Aortic Perivalvular Leakage: Percutaneous Treatment Options

2017 ◽  
pp. 67-75
Author(s):  
Sameer Gafoor ◽  
Predrag Matic ◽  
Fawad Kazemi ◽  
Luisa Heuer ◽  
Jennifer Franke ◽  
...  
Keyword(s):  
Treatment Options ◽  
Percutaneous Treatment ◽  
Perivalvular Leakage

scholarly journals Percutaneous Versus Surgical Interventions for Hepatic Cystic Echinococcosis: A Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
G. L. E. Mönnink ◽  
C. Stijnis ◽  
O. M. van Delden ◽  
R. Spijker ◽  
M. P. Grobusch
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Treatment Options ◽  
Length Of Hospital Stay ◽  
Percutaneous Treatment ◽  
Invasive Treatment ◽  
Surgical Interventions ◽  
Percutaneous Therapy ◽  
Registration Number ◽  
Hepatic Echinococcosis

Abstract Purpose This systematic review and meta-analysis summarises the current literature on invasive treatment options of cystic hepatic echinococcosis (CE), comparing percutaneous radiological interventions to surgery, still the cornerstone of treatment in many countries. Methods A literature search was conducted in Medline and EMBASE databases (PROSPERO registration number: CRD42019126150). The primary outcome was recurrence of cysts after treatment. Secondary outcomes were complications, duration of hospitalisation, mortality and treatment conversion. Results The number of eligible prospective studies, in particular RCTs, was limited. In the four included studies, only conventional surgery is compared directly to percutaneous techniques. From the available data, in terms of recurrence, percutaneous treatment of hydatid cysts is non-inferior to open surgery. With regard to complications and length of hospital stay, outcomes favour percutaneous therapy. Conclusion Although evidence from prospective research is small, percutaneous treatment in CE is an effective, safe and less invasive alternative to surgery.

scholarly journals Endovascular and Percutaneous Treatment of Pediatric Portosystemic Varices: A Case Review

2019 ◽  
Vol 03 (03) ◽  
pp. 214-226
Author(s):  
Alexander Dabrowiecki ◽  
Eric J. Monroe ◽  
Rene Romero ◽  
Anne E. Gill ◽  
C. Matthew Hawkins
Keyword(s):  
Portal Hypertension ◽  
Small Bowel ◽  
Endovascular Treatment ◽  
Treatment Guidelines ◽  
Treatment Options ◽  
Percutaneous Treatment ◽  
Roux Limb ◽  
Case Review ◽  
Gastroesophageal Varices ◽  
Ectopic Varices

AbstractPortal hypertension is a significant cause of morbidity and mortality in pediatric patients. Complications of portal hypertension include development of portosystemic varices. The most common type of portosystemic varices are gastroesophageal varices; however, other ectopic varices can also be a cause of recurrent, life-threatening gastrointestinal bleeding. Problematic ectopic varices include isolated gastric, anorectal, small bowel, roux-limb, and stomal varices. There are no standardized treatment guidelines on how to manage ectopic varices in children; however, new innovations in endovascular treatment options provide potential therapeutic alternatives when varices are refractory to conventional therapy. This review provides a case-based literature review for endovascular treatment of isolated gastric, anorectal, small bowel, roux-limb, and stomal ectopic varices in children (age 0-9 years) and adolescents (age 10-19 years).

Cost Analysis of Open, Laparoscopic, and Percutaneous Treatment Options for Nephron-Sparing Surgery

2006 ◽  
Vol 20 (10) ◽  
pp. 782-789 ◽  
Author(s):  
Richard E. Link ◽  
Sompol Permpongkosol ◽  
Ajay Gupta ◽  
Thomas W. Jarrett ◽  
Stephen B. Solomon ◽  
...  
Keyword(s):  
Cost Analysis ◽  
Treatment Options ◽  
Percutaneous Treatment ◽  
Nephron Sparing Surgery ◽  
Nephron Sparing

scholarly journals Almanac 2013: novel non-coronary cardiac interventions

2013 ◽  
Vol 19 (2) ◽  
pp. 60-71
Author(s):  
Pascal Meier ◽  
Olaf Franzen ◽  
Alexandra J. Lansky
Keyword(s):  
High Risk ◽  
Aortic Valve ◽  
Treatment Options ◽  
Interventional Cardiology ◽  
Percutaneous Treatment ◽  
Pharmacologic Therapy ◽  
Transcatheter Aortic Valve ◽  
Artery Disease ◽  
New Treatment ◽  
Valve Implantation

Summary Recent innovations in interventional cardiology have dramatically expanded the therapeutic options for patients with cardiac conditions. Interventional cardiology is no longer limited to the treatment of coronary artery disease but allows also treatment of valvular disease, stroke prevention, hypertension, etc. One of the most important new treatment options is the percutaneous treatment for aortic valve stenosis (transcatheter aortic valve implantation), since aortic valve disease is a rather common problem in elderly patients, with many of them at high risk for surgery. Similarly, mitral regurgitation is often associated with comorbidities which make surgery high risk. The MitraClip is a promising percutaneous alternative to surgical valve repair or replacement. Other procedures discussed in this review are the percutaneous left atrial appendage closure as a non-pharmacologic therapy to prevent strokes, and renal denervation for resistant hypertension. This review explains the basic principles of these procedures, the most important clinical evidence, and also provides additional recent clinical data on each of these them.

Percutaneous treatment of an intraorbital arteriovenous malformation using a transvenous approach: A case report

2021 ◽  
pp. 159101992199139
Author(s):  
François Dantas ◽  
Tiago Silva e Carvalho ◽  
Róberti Uili Rodrigues Firmino ◽  
Alexandre Amaral Yung ◽  
Renata Caroline Ferreira Gomes ◽  
...  
Keyword(s):  
Vision Loss ◽  
Treatment Options ◽  
Percutaneous Treatment ◽  
Venous Aneurysm ◽  
Superior Ophthalmic Vein ◽  
Direct Puncture ◽  
First Case ◽  
Transvenous Approach ◽  
Actual Prevalence

Intraorbital arteriovenous malformations (AVMs) are extremely rare, and their actual prevalence is unknown. There is no consensus regarding the best treatment options, and the treatment is usually challenging, involving endovascular and other surgical procedures. Herein, we report the case of a patient diagnosed with an intraorbital AVM, presenting with thrombosis and hemorrhage, with rapidly progressive proptosis, chemosis, ophthalmoparesis, and vision loss. Treatment was performed with a transorbital puncture targeting a venous aneurysm of the superior ophthalmic vein, and closure of the AVM was possible with the use of coils and Onyx. We obtained anatomical occlusion of the lesion, and the patient showed progressive improvement of chemosis, vision acuity, and ophthalmoparesis. At six-month’ follow-up, only mild proptosis was noted, and a control digital subtraction angiography confirmed complete closure of the AVM, with no residual lesion. To date, this is the first case of an intraorbital AVM treated with transorbital direct puncture.

scholarly journals A Comparison of DASH Scores Resulting from Different Treatment Options for the Intra-articular Distal Radius Fracture in the Geriatric Population

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Himanshu Wagh ◽  
Akshay Jakkidi Reddy
Keyword(s):  
Distal Radius ◽  
Closed Reduction ◽  
Open Reduction ◽  
Treatment Options ◽  
Percutaneous Treatment ◽  
Open Reduction Internal Fixation ◽  
Geriatric Population ◽  
Treatment Groups ◽  
Score Analysis ◽  
Better Than

There exist three main methods of treating distal radius fractures: closed reduction, open reduction internal fixation, and percutaneous fixation. 10 studies in the geriatric population comparing closed reduction and ORIF, and ORIF and methods of percutaneous treatment were found. DASH and PRWE scores from these studies at 1 year followup were compiled and means were compared via independent T tests. DASH scores in the ORIF and percutaneous treatment groups were better than the open reduction, although ORIF and percutaneous treatment groups were not significantly different. PRWE score analysis revealed a significant advantage of ORIF compared to percutaneous treatment, and percutaneous treatment over closed reduction and casting.

scholarly journals Percutaneous Interventional Techniques for Treatment of Spinal Metastases

2020 ◽  
Vol 37 (02) ◽  
pp. 192-198
Author(s):  
Anderanik Tomasian ◽  
Jack W. Jennings
Keyword(s):  
Minimally Invasive ◽  
Thermal Ablation ◽  
Thermal Protection ◽  
Treatment Options ◽  
Spinal Metastases ◽  
Percutaneous Treatment ◽  
Radicular Pain ◽  
Protection Strategies ◽  
Percutaneous Thermal Ablation ◽  
Long Acting

AbstractThis article details an approach for evaluation as well as minimally invasive percutaneous treatment of spinal metastases focusing on thermal ablation and most recent advances. Safe and effective management of certain subgroups of patients with spinal metastases can be achieved by minimally invasive percutaneous thermal ablation with or without vertebral augmentation. Adjunctive palliative treatment options such as epidural or neuroforaminal corticosteroid and long-acting anesthetic injections may also be performed in patients who have nerve and radicular pain including those who are not candidates for thermal ablation. Thermal protection strategies should be implemented to minimize the risk of neural thermal injury.

scholarly journals Open Surgery for Hepatic Hydatid Disease

2014 ◽  
Vol 99 (6) ◽  
pp. 764-769 ◽  
Author(s):  
Erdogan Sozuer ◽  
Muhammet Akyuz ◽  
Sami Akbulut
Keyword(s):  
Hydatid Disease ◽  
Imaging Techniques ◽  
Treatment Options ◽  
Percutaneous Treatment ◽  
Surgical Approaches ◽  
High Morbidity ◽  
Hydatid Cysts ◽  
Recurrence Rates ◽  
Hepatic Hydatid Disease ◽  
Scolicidal Agent

Abstract Hydatid disease is a zoonosis caused by the larvae of Echinococcus granulosus. Humans are an intermediate host and are usually infected by direct contact with dogs or indirectly by contaminated foods. Hydatid disease mainly involves the liver and lungs. The disease can be asymptomatic. Imaging techniques such as ultrasonography and computed tomography are used for diagnosis. The growth of hydatid cysts can lead to complications. Communication between bile duct and cysts is a common complication. The goal of treatment for hydatid disease is to eliminate the parasite with minimum morbidity and mortality. There are 3 treatment options: surgery, chemotherapy, and interventional procedures. Medical treatment has low cure and high recurrence rates. Percutaneous treatment can be performed in select cases. There are many surgical approaches for managing hydatid cysts, although there is no best surgical technique, and conservative and radical procedures are used. Conservative procedures are usually preferred in endemic areas and are easy to perform but are associated with high morbidity and recurrence rates. In these procedures, the parasite is sterilized using a scolicidal agent, and the cyst is evacuated. Radical procedures include hepatic resections and pericystectomy, which have high intraoperative risk and low recurrence rates. Radical procedures should be performed in hepatobiliary centers. The most common postoperative complications are biliary fistulas and cavity-related complications. Endoscopic retrograde cholangiopancreatography can be used to diagnose and treat biliary system complications. Endoscopic sphincterotomy, biliary stenting, and nasobiliary tube drainage are effective for treating postoperative biliary fistulas.

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