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Efficacy and safety of single and double catheter intrathecal drug delivery systems in patients with refractory neck and abdominal cancer pain.
Sci Rep
December 2024
Department of Anesthesiology, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, China.
Intrathecal drug delivery systems (IDDS) is a crucial for treating refractory cancer pain, but their effectiveness in patients with pain across multiple spinal segments is limited by the localized spread of pain relief medication. Our team innovatively implanted double-catheter IDDS to manage pain related to neck and abdominal cancer. While this may represent a new solution, the efficacy, safety, and cost-effectiveness remain unclear.
View Article and Find Full Text PDFImmediate changes in depolarization and repolarization after left bundle branch area pacing and atrioventricular nodal ablation.
J Electrocardiol
November 2024
Hacettepe University, Faculty of Medicine, Department of Cardiology, Ankara, Turkey.
Background: Malignant arrhythmia due to ventricular depolarization and repolarization alterations after atrioventricular node (AVN) ablation is a known clinical entity. Here, we aimed to demonstrate the ventricular depolarization and repolarization changes in patients who underwent left bundle branch area pacing (LBBaP) and AVN ablation.
Methods: This is a single-center, retrospective preliminary study (n = 10).
Left atrial functional changes associated with repeated catheter ablations for atrial fibrillation.
J Cardiovasc Electrophysiol
October 2024
Department of Biomedical Engineering, University of Utah, Salt Lake City, Utah, USA.
Introduction: The impact of repeated atrial fibrillation (AF) ablations on left atrial (LA) mechanical function remains uncertain, with limited long-term follow-up data.
Methods: This retrospective study involved 108 AF patients who underwent two catheter ablations with cardiac magnetic resonance imaging (MRI) done before and 3 months after each of the ablations from 2010 to 2021. The rate of change in peak longitudinal atrial strain (PLAS) assessed LA function.
Hybrid Stent Graft Technique in Bridging Hostile Renal Arteries in Thoraco-abdominal Branched Endografting.
Eur J Vasc Endovasc Surg
October 2024
Vascular Surgery, University of Bologna, DIMEC, Bologna, Italy; Vascular Surgery Unit, IRCCS Sant'Orsola, Bologna, Italy.
Article Synopsis
- The study investigates the effectiveness of a hybrid stent graft technique for ensuring the patency of renal arteries during endovascular aortic repair in patients with complex thoracoabdominal aortic aneurysms.
- Data from three centers reveal that 14.2% of patients had hostile renal artery anatomies, and the technique showed a high technical success rate with no initial occlusions reported.
- Over a median follow-up of 21 months, the primary patency rate of the renal arteries was 97%, with only a small percentage of patients requiring re-interventions for complications.
Effect of cranial entry site on the rate of proximal catheter misplacement in ventriculoperitoneal shunt insertion.
J Neurosurg
November 2024
1Department of Neurosurgery, University Hospital of Basel, Switzerland.
Objective: The insertion of a ventriculoperitoneal shunt (VPS) is a common neurosurgical procedure, but the optimal entry site of the ventricular catheter is still under debate. In this study, the authors compare the parietal (Keen's) and frontal (Kocher's) entry sites in terms of the rate of revision surgery due to ventricular catheter misplacement, VPS dysfunction, and VPS infection.
Methods: The authors retrospectively analyzed the data on consecutive adults (age ≥ 18 years) who had undergone primary VPS insertion between 2010 and 2020 at two neurosurgical centers.
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