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| http://dx.doi.org/10.1016/j.vgie.2016.10.003 | DOI Listing |
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Single versus Dual-Operator Approaches for Percutaneous Coronary Interventions within Chronic Total Occlusion-An Analysis of 27,788 Patients.
J Clin Med
July 2023
Faculty of Medicine and Health Sciences, Jan Kochanowski University, 25-369 Kielce, Poland.
Article Synopsis
- The study compares single-operator (SO) and dual-operator (DO) approaches in treating chronic total occlusion (CTO) using percutaneous coronary intervention (PCI), noting that DO is suggested to handle the complexity of the procedure better.
- Data from the Polish Registry of Invasive Cardiology Procedures between 2014 and 2020 reveals that DO was used in only 13% of cases, showing lower rates of puncture-site bleeding but similar technical success rates between SO (72.4%) and DO (71.2%).
- The findings are preliminary due to the retrospective nature of the study, highlighting that DO was more common among patients with complex coronary diseases, but ultimately did not improve intervention success, only reducing
Patient-level costs of staged unilateral versus immediate bilateral symmetrization mammoplasty in breast-conserving surgery.
BJS Open
May 2022
Department of BioSurgery and Surgical Technology, Imperial College London, London, UK.
Background: Following therapeutic mammoplasty (TM), the contralateral breast may require a later balancing procedure to optimize shape and symmetry. The alternative is to offer patients simultaneous TM with immediate contralateral symmetrization via a dual-surgeon approach, with the goal of reducing costs and minimizing the number of subsequent hospital appointments in an era of COVID-19 surges. The aim of this cost-consequence analysis is to characterize the cost-benefit of immediate bilateral symmetrization dual-operator mammoplasty versus staged unilateral single operator for breast cancer surgery.
View Article and Find Full Text PDFDiagnostic performance of different cholangioscopes in patients with biliary strictures: a systematic review.
Endoscopy
March 2020
Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand.
Background: Cholangioscopy provides direct intraductual imaging, which can enhance diagnostic efficacy during endoscopic retrograde cholangiopancreatography in patients with biliary strictures. This study aimed to review the diagnostic yield of different cholangioscopes for the diagnosis of malignant biliary stricture (MBS).
Methods: A comprehensive literature review was performed.
A Case-Based Illustration of a Dual-Operator, Dual Microcatheter Technique for Side Branch Wiring.
Cardiovasc Revasc Med
November 2019
Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, MN, USA. Electronic address:
Wiring a side branch through a dual lumen microcatheter is typically performed in sequential fashion: the microcatheter position is modified, followed by wiring attempts, all performed by a single operator. We describe a dual operator technique, in which positioning of the dual lumen microcatheter and guidewire advancement are performed simultaneously. This method can be used for particularly challenging wiring scenarios.
View Article and Find Full Text PDFUltrasound-guided peripheral intravenous access placement for children in the emergency department.
Eur J Pediatr
October 2018
Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, 183-8561 Fuchu-shi Musashidai 2-8-29, Tokyo, Japan.
Unlabelled: The usefulness of ultrasound guidance in peripheral intravenous access placement has yet to be established in children. In this prospective comparative study, we investigated success rates of intravenous access placement with ultrasound guidance in a pediatric emergency department. After a failed first attempt with the conventional technique, the second and third attempts were conducted using either the ultrasound guidance (a real-time, dual operator method) or the conventional technique.
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