scholarly journals The use of a handmade balloon-expandable covered stent for native coarctation of the aorta in an adult patient: A report of a first case in Japan

2010 ◽  
Vol 56 (3) ◽  
pp. 287-290
Author(s):  
Takashi Higaki ◽  
Eiichi Yamamoto ◽  
Masahiro Ryugo ◽  
Hiroshi Imagawa ◽  
Fumiaki Shikata ◽  
...  
Keyword(s):  
Adult Patient ◽  
Coarctation Of The Aorta ◽  
Covered Stent ◽  
First Case

scholarly journals A Knowledge-Based Algorithm for Automatic Monitoring of Orthodontic Treatment: The Dental Monitoring System. Two Cases

Sensors ◽  
2021 ◽  
Vol 21 (5) ◽  
pp. 1856
Author(s):  
Silvia Caruso ◽  
Sara Caruso ◽  
Marianna Pellegrino ◽  
Rayan Skafi ◽  
Alessandro Nota ◽  
...  
Keyword(s):  
Adult Patient ◽  
Remote Monitoring ◽  
Digital Technology ◽  
Orthodontic Treatment ◽  
Dental Treatment ◽  
Automatic Monitoring ◽  
Software As A Service ◽  
Knowledge Based ◽  
First Case ◽  
Service Application

Background: In the dental field, digital technology has created new opportunities for orthodontists to integrate their clinical practice, and for patients to collect information about orthodontics and their treatment, which is called “teledentistry.” Dental monitoring (DM) is a recently introduced orthodontic application that combines safe teledentistry with artificial intelligence (AI) using a knowledge-based algorithm, allowing an accurate semi-automatic monitoring of the treatment. Dental Monitoring is the world’s first SaaS (Software as a Service) application designed for remote monitoring of dental treatment, developed in Paris, France, with Philippe Salah as the Co-founder and CEO. Cases presentation: This report describes two cases in which DM system was essential to achieve the control of certain movements: it was possible to follow the movement, even if complex, such as the anterior cross of an adult patient and a lack of space in the canine of the growing patient. The software analyzed the fit and retention of the aligner, thus ensuring correct biomechanics. They were treated during the COVID-19 pandemic lockdown with aligners. The first case is a growing patient who was monitored during an interceptive orthodontic treatment to manage a retained upper canine. The second case is an adult patient forced to finalize his treatment of upper lateral incisor crossbite. The software analyzed the fit and retention of the aligner, thus ensuring correct biomechanics. Conclusions: DM system appears to be a promising method, useful for improving the interaction between doctor and patient, generally acceptable and useful to patients, even in critical clinical situations, at least in cases with optimal compliance and ability to use the tool properly.

scholarly journals Acute Cholecystitis Caused by Ceftriaxone Stones in an Adult

2009 ◽  
Vol 2009 ◽  
pp. 1-2 ◽  
Author(s):  
Christian D. Becker ◽  
Robert A. Fischer
Keyword(s):  
Adult Patient ◽  
Acute Cholecystitis ◽  
Health Problem ◽  
Medical Literature ◽  
Early Recognition ◽  
Gallstone Formation ◽  
Sludge Formation ◽  
Major Health Problem ◽  
Major Health ◽  
First Case

Acute cholecystitis is a major health problem. There are multiple etiologies to be considered and early recognition of the condition is important to optimize management and outcome. We report the first case in the medical literature of symptomatic acute cholecystitis triggered by ceftriaxone-associated gallbladder sludge formation and, importantly, solid ceftriaxone gallstone formation in an adult patient with underlying mineral and pigment cholecystolithiasis, necessitating cholecystectomy. This case serves as a reminder for physicians to keep this uncommon cause of cholecystolithiasis and cholecystitis in mind in patients who receive prolonged ceftriaxone therapy. These patients should be cautioned to promptly report to their physicians any signs or symptoms of cholecystitis in order to ensure timely and appropriate evaluation.

Initial assessment of a novel delivery system (NuDEL™®) for the covered Cheatham-Platinum stent

2017 ◽  
Vol 27 (8) ◽  
pp. 1465-1469
Author(s):  
Gareth J. Morgan ◽  
Damien Kenny ◽  
Christopher Duke ◽  
Kevin P. Walsh ◽  
Shakeel A. Qureshi
Keyword(s):  
Effective Means ◽  
Right Ventricular Outflow Tract ◽  
Coarctation Of The Aorta ◽  
Ventricular Outflow Tract ◽  
Covered Stent ◽  
Delivery Systems ◽  
Initial Assessment ◽  
Covered Stents ◽  
Stent Deployment ◽  
Complex Structural

AbstractAimsWe sought to evaluate the first-in-man use of a new system for implantation of covered stents in patients with complex structural and CHD.Methods and resultsRetrospective data were collected of the first 13 NuDEL™ delivery systems used in patients. The NuDEL™ comprises a covered Cheatham-Platinum stent mounted on a balloon-in-balloon and pre-loaded in a long delivery sheath. Data were collected from three centres in the United Kingdom and Ireland. A total of 13 covered stents were delivered via 12 NuDEL™ delivery systems in 12 patients. Among them, six patients had coarctation of the aorta, five patients had right ventricular outflow tract stenosis, and one patient had severe stenosis of a Mustard systemic venous baffle. There were no complications, and all the stents were deployed in the desired position with satisfactory haemodynamic results.ConclusionsThe development of a bespoke system of a pre-mounted, pre-loaded covered stent may negate some of the technical challenges that complicate large-calibre stent deployment. Our preliminary results suggest that the NuDEL™ system is a safe and effective means of covered stent deployment in challenging anatomy.

The use of a self-expandable stent with a self-expandable stent graft in a Fontan baffle

2012 ◽  
Vol 23 (1) ◽  
pp. 125-128
Author(s):  
Eun Young Choi ◽  
Kyung Suk Lee ◽  
Jin-young Song
Keyword(s):  
Stent Graft ◽  
Congenital Heart ◽  
Surgical Repair ◽  
Heart Diseases ◽  
Fontan Operation ◽  
Coarctation Of The Aorta ◽  
Covered Stent ◽  
Elastic Recoil ◽  
Lateral Tunnel ◽  
Covered Stent Graft

AbstractIntravascular or intracardiac stenosis occurs in various congenital heart diseases or after surgical repair. Although balloon angioplasty is the first option for relieving stenosis, frequently restenosis occurs because of elastic recoil or kingking component. The use of a self-expandable stent and covered stent in congenital heart disease has been reported for selected cases. In general, they have been performed for coarctation of the aorta or aortic aneurysm. We now report successful implantation of a self-expandable stent with a self-expandable covered stent graft in a case of lateral tunnel dehiscence with stenosis after a Fontan operation.

Circumferential stent fracture repaired using a covered stent in a 42-year-old man with coarctation of the aorta

2015 ◽  
Vol 26 (2) ◽  
pp. 375-377
Author(s):  
Fares Ayoub ◽  
Sameeha AlShelleh ◽  
Iyad AL-Ammouri
Keyword(s):  
High Pressure ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Aortic Coarctation ◽  
Coarctation Of The Aorta ◽  
Covered Stent ◽  
Stent Fracture ◽  
Ultra High Pressure ◽  
Stage Renal Disease ◽  
End Stage

AbstractWe present a case of circumferential fracture of aortic coarctation stent with severe re-stentosis presenting 16 years after initial stent implantation with end-stage renal disease. The patient was treated with a covered stent using the stent-in-stent technique. The use of an ultra-high-pressure balloon was proved necessary to overcome the tight, non-compliant stenosis.

scholarly journals Bilateral intratonsillar abscesses: A first case report in an adult patient

2015 ◽  
Vol 2015 (1) ◽  
pp. 7 ◽  
Author(s):  
Jack Pein Cheong ◽  
Aun Wee Chong ◽  
Kein Seong Mun
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
First Case

scholarly journals Lingual melanotic macule - the first case report in an adult patient

2018 ◽  
Vol 93 (2) ◽  
pp. 310-311 ◽  
Author(s):  
Heliane Sanae Suzuki ◽  
Thaynara Batista Costa Souza ◽  
Betina Werner
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
First Case

scholarly journals Implantation of Covered Stent for Coarctation of the Aorta and Secondary Hypertension in Adolescents—Case Report

Children ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 1018
Author(s):  
Simina-Elena Ghiragosian-Rusu ◽  
Cristina Blesneac ◽  
Anca Sglimbea ◽  
Claudiu Ghiragosian ◽  
Laszlo Hadadi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Arterial Hypertension ◽  
Coarctation Of The Aorta ◽  
Holter Monitoring ◽  
Secondary Hypertension ◽  
Covered Stent ◽  
Lower Limbs ◽  
Interventional Treatment ◽  
High Morbidity

Introduction: Coarctation of the aorta represents a narrowing of the thoracic aorta. Hypertensive patients with blood pressure differences ≥20 millimetres of mercury have an indication for surgical or interventional treatment. Implantation of a covered stent became the preferred therapy for the management of this pathology in adolescents/adults. Case report: We report the case of a 14-year-old male sportsman, who presented in the emergency room with headache, dizziness, and tinnitus. The clinical exam revealed blood pressure differences between the upper and lower limbs of up to 50 mmHg. Based on the clinical and paraclinical data, we established the diagnosis of coarctation of the aorta and severe secondary arterial hypertension. The case was discussed by a multidisciplinary team and accepted for covered stent implantation. The 24 h blood pressure Holter monitoring after the procedure indicated the persistence of stage I arterial hypertension. Conclusions: Coarctation of the aorta is a congenital cardiovascular anomaly with high morbidity and mortality rates. Arterial hypertension, heart failure, and aortic dissection are complications of this pathology, some of them being sometimes direct consequences of secondary hypertension. Periodic cardiology follow up after the procedure is mandatory to assess the hemodynamic response, to identify potential complications, and to stratify the cardiovascular risk.

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