperstimulation syndrome: Part 1--Incidence and pathogenesis.

Ovarian hyperstimulation syndrome (OHSS) is a rare and potentially life-threatening complication during controlled ovarian stimulation. It can be associated with severe morbidity and may even be fatal. The etiology of the condition and predisposing factors are still not fully understood.