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Systematic Review of Surgical Success, Complications, Revision Rates, Radiation Dosage, and Operative Time of 3D-Navigated versus Non-Navigated Spinal Procedures.
World Neurosurg
December 2024
Department of Neurosurgery at Mount Sinai, New York, New York, USA.
Objective: Three-dimensional (3D) navigation offers real-time guidance in surgery. However, there is limited and inconsistent data regarding the usability, safety, and efficacy. To address gaps in knowledge about 3D navigation in spinal surgery, we conducted a comprehensive review of success rates, complications, revisions, radiation exposure, and operative time associated with Federal and Drug Administration-approved 3D surgical navigation tools.
View Article and Find Full Text PDFPort malposition in the anterior mediastinum resulting in chemotherapy extravasation into the pleural cavity: A case report and literature review.
J Vasc Access
December 2024
Department of Nursing, Yiwu Central Hospital, the affiliated Yiwu Hospital of Wenzhou Medical University, Yiwu, Zhejiang, China.
We present a rare case of port malposition into the anterior mediastinum resulting in chemotherapy extravasation into the pleural cavity. While management of extravasation into soft tissues has been established, the data on treatment of mediastinal and intrapleural extravasation is limited. This case underscores how utilizing state-of-the-art technology like real-time intracavitary electrocardiography(IC-ECG) or transthoracic/subxiphoid ultrasound with the "bubble test", rather than reliance on postoperative chest radiography, can help eliminate catheter malposition and its potential catastrophic consequences.
View Article and Find Full Text PDFCatheter-associated vessel perforation presenting as an occluded lumen: lessons learned and preventive strategy.
BMJ Case Rep
December 2024
Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.
A central venous catheter (CVC) was placed in the left internal jugular vein of a woman in her late 20s, who was admitted to our intensive care unit during the management of her abdominal wall sepsis. Two days later, the patient had pain at the insertion site. Check aspiration revealed the presence of aspirate from all the lumens except the distal lumen.
View Article and Find Full Text PDFMigration of Intrauterine Device Into the Bladder: A Case Report.
Cureus
October 2024
Gynecology, Shandong Shanxian Central Hospital, Heze, CHN.
Complications associated with intrauterine contraceptive devices (IUDs), particularly those involving migration into the bladder, are infrequent occurrences yet clinically significant. The clinical presentation of patients with IUD displacement into the bladder is frequently vague and non-specific, posing a challenge for timely and accurate diagnosis. This report details the case of a patient who presented with an IUD malpositioned into the bladder, initially manifesting solely as urinary frequency.
View Article and Find Full Text PDFThe utilization of guidewires for adjusting the intraoperative catheter malposition during the venous access port implantation: A retrospective study.
Medicine (Baltimore)
November 2024
Department of General Surgery, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China.
This study presents an in-depth exploration of various adjustment methods for intraoperative catheter malposition by guidewires in the implantation of totally implantable venous access ports (TIVAP). It not only aims to summarize these methods but also endeavors to identify the most advantageous approach. The patient list was searched using the hospital information system from January 1, 2022, to October 31, 2023.
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