Aneurysm Treatment

The transradial approach offers safer access than the transfemoral approach based on the cardiac literature. The dual-antiplatelet requirements of many interventions and the high prevalence of patients on anticoagulation have made the transradial approach the access of choice for elective interventions. For ruptured cases, the benefit provides quicker extubation to reduce risk of pneumonia. All treatment modalities up to 6F triaxial systems can be used for embolization as one would from the femoral approach. All current neurointerventional therapies can be performed from a transradial approach. One needs to realize that, with new technologies, transradial neurointervention will become simpler, more efficient, and reliable.

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Role of Ilaj Bit Tadbeer (Regimenal Therapy) in Waja-ul-Mafasil (Osteoarthritis): A Review

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20211207 ◽

2021 ◽

Vol 11 (12) ◽

pp. 48-52

Author(s):

Sayyed Adnan Mohammad ◽

Mujassam M

Keyword(s):

Side Effects ◽

Treatment Modalities ◽

Joint Diseases ◽

Important Place ◽

Surgical Interventions ◽

Unani Medicine ◽

Key Words Osteoarthritis ◽

High Prevalence ◽

All Treatment

Osteoarthritis is the commonest of all joint diseases. It results due to breakdown and destruction of joint tissues. The clinical picture of osteoarthritis strongly resembles with Waja-ul-Mafasil which has been elaborated in detail by Unani physicians. Considering the high prevalence, side effects of modern pharmacological treatment and high cost of surgical interventions with equivocal effectiveness of all treatment modalities, there is need for safe, economic and effective treatment in Unani Medicine for osteoarthritis. Unani System of Medicine has Ilaj Bit Tadbeer (Regimenal Therapy) as one of the modes of treatment. The Regimenal Therapy works on the principle of modifying or modulating the six essential factors (Asbaab-e-sittah zarooriya) for maintenance of health and prevention from diseases. Nowadays Regimenal Therapy holds an important place in Unani Medicine particularly for musculoskeletal and nervous disorders. The focus of this paper is to discuss and summarize the role of Ilaj bit Tadbeer in the management of Waja-ul-Mafasil. Key words: Osteoarthritis, Waja-ul-Mafasil, Unani System of Medicine, Ilaj Bit Tadbeer, Regimenal Therapy.

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Access-Site Complications of the Transfemoral Approach

Radial Access for Neurointervention ◽

10.1093/med/9780197524176.003.0015 ◽

2021 ◽

pp. 123-128

Author(s):

Stephanie H. Chen ◽

Pascal M. Jabbour ◽

Eric C. Peterson

Keyword(s):

Minimally Invasive ◽

Femoral Artery ◽

Access Route ◽

Access Site ◽

Transfemoral Approach ◽

Femoral Access ◽

Hematoma Formation ◽

Radial Access ◽

Femoral Approach ◽

Life Threatening

The radial access route has significantly lower complications compared to the femoral access route. Often users have become used to the femoral approach and its attendant complications but it is worth reviewing that despite its minimally invasive nature as opposed to open craniotomy, endovascular transfemoral access is certainly not without risk. These risks include life threatening retroperiotenal hematoma formation and local hematoma formation as well as limb threatening occlusion of the femoral artery, which is an end artery thus must be urgently revascularlized in the event of compromise. The complications of femoral access are reviewed as well as strategies for management.

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E-044 Packing density, recurrence and complication rates between various endovascular aneurysm treatment modalities: analyses from the SMART registry

10.1136/neurintsurg-2019-snis.119 ◽

2019 ◽

Author(s):

S Al Kasab ◽

E Almallouhi ◽

M Anadani ◽

M Sattur ◽

A Spiotta

Keyword(s):

Packing Density ◽

Treatment Modalities ◽

Complication Rates ◽

Aneurysm Treatment

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A study of red blood cell alloimmunization and autoimmunization among 200 multitransfused Egyptian β thalassemia patients

Scientific Reports ◽

10.1038/s41598-020-78333-y ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Amal El-Beshlawy ◽

Alshymaa Ahmed Salama ◽

Mohamed Roshdy El-Masry ◽

Noha M. El Husseiny ◽

Asmaa M. Abdelhameed

Keyword(s):

Blood Transfusion ◽

Antibody Formation ◽

Treatment Duration ◽

Transfusion Therapy ◽

Antibody Screening ◽

High Prevalence ◽

Study Population ◽

Reduce Risk ◽

Age Range ◽

Transfusion Complications

AbstractThe development of hemolytic erythrocyte alloantibodies and autoantibodies complicates transfusion therapy in thalassemia patients. These antibodies ultimately increase the need for blood and intensify transfusion complications. There is a scanty data on the frequency of RBC alloimmunization and autoimmunization in Egyptian β thalassemia patients as pretransfusion antibody screening is not routinely performed. We studied the frequency of alloimmunization and autoimmunization among 200 multiply transfused β thalassemia patients and investigated the factors that possibly affect antibody formation. Of the 200 patients in our study, 94 were males and 106 females, with the age range of 2–37 years. Alloantibodies were detected in 36 (18%) of the patients, while autoantibodies were detected in 33 (16.5%). The dominant alloantibodies were directed against Kell (33%) and Rh (24.4%) groups. Alloimmunization had a significant relationship with treatment duration and the frequency of transfusion (P = 0.007, 0.001, respectively). The presence of autoantibodies was significantly related to age (P = 0.001), total number of transfused units (P = 0.000) and splenectomy (P = 0.000). The high prevalence of alloimmunization in the study population disclosed the need for providing phenotypically matched cells for selective antigens especially for Kell and Rh subgroups to reduce risk of alloimmunization and increase the efficiency of blood transfusion.

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High Prevalence of Skin Reactions Among Pediatric Patients with Type 1 Diabetes Using New Technologies: The Alarming Role of Colophonium

Diabetes Technology & Therapeutics ◽

10.1089/dia.2019.0236 ◽

2020 ◽

Vol 22 (1) ◽

pp. 53-56 ◽

Cited By ~ 4

Author(s):

Fortunato Lombardo ◽

Stefano Passanisi ◽

Lucia Caminiti ◽

Andrea Barbalace ◽

Alessandra Marino ◽

...

Keyword(s):

Type 1 Diabetes ◽

Pediatric Patients ◽

New Technologies ◽

Skin Reactions ◽

High Prevalence

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Ambiguity Aversion Decreases the Impact of Partial Insurance: Evidence from African Farmers

Journal of the European Economic Association ◽

10.1093/jeea/jvy056 ◽

2019 ◽

Vol 17 (5) ◽

pp. 1428-1469 ◽

Cited By ~ 8

Author(s):

Gharad Bryan

Keyword(s):

New Technologies ◽

Ambiguity Aversion ◽

Smallholder Farmers ◽

Limited Liability ◽

Comparative Statics ◽

Reduce Risk ◽

Using Data ◽

Credit Contracts ◽

The Impact ◽

Partial Insurance

Abstract Indemnifying smallholder farmers against crop loss is thought to play an important role in encouraging the adoption of new technologies and facilitating productivity growth, but to be infeasible due to information problems. Consequently there is interest in developing alternative, partial, insurance products. Examples include rainfall insurance and the limited liability inherent in credit contracts. I argue that although these products may reduce information asymmetry, ambiguity averse farmers struggle to assess whether the contracts reduce risk. This problem is most pronounced when the production technology is ambiguous, as is likely the case for new technologies. I formalize this argument and test the theory using data from two RCTs, conducted in Malawi and Kenya. Comparative statics from the theory are consistent with both sets of data, and I argue that income losses from ambiguity aversion may be substantial.

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Comparison of In-Hospital Outcomes of ST Elevation Myocardial Infarction in Patients Undergoing Transradial and Transfemoral Primary Percutaneous Coronary Intervention

Cardiovascular Journal ◽

10.3329/cardio.v11i2.40408 ◽

2019 ◽

Vol 11 (2) ◽

pp. 98-104

Author(s):

Fahdia Afroz ◽

Mir Jamal Uddin ◽

Md Khalquzzaman ◽

Mohammad Ullah ◽

Mohammad Khalilur Rahman Siddiqui ◽

...

Keyword(s):

Myocardial Infarction ◽

Vascular Complications ◽

Coronary Intervention ◽

Adverse Outcomes ◽

Transfemoral Approach ◽

Transradial Approach ◽

Group I ◽

Percutaneous Coronary ◽

St Elevation ◽

Group Ii

Background: Primary percutaneous coronary intervention (PPCI) has been performed traditionally by using femoral approach. Transradial approach has become increasingly popular as it is likely to be less complicating, more comfortable and relatively cost effective having mortality and morbidity benefits. The aim of the study was to compare the in-hospital outcomes of transradial PPCI with that of transfemoral route. Methods: A total of 80 patients with ST elevation myocardial infarction (STEMI) who underwent PPCI were enrolled in the study. Patients were divided in two groups. Group-I: transradial PPCI; and Group-II: transfemoral PPCI. All patients were followed up during the period of hospital stay and adverse outcomes were observed and compared between the groups. Results: The result showed that bleeding took place in 2.5% patient of Group-I and 15% patients of Group- II. Vascular complications occurred in 2.5% and 12.5% patients of Group-I and Group-II, respectively. In Group-II, 7.5% patients died with none in Group-I. In Group-II, 37.5% patients experienced some sort of adverse outcomes whereas only 15% of the patients of Group-I did have such experiences (p<0.05). Bleeding and vascular complications were significantly more in Group-II (p<0.05). The mean hospital stay time was significantly lower in Group-I (p<0.001). Conclusions: Transradial PPCI is safer than transfemoral approach in respect of procedural and post procedural complications including bleeding, vascular complications and mortality. So, transradial approach may be an attractive alternative to conventional transfemoral approach and can be practiced routinely for PPCI. Cardiovasc. j. 2019; 11(2): 98-104

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Transradial access for neurointerventions: management of access challenges and complications

Journal of NeuroInterventional Surgery ◽

10.1136/neurintsurg-2019-015145 ◽

2019 ◽

Vol 12 (1) ◽

pp. 82-86 ◽

Cited By ~ 19

Author(s):

Marie-Christine Brunet ◽

Stephanie H Chen ◽

Eric C Peterson

Keyword(s):

Radial Artery ◽

Randomized Trials ◽

Endovascular Procedures ◽

Anatomical Variations ◽

Artery Occlusion ◽

Morbidity And Mortality ◽

Transfemoral Approach ◽

Transradial Approach ◽

The Common ◽

Catheter Knots

BackgroundNumerous large randomized trials have shown a significant morbidity and mortality benefit with the transradial approach (TRA) over the transfemoral approach (TFA) for endovascular procedures. However, this technique is routinely avoided or aborted due to unfamiliarity with the technique and the associated anatomical difficulties that may be faced in this approach. The objective of this review is to identify both the common and uncommon challenges that may be encountered during a transradial approach for cerebrovascular catheterization and to provide tips and tricks to overcome the transradial learning curve.MethodA careful review of the literature and of all our transradial cases was carried out to identify the common challenges and complications that are encountered when using TRA for diagnostic cerebral angiography and neurointerventions.ResultsA stepwise approach is provided to prevent and manage common challenges including radial artery access failure, radial artery spasm, radial artery anomalies and tortuosity, radial artery occlusion, radial artery perforation and hematoma, subclavian tortuosity and anomalies, and catheter knots and kinks.ConclusionThe ability to recognize and navigate anatomical variations and complications unique to TRA will accelerate learning, decrease unnecessary morbidity and mortality, and further advance the neurovascular field.

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