Prophylactic ECMO Support during Elective Coronary Percutaneous Interventions in High-Risk Patients: A Single-Center Experience.

Introduction: Evidence regarding the impact of prophylactic implantation of venoarterial extracorporeal membrane oxygenation (VA-ECMO) for elective high-risk percutaneous coronary intervention (PCI) is limited. The purpose of this paper is to evaluate the outcome during index hospitalization and 3 years after interventions.

Methods: This is an observational retrospective study including all patients undergoing elective, high-risk PCI and receiving VA-ECMO for cardiopulmonary support.

Health care's response to climate change: a carbon footprint assessment of the NHS in England.

Background: Climate change threatens to undermine the past 50 years of gains in public health. In response, the National Health Service (NHS) in England has been working since 2008 to quantify and reduce its carbon footprint. This Article presents the latest update to its greenhouse gas accounting, identifying interventions for mitigation efforts and describing an approach applicable to other health systems across the world.

Atypical case of ecthyma gangrenosum mimicking a breast cancer recurrence.

A 68-year-old woman with a history of breast cancer presented with skin lesions and sternal pain. Clinical examination revealed ulcerative lesions on mastectomy scar and CT scan showed contiguous sternal osteolysis. The main hypothesis was a breast cancer recurrence; however, cutaneous and bone biopsies did not reveal any cancer cells.

Feasibility of percutaneous radiofrequency ablation for pulmonary malignancies in the hands of the surgeon.

Aim: To assess the feasibility of percutaneous pulmonary radiofrequency ablation (RFA) executed by a single surgeon.

Materials And Methods: Between 2007 and 2010, 15 procedures were performed in 11 patients during 13 sessions. Sex, age, pulmonary localisation and tumor diameter are discussed.

Preliminary results of carotid artery stenting in a non-academic hospital.

Introduction: A review of our experience with CAS in a non-academic hospital is presented.

Materials And Methods: A consecutive series of 18 CAS-interventions between 2003 and 2005 is studied retrospectively. Indication, medical history, preoperative carotid imaging, operative technique and results were studied for each patient.

[Repair of a left ventricular rupture after mitral valve replacement].

A 70-year-old patient (NYHA IV), who required a Carpentier pericardial prosthetic valve for mitral valve replacement, developed a type 2 intraoperative left ventricular rupture (mid portion of left ventricle) with cataclysmic bleeding. A successful repair with intraventricular dacron patch was performed by suturing the patch on the prosthetic sewing ring and through the ventricular wall using pledgetted stitches. The postoperative course was satisfactory without extensive myocardial necrosis and the patient is well 7 months later without angina and with reduced dyspnoea (NYHA II).

Ligation of the superficial femoral vein in prevention of pulmonary embolism: an old fashion procedure?

From 1974 to 1988, interruption of the superficial femoral vein (SFV) was performed to prevent pulmonary embolism (PE) in 73 patients. The mean age of the patients was 62 years. Phlebography showed thrombi in the following localizations: calf veins (67.

[Popliteal artery entrapment syndrome].

A case of popliteal artery entrapment is described in a 36 years-old woman who presented with intermittent claudication. Several aspects of this rare syndrome are reviewed: incidence, pathogenicity, physiopathology, diagnosis and treatment. A peculiar accent is stressed on the dynamic tests to be realised together with the general examination of patients presenting with this rare and consequently almost unrecognized entity.