Short-Term Results and Intermediate-Term Follow-Up of Laser Wire Recanalization of Chronic Coronary Artery Occlusions: A Single-Center Experience

Abstract Aim To investigate clinical efficacy of transjugular intrahepatic portal shunt (TIPS) for the treatment of cirrhotic portal hypertension. Methods 71 cases of patients with cirrhotic portal hypertension and esophageal and gastric variceal bleeding hospitalized from January 2014 to June 2017 were enrolled and treated with TIPS. The change of portal pressure and serum biochemical indexes before and after TIPS were compared, and re-hemorrhage rate, ascites incidence, complications, and survival rate were calculated. Results 71 patients (male/female 47/24, aged 29–77 years, average 48.9 ± 9.8 years) with cirrhotic portal hypertension received TIPS. The success rate of TIPS was 93% (66/71). During 1–24 months (mean 12.5 ± 7 months) follow-up of 66 patients, 61 cases survived and 5 cases died. The portal pressure decreased significantly from 40.48 ± 3.15 cmH2O to 23.59 ± 4.41 cmH2O after TIPS (P < 0.05). During the follow-up, the incidence of hepatic encephalopathy was 12.1%, the incidence of re-hemorrhage was 18.2%, and there were 4 cases of stent dysfunction, with 1 case of bare stent and 3 cases of dual stent. Conclusion TIPS is an effective procedure for the treatment of cirrhotic portal hypertension complications, since it can reduce portal pressure and significantly alleviate ascites. Liver function is impaired in short-term after TIPS, but TIPS has no significant effect on liver function in middle-term.

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Acute Toxicities and Short-Term Follow-up of Patients Treated with Pencil-Beam Scanning Proton Beam Radiation Therapy for Esophageal Carcinoma: A Single-Center Experience

International Journal of Radiation Oncology*Biology*Physics ◽

10.1016/j.ijrobp.2018.07.508 ◽

2018 ◽

Vol 102 (3) ◽

pp. e26

Author(s):

R.S. Bhangoo ◽

N.Y. Yu ◽

J.B. Ashman ◽

H. Paripati ◽

C.E. Vargas ◽

...

Keyword(s):

Radiation Therapy ◽

Pencil Beam ◽

Single Center ◽

Short Term ◽

Beam Radiation ◽

Pencil Beam Scanning ◽

Single Center Experience ◽

Proton Beam Radiation ◽

Proton Beam Radiation Therapy

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Clinical Characteristics and Short Term Outcome of Multi-Vessel Coronary Artery Disease Patients Presented with AMI- Single Center Experience

Atherosclerosis Supplements ◽

10.1016/j.atherosclerosissup.2020.01.005 ◽

2020 ◽

Vol 41 ◽

pp. e2

Author(s):

Sheeren Mohammed Khaled

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Clinical Characteristics ◽

Single Center ◽

Short Term ◽

Term Outcome ◽

Single Center Experience ◽

Short Term Outcome ◽

Artery Disease ◽

Vessel Coronary Artery

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Percutaneous closure of congenital coronary artery fistulae in 5 children: A single center experience

Asian Journal of Medical Sciences ◽

10.3126/ajms.v6i4.11786 ◽

2014 ◽

Vol 6 (4) ◽

pp. 45-50

Author(s):

Shiv Kumar Yadav ◽

Qi-jian Yi

Keyword(s):

Coronary Artery ◽

Left Coronary Artery ◽

Septal Defect ◽

Percutaneous Closure ◽

Single Center ◽

Medical Sciences ◽

Single Center Experience ◽

Heart Center ◽

Inpatient Department

Background and Aim: Coronary artery fistulae (CAF) are rare anomalies. In this study, we have done percutaneous closure of CAF in children with three different devices; ventricle septal defect (VSD) occluder, patent ductus arterious (PDA) occluder and Cook coil.Materials and Methods: We retrospectively reviewed all patients, admitted to our heart center inpatient department between September 2004 and April 2013, that had a percutaneous closure of CAF in our center, and evaluated outcomes of patients with CAF treated with cardiac catheterization.Results: A total of fi ve patients (3 females) ranged in age from7 months to 10 years with congenital CAF underwent percutaneous closure. The fistulae had origins from right coronary artery (RCA) and from left coronary artery (LCA) in 3 cases and 2 cases respectively. One RCA drained to right atrium and rest four drained to right ventricle. All 5 cases had a co ntinuous murmur. During closure, 2 fistulae closed with VSD occluder, 2 with PDA occluder & 1 with Cook coil. Percutaneous closure was successfully achieved in all the 5 patients. Follow-up studies showed that there was complete abolition without recanalization. No deaths occurred.Conclusion: Percutaneous closure of congenital CAF is very safe and effective in children with less complication and shorter hospital stay.DOI: http://dx.doi.org/10.3126/ajms.v6i4.11786 Asian Journal of Medical Sciences Vol.6(4) 2015 45-50

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