Publications by authors named "P R Bream"
Article Synopsis
- The study focuses on improving vascular access for patients needing frequent apheresis by transitioning from a Vortex dual lumen port to a combination of a Powerflow port and a ClearVUE port.
- Results showed that the new port configuration significantly reduced treatment time (from 91.18 min to 77.96 min) and increased flow rates (from 61.59 mL/min to 71.89 mL/min).
- Additionally, the need for tissue plasminogen activator (tPA) was almost eliminated among those switched from the Vortex ports, indicating potential cost savings and improved efficiency in apheresis procedures.
Rationale And Objective: This study aimed to develop a cosmesis scale to evaluate the cosmetic appearance of hemodialysis (HD) arteriovenous (AV) accesses from the perspective of the patient and clinician, which could be incorporated into clinical trials.
Study Design: Using a modified Delphi process, two AV access cosmesis scale (AVACS) components were developed in a four-round Delphi panel consisting of two surveys and two consensus meetings with two rounds of patient consultation.
Setting And Participants: The Delphi panel consisted of 15 voting members including five interventional or general nephrologists, five vascular surgeons, three interventional radiologists, and two vascular access nurse coordinators.
Purpose: To investigate the safety and efficacy of attaching a weighted extension to the distal aspect of prefabricated gastrojejunostomy (GJ) tubes, and to determine whether this alteration reduces the occurrences of tip reflux into the esophagus or stomach.
Materials And Methods: This retrospective 1-way crossover study included 64 GJ tubes in 15 patients placed by multiple operators in the interventional radiology department at a single institution from July 1, 2019, to December 1, 2021. Patients were selected for a weighted tip extension if they required a GJ tube exchange because of the distal tip refluxing into the stomach or esophagus and were aged ≥18 years.