Because of the emergence of hybrid operating rooms, cone-beam CT scans (CBCT) allow new intraoperative imaging to be produced. Image fusion (3D preoperative CT scan overlaid onto 2D live fluoroscopy image) is the most popular application and makes it possible to navigate throughout the aorta and its branches without having to make use of an additional injection, and allows a reduction to be achieved in the quantity of contrast medium and irradiation required during complex procedures. Planning-oriented software available in hybrid rooms makes it possible to adjust to the patient and the nature of the procedure, the information that is relevant during the operation. CBCT can also be used as a diagnostic tool at the end of a procedure for the detection of endoleaks and could replace routine CT scans made during the first month following the procedure, indirectly contributing again to a reduction of X-ray and contrast agent doses.
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http://dx.doi.org/10.23736/S0021-9509.16.09046-7 | DOI Listing |
Am J Transl Res
December 2024
Department of Anesthesiology, Huai'an First People's Hospital Huai'an, Jiangsu, China.
Objective: To evaluate the clinical effect of a subspecialty standardized temperature management process in a hybrid surgery for treating acute aortic dissection.
Methods: From January 2020 to June 2021, 102 patients who underwent hybrid surgery for acute aortic dissection in the Department of Cardiovascular Surgery at the Huai'an First People's Hospital were selected as the control group, receiving routine temperature maintenance measures. From August 2021 to November 2022, 105 similar patients from the same hospital were enrolled in the experimental group, where a subspecialty standardized temperature management process was implemented.
BMJ Open
December 2024
The University of Sydney, Faculty of Medicine and Health, School of Health Sciences, Sydney, New South Wales, Australia.
Introduction: People experiencing low back pain (LBP) could potentially benefit from multimedia educational resources that integrate self-management strategies and improve awareness of the benefits of staying active and about medications that offer limited benefits, such as paracetamol. Primary care waiting rooms are potential spaces for presenting health promotion resources to improve health literacy through the dissemination of easily accessible health information. This feasibility study aims to explore the feasibility of conducting a large-scale trial to investigate the benefits of multimedia educational resources delivered at outpatient physiotherapy waiting rooms of public hospitals to support patients to participate in physical activity and reduce paracetamol intake for LBP.
View Article and Find Full Text PDFHeliyon
November 2024
Department of Industrial & Production Engineering, Rajshahi University of Engineering & Technology (RUET), Rajshahi- 6204, Bangladesh.
To balance the convergence speed and solution diversity and enhance optimization performance when addressing large-scale optimization problems, this research study presents an improved ant colony optimization (ICMPACO) technique. Its foundations include the co-evolution mechanism, the multi-population strategy, the pheromone diffusion mechanism, and the pheromone updating method. The suggested ICMPACO approach separates the ant population into elite and common categories and breaks the optimization problem into several sub-problems to boost the convergence rate and prevent slipping into the local optimum value.
View Article and Find Full Text PDFAnn Ital Chir
December 2024
Department of Cardiovascular Surgery, Centro Cardiologico Monzino IRCCS, 20138 Milan, Italy; Department of Biomedical, Surgical, and Dental Sciences, University of Milan, 20122 Milan, Italy.
Aim: Percutaneous vertebroplasty is generally considered a safe procedure, however, cases of cardioembolism and cardiac perforation have been reported.
Case Presentation: A 69-year-old woman was referred to our emergency department after an outpatient echocardiogram revealed a "thrombus-like" formation involving the right heart. Two weeks before she had undergone percutaneous vertebroplasty of the third to fifth lumbar vertebrae due to osteoporotic fractures.
J Cardiothorac Surg
December 2024
Department of Surgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan.
Background: Several methods can be used to intraoperatively identify pulmonary lesion using radiation technology. However, little is known about patient radiation exposure during chest surgery. We aimed to measure patients' radiation exposure from cone-beam computed tomography (CBCT) used in a hybrid operating room.
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