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Arterial Cannulation

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1. Biopatch for venous or arterial catheter sites

Biopatch for venous or arterial catheter sites Biopatch for v Biopatch for venous or arterial catheter sites enous or arterial catheter sites Medtech innovation briefing Published: 9 August 2017 nice.org.uk/guidance/mib117 pathways Summary Summary The technology technology described in this briefing is Biopatch. It is a hydrophilic foam dressing impregnated with chlorhexidine gluconate (CHG), and is used for covering central venous or arterial catheter sites. The inno innovativ vative aspects e (...) aspects are that it releases CHG to reduce the risk of catheter-related bloodstream infections (CRBSIs), while the absorbent foam draws discharge away from the catheter site. The intended intendedplace in ther place in therap apy y would be as an addition to standard sterile semipermeable transparent dressings to reduce the risk of a CRBSI in people with venous or arterial catheters. The k ke ey points from the e y points from the evidence vidence summarised in this briefing are from 6 non-UK-based

2017 National Institute for Health and Clinical Excellence - Advice

3. Blood Cultures Drawn From Arterial Catheters Are Reliable for the Detection of Bloodstream Infection in Critically Ill Children

Blood Cultures Drawn From Arterial Catheters Are Reliable for the Detection of Bloodstream Infection in Critically Ill Children PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2018 PedsCCM Evidence-Based Journal Club

4. Comparison of Goal-Directed Hemodynamic Optimization Using Pulmonary Artery Catheter and Autocalibrated Arterial Pressure Waveform Analysis Vigileo-FloTracâ„¢ System in On-Pump Coronary Artery Bypass Graft Surgery: A Randomized Controlled Studya. Full Text available with Trip Pro

Comparison of Goal-Directed Hemodynamic Optimization Using Pulmonary Artery Catheter and Autocalibrated Arterial Pressure Waveform Analysis Vigileo-FloTracâ„¢ System in On-Pump Coronary Artery Bypass Graft Surgery: A Randomized Controlled Studya. It is a challenge for anesthesiologists to balance between administering intravenous fluid, vasoactive agents, and inotropic drugs to maintain appropriate cardiac output.The aim of this study was to evaluate the effect of treatment algorithm guided (...) either by pulmonary artery catheter (PAC) or by the fourth generation FloTrac/Vigileo system combined with monitoring of oxygen transport on hemodynamic management and outcome after coronary artery bypass graft surgery (CABG).This study design was a prospective randomized controlled clinical study.Sixty patients aged 45-65 years, scheduled for CABG surgery for two or more grafts with cardiopulmonary bypass, were randomized into two groups 30 patients in each; (1) (Group P) patients in which PAC

2019 Anesthesia, essays and researches Controlled trial quality: uncertain

5. Alteplase for Declotting Occluded Arterial Catheters: Clinical Evidence and Guidelines

Alteplase for Declotting Occluded Arterial Catheters: Clinical Evidence and Guidelines Alteplase for Declotting Occluded Arterial Catheters: Clinical Evidence and Guidelines | CADTH.ca Find the information you need Alteplase for Declotting Occluded Arterial Catheters: Clinical Evidence and Guidelines Alteplase for Declotting Occluded Arterial Catheters: Clinical Evidence and Guidelines Published on: April 13, 2016 Project Number: RA0844-000 Product Line: Research Type: Drug Report Type (...) : Reference List Result type: Report Question What is the clinical evidence for the use of Alteplase 2 mg or other thrombolytic drugs to declot occluded arterial catheters? What are the evidence-based guidelines regarding the declotting of occluded arterial catheters? Key Message No relevant literature was identified regarding the use of Alteplase or other thrombolytic drugs to declot arterial catheters. Tags catheters, fibrinolytic agents, tissue plasminogen activator, medical devices Files Rapid

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review

6. Exercise cardiac magnetic resonance imaging with pulmonary artery catheter monitoring in carcinoid heart disease: a shift towards early intervention? Full Text available with Trip Pro

Exercise cardiac magnetic resonance imaging with pulmonary artery catheter monitoring in carcinoid heart disease: a shift towards early intervention? Neuroendocrine tumours are a rare malignancy, which can be complicated by a carcinoid syndrome and, in more rare cases, also valve destruction. The correct timing for surgical repair remains unknown. We report the first-in-men exercise cardiac magnetic resonance imaging with pulmonary artery catheter measurements in order to better understand

2018 ESC heart failure

7. In thoracic aortic surgery, is innominate artery cannulation a safe and effective alternative to axillary artery cannulation? Full Text available with Trip Pro

In thoracic aortic surgery, is innominate artery cannulation a safe and effective alternative to axillary artery cannulation? A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: in a patient undergoing thoracic aortic surgery, is innominate artery cannulation superior to axillary artery cannulation in terms of postoperative outcomes? Five hundred and thirty-one papers were found using the reported search strategy, of which 5 (...) represented the best evidence to answer the clinical question. A total of 1338 participants were included across the 5 studies. Seven hundred and twenty-two patients were cannulated via the axillary artery and 616 were cannulated via the innominate artery. The included 5 studies were 2 prospective observational cohorts, 2 retrospective case-series analysis and a single-blinded randomized trial. Thirty-day or in-hospital mortality rates were reported in all 5 studies. There were no significant differences

2019 Interactive cardiovascular and thoracic surgery Controlled trial quality: uncertain

8. Tissue plasminogen activator dose and pulmonary artery pressure reduction in catheter directed thrombolysis of submassive pulmonary embolism. Full Text available with Trip Pro

Tissue plasminogen activator dose and pulmonary artery pressure reduction in catheter directed thrombolysis of submassive pulmonary embolism. The purpose of this study is to assess the incremental effect of tissue plasminogen activator (t-PA) dose on pulmonary artery pressure (PAP) and bleeding during catheter directed thrombolysis (CDT) of submassive pulmonary embolism (PE).Records of 46 consecutive patients (25 men, 21 women, mean age 55±14 y) who underwent CDT for submassive PE between (...) September 2009 and February 2017 were retrospectively reviewed. Mean t-PA rate was 0.7±0.3 mg/h. PAP was measured at baseline and daily until CDT termination. Mixed-effects regression modeling was performed of repeated PAP measures in individual patients. Bleeding events were classified by Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries (GUSTO) and t-PA dose at onset.Mean t-PA dose was 43.0±30.0 mg over 61.9± 28.8 h. Mean systolic PAP decreased from

2019 PLoS ONE

9. Catheter-Related Arterial Thrombosis in Neonates and Children: A Systematic Review (Abstract)

Catheter-Related Arterial Thrombosis in Neonates and Children: A Systematic Review Catheter-related arterial thrombosis (CAT) is increasingly recognized in children. Available data are scarce and based on expert opinions. This systematic review aimed to identify knowledge on paediatric CAT. Among 3,484 publications, 22 met inclusion criteria. Fourteen reported on CAT due to umbilical arterial catheter (UAC), two to extremity indwelling catheter (EIC), one to both and five to cardiac catheter (...) (CC). The overall cumulative incidence of CAT was 21% (95% confidence interval [CI], 13-31) with a relative incidence of 20% (95% CI, 10-33) for UAC and 11% (95% CI, 3-21) for CC-related CAT. The incidence of EIC-related CAT ranged from 3.4 to 63%. Clinical presentation of CAT included symptoms of acute limb ischaemia (79%, 95% CI, 54-97), arterial hypertension (55%, 95% CI, 23-86) and congestive heart failure (28%, 95% CI, 7-53). Underlying conditions of UAC-related CAT included prematurity (70

2018 EvidenceUpdates

10. Ultrasound-Guided Femoral Arterial Cannulation in Neonates Undergoing Cardiac Surgery or Catheterization: Comparison of 0.014-Inch Floppy Versus 0.019-Inch Straight Guidewire. (Abstract)

Ultrasound-Guided Femoral Arterial Cannulation in Neonates Undergoing Cardiac Surgery or Catheterization: Comparison of 0.014-Inch Floppy Versus 0.019-Inch Straight Guidewire. Percutaneous femoral artery cannulation can be technically challenging in small infants.We designed a prospective randomized trial to compare the use of two different guidewires for femoral arterial cannulation in neonates undergoing cardiac surgery or catheterization.Cardiac ICU in a university hospital.One-hundred (...) twenty-four children were enrolled in this prospective study, with 64 being randomized to the 0.019-inch straight guidewire group and 60 to the 0.014-inch floppy guidewire group.Femoral artery cannulation.The study period was limited to 10 minutes at the first site of arterial puncture. The time to complete cannulation, number of successful cannulation on first attempt, number of attempts, and number of successful cannulations were compared. The number of successful cannulations and successful

2019 Pediatric Critical Care Medicine Controlled trial quality: uncertain

11. Lithoplasty© balloon catheter for peripheral arterial disease

Lithoplasty© balloon catheter for peripheral arterial disease Lithoplasty® balloon catheter for peripheral arterial disease Lithoplasty® balloon catheter for peripheral arterial disease NIHR HSRIC Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation NIHR HSRIC. Lithoplasty® balloon catheter for peripheral arterial disease. Birmingham: NIHR Horizon Scanning Research (...) and feet. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Humans; Peripheral Arterial Disease; Urinary Catheters Language Published English Country of organisation England English summary An English language summary is available. Address for correspondence NIHR Horizon Scanning Research&Intelligence Centre, University of Birmingham, Institute of Applied Health Research, Public Health building, Edgbaston, Birmingham B15 2TT Tel: 0121 414 9077 Email: nihrhsc

2015 Health Technology Assessment (HTA) Database.

12. Different unfractionated heparin doses for preventing arterial thrombosis in children undergoing cardiac catheterization. (Abstract)

Different unfractionated heparin doses for preventing arterial thrombosis in children undergoing cardiac catheterization. The role of cardiac catheterization in pediatrics has progressed significantly over the last two decades, evolving from a primary diagnostic tool to a primary treatment modality in children with congenital heart disease. Vascular complications, particularly arterial thrombosis, are among the most common unwanted post-cardiac catheterization events. In 1974, unfractionated (...) heparin proved to be superior to placebo in decreasing the incidence of arterial thrombosis in pediatric patients. However, the optimal dose of unfractionated heparin to be utilized in this setting remains a matter of controversy.To evaluate the use of low-dose (< 100 units/kg) versus high-dose (≥ 100 units/kg) unfractionated heparin administered as an intravenous bolus at the time of initiation of cardiac catheterization (that is, immediately after arterial puncture), with or without subsequent

2014 Cochrane

13. Dynamic Needle Tip Positioning for Ultrasound-Guided Arterial Catheterization in Infants and Small Children With Deep Arteries: A Randomized Controlled Trial. (Abstract)

Dynamic Needle Tip Positioning for Ultrasound-Guided Arterial Catheterization in Infants and Small Children With Deep Arteries: A Randomized Controlled Trial. Arterial catheterization for infants and small children is technically challenging. This study evaluated whether the dynamic needle tip positioning (DNTP) technique improved the success rate of ultrasound-guided radial artery catheterization in patients with a radial artery depth ≥4 mm compared with the conventional ultrasound-guided (...) technique.Randomized controlled study.Single institution, Osaka Women's and Children's Hospital.Patients (n = 40; age <3 years) with artery depth ≥4 mm.Patients were divided randomly into 2 groups. The DNTP group received ultrasound-guided radial artery catheterization with DNTP; the conventional group received catheterization without DNTP.First-attempt success rates were 85% and 50% in the DNTP and conventional groups, respectively (p = 0.018; relative risk = 1.7; 95% CI: 1.06-2.73). Overall success rates within

2018 Journal of cardiothoracic and vascular anesthesia Controlled trial quality: uncertain

14. Letter by Candemir Regarding Article, "Subcutaneous Injection of Nitroglycerin at the Radial Artery Puncture Site Reduces the Risk of Early Radial Artery Occlusion After Transradial Coronary Catheterization: A Randomized, Placebo-Controlled Clinical Trial Full Text available with Trip Pro

Letter by Candemir Regarding Article, "Subcutaneous Injection of Nitroglycerin at the Radial Artery Puncture Site Reduces the Risk of Early Radial Artery Occlusion After Transradial Coronary Catheterization: A Randomized, Placebo-Controlled Clinical Trial 30354638 2018 10 25 1941-7632 11 10 2018 Oct Circulation. Cardiovascular interventions Circ Cardiovasc Interv Letter by Candemir Regarding Article, "Subcutaneous Injection of Nitroglycerin at the Radial Artery Puncture Site Reduces the Risk (...) of Early Radial Artery Occlusion After Transradial Coronary Catheterization: A Randomized, Placebo-Controlled Clinical Trial". e007221 10.1161/CIRCINTERVENTIONS.118.007221 Candemir Basar B Cardiology Department, Ankara University, Turkey. Baskovski Emir E Cardiology Department, Ankara University, Turkey. Kumbasar Deniz D Cardiology Department, Ankara University, Turkey. eng Letter United States Circ Cardiovasc Interv 101499602 1941-7640 2018 10 26 6 0 2018 10 26 6 0 2018 10 26 6 0 ppublish 30354638

2018 Circulation. Cardiovascular interventions Controlled trial quality: predicted high

15. Letter by Huang et al Regarding Article, "Subcutaneous Injection of Nitroglycerin at the Radial Artery Puncture Site Reduces the Risk of Early Radial Artery Occlusion After Transradial Coronary Catheterization: A Randomized, Placebo-Controlled Clinical Tr Full Text available with Trip Pro

Letter by Huang et al Regarding Article, "Subcutaneous Injection of Nitroglycerin at the Radial Artery Puncture Site Reduces the Risk of Early Radial Artery Occlusion After Transradial Coronary Catheterization: A Randomized, Placebo-Controlled Clinical Tr 30354639 2018 10 25 1941-7632 11 10 2018 Oct Circulation. Cardiovascular interventions Circ Cardiovasc Interv Letter by Huang et al Regarding Article, "Subcutaneous Injection of Nitroglycerin at the Radial Artery Puncture Site Reduces the Risk (...) of Early Radial Artery Occlusion After Transradial Coronary Catheterization: A Randomized, Placebo-Controlled Clinical Trial". e007254 10.1161/CIRCINTERVENTIONS.118.007254 Huang Jiabing J Department of Cardiovascular Medicine, The Second Xiangya Hospital of Central South University, Changsha, China. Fang Zhenfei Z Department of Cardiovascular Medicine, The Second Xiangya Hospital of Central South University, Changsha, China. Hu Xinqun X Department of Cardiovascular Medicine, The Second Xiangya Hospital

2018 Circulation. Cardiovascular interventions Controlled trial quality: predicted high

16. Subcutaneous Injection of Nitroglycerin at the Radial Artery Puncture Site Reduces the Risk of Early Radial Artery Occlusion After Transradial Coronary Catheterization: A Randomized, Placebo-Controlled Clinical Trial. Full Text available with Trip Pro

Subcutaneous Injection of Nitroglycerin at the Radial Artery Puncture Site Reduces the Risk of Early Radial Artery Occlusion After Transradial Coronary Catheterization: A Randomized, Placebo-Controlled Clinical Trial. Transradial coronary catheterization is widely used as a diagnostic or interventional procedure for coronary disease. However, it can lead to adverse complications, such as radial artery occlusion. We sought to determine whether preprocedural injection of nitroglycerin (...) at the radial artery puncture site reduces radial artery occlusion.A total of 188 patients undergoing transradial coronary catheterization were randomized in a single-blind fashion to receive subcutaneous injection of 0.5 mL 0.1% nitroglycerin or a placebo at the radial artery puncture site. The participants underwent ultrasound examinations of the radial artery before and at 24 hours after the procedure. Of the 188 patients enrolled, 182 completed the study, as the procedure failed in 2 participants

2018 Circulation. Cardiovascular interventions Controlled trial quality: predicted high

17. A randomised comparison of incidence of radial artery occlusion and symptomatic radial artery spasm associated with elective transradial coronary intervention using 6.5 Fr SheathLess Eaucath Guiding Catheter vs. 6.0 Fr Glidesheath Slender. (Abstract)

A randomised comparison of incidence of radial artery occlusion and symptomatic radial artery spasm associated with elective transradial coronary intervention using 6.5 Fr SheathLess Eaucath Guiding Catheter vs. 6.0 Fr Glidesheath Slender. The aim of this study was to compare incidences of radial artery occlusion (RAO) and spasm (RAS) associated with transradial coronary intervention (TRI) using a 6.5 Fr SheathLess hydrophilic-coated guide catheter (SH-GC) vs. a 6.0 Fr Glidesheath Slender (GSS (...) ).We conducted an open-label, single-centre, randomised study to compare radial complications in 600 consecutive patients undergoing elective TRI using 6.5 Fr SH-GC (n=300) or 6.0 Fr GSS (n=300) between 2015 and 2016. The primary endpoint was a composite of RAO evaluated by sonography and symptomatic RAS. The mean diameter of radial arteries was 2.20 mm in both groups; however, the sheath/radial artery diameter (S/RA) ratio was significantly smaller in the SH-GC group (1.03 vs. 1.17, p<0.001). SH

2018 EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology Controlled trial quality: uncertain

18. Serial changes in vessel walls of renal arteries after catheter-based renal artery denervation: insights from volumetric computed tomography analysis Full Text available with Trip Pro

Serial changes in vessel walls of renal arteries after catheter-based renal artery denervation: insights from volumetric computed tomography analysis Radiofrequency ablation of peri-arterial renal autonomic nerves has been studied as a potential therapeutic option for resistant hypertension. While recent clinical trials have reported its efficacy, there is paucity of data addressing the effects of the procedure on renal arteries, such as changes in vessel and lumen areas. Herein, the effect (...) of atheroma burden on renal arteries after renal denervation was assessed using computed tomography (CT) imaging.Serial renal artery CT imaging was conducted in 38 patients from the EnligHTN™ I study, a prospective, multicenter study evaluating the efficacy of the EnligHTN multi-electrode radiofrequency ablation catheter in resistant hypertensive subjects. Cross-sectional images of renal arteries at 1 mm intervals were acquired using commercially available software (3mensio Structural Heart version 5.1

2018 International journal of nephrology and renovascular disease

19. Effects of Different Intra-arterial Catheter Size on Frequency of Optimal Dynamic Response in Radial Arterial Waveform

Response in Radial Arterial Waveform Estimated Study Start Date : October 1, 2018 Estimated Primary Completion Date : October 1, 2019 Estimated Study Completion Date : December 1, 2019 Arms and Interventions Go to Arm Intervention/treatment Placebo Comparator: 20 gauge Device: different intra-arterial catheter size in placebo group, patients were cannulated with 20 gauge intra-arterial catheter. In experiment groups, patients were cannulated with 22 gauge or 24 gauge intra-arterial catheter. Active (...) Comparator: 22 gauge Device: different intra-arterial catheter size in placebo group, patients were cannulated with 20 gauge intra-arterial catheter. In experiment groups, patients were cannulated with 22 gauge or 24 gauge intra-arterial catheter. Active Comparator: 24 gauge Device: different intra-arterial catheter size in placebo group, patients were cannulated with 20 gauge intra-arterial catheter. In experiment groups, patients were cannulated with 22 gauge or 24 gauge intra-arterial catheter

2018 Clinical Trials

20. The evaluation of coronary artery-to-pulmonary artery fistula in adulthood on 256-slice CT coronary angiography: Comparison with coronary catheter angiography and transthoracic echocardiography. (Abstract)

The evaluation of coronary artery-to-pulmonary artery fistula in adulthood on 256-slice CT coronary angiography: Comparison with coronary catheter angiography and transthoracic echocardiography. To review the imaging features of coronary artery-to-pulmonary artery fistula (CPAF) on CT coronary angiography (CTCA) and evaluate its diagnostic performance compared with coronary catheter angiography (CCA) and transthoracic echocardiography (TTE).We retrospectively reviewed with a diagnosis of CPAF (...) from among 19855 consecutive CCTA performed with 256-slice MDCT scanner for suspected coronary artery disease. CT images were evaluated for - origin, number, size and course (tubular/worm-like dilation/significant aneurysm formation/wall attachment sign) of fistula vessels, drainage site, drainage site imaging features (pierced sign, isodensity sign, smoke sign, jet sign), and main pulmonary artery (MPA) enlargement. 25 patients of CPAF also underwent CCA and 47 patients underwent TTE.There were 72

2018 Journal of cardiovascular computed tomography

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