Treatment of ruptured aneurysms of the choroidal collateral system in moyamoya disease: a systematic review and data analysis

OBJECTIVE Moyamoya disease (MMD) is a chronic, progressive steno-occlusive condition of the distal internal carotid arteries of unknown etiology. Collateral arterial networks typically develop in MMD, bypassing the steno-occlusion. Aneurysms arising on the collateral networks are a known source of hemorrhage. The choroidal collateral system is the most common location for collateral pathway aneurysms in MMD and associated hemorrhage. The authors performed data collection and analysis to further elucidate the best treatment approaches for ruptured aneurysms of the choroidal collateral system in MMD, which as yet remain unclear. METHODS A comprehensive data collection and analysis of case reports and case series with ruptured choroidal collateral artery aneurysms (CCAAs) was performed. PRISMA guidelines for systematic reviews were followed and the Medline, Embase, and Scopus databases were searched for relevant studies. A database was created including patients with ruptured CCAA in MMD. Original data from case series were included whenever possible. A previously unreported case of a ruptured choroidal artery aneurysm in MMD treated by the authors was also included. RESULTS The database comprised 72 patients with ruptured CCAA in MMD. The most common clinical symptoms were headache, nausea, and vomiting (39%). Initially, a conservative treatment approach was chosen in 29% of cases but led to rehemorrhage in 40% of cases; 63% of these rehemorrhages occurred during the first 35 days. Endovascular treatment seemed a safe option for aneurysm exclusion, mainly through parent vessel sacrifice, but had a treatment failure rate of 21%, due to inadequate access. Aneurysm treatment with revascularization as the initial treatment strategy led to aneurysm regression in 82% with no reported rehemorrhage. Aneurysm exclusion through open surgery was effective but was associated with a relatively high complication rate (25%). Outcome after rupture of CCAA was poor, with 41% of patients deceased or permanently disabled. Overall, patient outcomes were better in the endovascular and revascularization treatment group than in the conservative treatment group. CONCLUSIONS Rupture of CCAA in MMD is associated with high morbidity and rerupture rate requiring urgent treatment.

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Comparative study on clinical efficacy of different methods for the treatment of intramural aortic hematoma

Scientific Reports ◽

10.1038/s41598-021-91151-0 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Junfu Luo ◽

Wenpeng Zhao ◽

Jiasheng Xu ◽

Rui Zou ◽

Kaihua Zhang ◽

...

Keyword(s):

Treatment Group ◽

Conservative Treatment ◽

Endovascular Treatment ◽

Intramural Hematoma ◽

Aortic Diameter ◽

High Morbidity ◽

Phase Group ◽

Aortic Intramural Hematoma ◽

Stanford Type B

AbstractTo explore the difference of curative effect between different treatment modalities, in order to provide reference for the treatment of aortic intramural hematoma (IMH). 168 patients with aortic intramural hematoma diagnosed and treated from January 2010 to July 2020 were selected in the Second Affiliated Hospital of Nanchang University. Among them, 48 patients were diagnosed with Stanford A aortic intramural hematoma and 120 were diagnosed with Stanford B aortic intramural hematoma. According to the therapeutic methods, patients were divided into conservative treatment group and endovascular treatment group (TEVAR). For endovascular treatment group, according to the different timing of surgery, can be divided into acute phase group (onset within 72 h) and non-acute phase group (time of onset > 72 h).The clinical data and follow-up data were collected and analyzed by variance analysis and χ2 test. There were 168 patients diagnosed with aortic intramural hematoma 39 of them were (81.25%) Stanford A aortic intramural hematoma patients with pleural or pericardial effusion. For patient with Stanford A aortic intramural hematoma, endovascular treatment was performed in 15 patients (31.2%), and 33 cases (68.8%) for conservative treatment. The average follow-up (24.9 ± 13.9) was months. There were 120 patients with Stanford type B aortic intramural hematoma (71.4%), 60 patients received endovascular treatment (50%), and 60 patients (50%) received conservative treatment, with an average follow-up of (27.8 ± 14.6) months. For Stanford A type aortic intramural hematoma patients when the maximum aortic diameter ≥ 50 mm or hematoma thickness ≥ 11 mm, with high morbidity and mortality, positive endovascular treatment can reduce complications and death. For patients with Stanford type B aortic intramural hematoma, when the maximum aortic diameter ≥ 40 mm or hematoma thickness ≥ 10 mm, with high morbidity and mortality, positive endovascular treatment can reduce complications and death. Both Stanford type A and B aortic intramural hematoma patients could benefit from the endovascular treatment when the initial maximum aortic diameter is ≥ 50 mm or the hematoma thickness is ≥ 11 mm.

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The Hitchhiker's Guide to Data Collection and Analysis using Visual Basic

PsycEXTRA Dataset ◽

10.1037/e603982013-107 ◽

2007 ◽

Author(s):

Dennis Garlick ◽

Aaron P. Blaisdell

Keyword(s):

Data Collection ◽

Visual Basic ◽

Data Collection And Analysis

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Control system for data collection and analysis of laboratory research of hydraulics HTS

Prirodoobustrojstvo ◽

10.26897/1997-6011-2017-3-33-38 ◽

2017 ◽

pp. 33-38

Author(s):

V.A. Fartukov ◽

◽

M.V. Zemlyannikova

Keyword(s):

Control System ◽

Data Collection ◽

Laboratory Research ◽

Data Collection And Analysis

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Faculty Opinions recommendation of False-positive psychology: undisclosed flexibility in data collection and analysis allows presenting anything as significant.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717958189.793462486 ◽

2012 ◽

Author(s):

Hans van Beek

Keyword(s):

Positive Psychology ◽

Data Collection ◽

False Positive ◽

Data Collection And Analysis

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Credit Data Collection and Analysis in Small Scale Enterprises/Agricultural Lending Operation in Developing Countries: The Nigerian Experience

SSRN Electronic Journal ◽

10.2139/ssrn.1365709 ◽

2009 ◽

Author(s):

Orok Ekpo Orok-Duke ◽

Bernard Enya Edu

Keyword(s):

Developing Countries ◽

Data Collection ◽

Small Scale ◽

Data Collection And Analysis ◽

Credit Data

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INVESTIGATIONS INTO SOUTH CAROLINA’S OUTER CONTINENTAL SHELF (OCS) SAND RESOURCES: DATA INVENTORY, RESOURCE ASSESSMENT, AND RECENT DATA COLLECTION AND ANALYSIS EFFORTS

10.1130/abs/2017se-291289 ◽

2017 ◽

Author(s):

Katherine Luciano ◽

◽

Andrew Tweel ◽

Erin Koch ◽

Matthew Hughes ◽

...

Keyword(s):

Data Collection ◽

Continental Shelf ◽

Resource Assessment ◽

Outer Continental Shelf ◽

Data Collection And Analysis

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Efficacy and safety of condylectomy with minimally invasive surgery in the treatment of interdigital corns of the lesser toes compared to conservative treatment

Journal of Foot and Ankle Research ◽

10.1186/s13047-021-00460-0 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Luis M. Marti-Martinez ◽

Rubén Lorca-Gutierrez ◽

Salvador Pedro Sánchez-Pérez ◽

Jonatan Garcia-Campos ◽

Nadia Fernández Ehrling ◽

...

Keyword(s):

Minimally Invasive Surgery ◽

Surgical Treatment ◽

Treatment Group ◽

Conservative Treatment ◽

Minimally Invasive ◽

Functional Status ◽

Invasive Surgery ◽

Joint Stiffness ◽

Efficacy And Safety ◽

Clinical And Functional Status

Abstract Background Minimally invasive surgery (MIS) procedures cause less trauma to the patient and might improve recovery. This study aimed to determine the efficacy and safety of condylectomy with MIS to treat interdigital corns of the lesser toes. Methods This prospective cohort study was conducted in seven podiatry centers. Patients with interdigital corns of the lesser toes, progressing for more than a year, with one or more recurrences in the last year following conservative treatments were eligible. The recruited patients were classified according to their treatment: conservative or surgical (condylectomy with MIS) and were compared. Patient satisfaction, pain, the clinical and functional status of the foot and the appearance of sequelae were assessed at 3 and 6 months after treatment. Results At 6 months, patients in the surgical treatment group showed no pain on pressure, which significantly differed from the conservative treatment group (p < 0.001). They also improved clinical and functional status of the foot, reaching values comparable to those of the standard population. No paresthesia, joint stiffness or instability, toe malalignment, or corn transfer to a contiguous site resulted from the surgical treatment. Conclusions Condylectomy with MIS is effective and safe to treat interdigital corns of the lesser toes.

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A systematic review and meta-analysis on endovascular treatment as an attractive alternative for acute superior mesenteric venous thrombosis

Vascular ◽

10.1177/1708538121991270 ◽

2021 ◽

pp. 170853812199127

Author(s):

Lixin Wang ◽

Enci Wang ◽

Fei Liu ◽

Wei Zhang ◽

Xiaolong Shu ◽

...

Keyword(s):

Systematic Review ◽

Treatment Group ◽

Conservative Treatment ◽

Venous Thrombosis ◽

Endovascular Treatment ◽

Meta Analysis ◽

Statistical Significance ◽

Published Data ◽

Mesenteric Venous Thrombosis ◽

Surgery Group

Objective This systematic review and meta-analysis evaluated the published data on the efficacy and safety of therapies for superior mesenteric venous thrombosis (SMVT), aiming to provide a reference and set of recommendations for clinical treatment. Methods Relevant databases were searched for studies published from 2000 to June 2020 on SMVT treated with conservative treatment, surgical treatment, or endovascular approach. Different treatment types were grouped for analysis and comparison, and odds ratios with corresponding 95% confidence intervals were calculated. The outcomes were pooled using meta-analytic methods and presented by forest plots. Results Eighteen articles, including eight on SMVT patients treated with endovascular therapies, were enrolled. The treatment effectiveness was compared between different groups according to the change of symptoms, the occurrence of complications, and mortality as well. The conservative treatment group had better efficacy compared to the surgery group (89.0% vs. 78.6%, P <0.05), and the one-year survival rate was also higher (94.4% vs. 80.0%, P >0.05), but without statistical significance. As for endovascular treatment, the effectiveness was significantly higher than the surgery group (94.8% vs. 75.2%, P <0.05), and the conservative treatment group as well (93.3% vs. 86.3%, P >0.05), which still requires further research for the lack of statistical significance. Conclusions Present findings indicate that anticoagulation, as conservative treatment should be the preferred clinical option in the clinic for SMVT, due to its better curative effect compared to other treatment options, including lower mortality, fewer complications, and better prognosis. Moreover, endovascular treatment is a feasible and promising approach that is worth in-depth research, for it is less invasive than surgery and has relatively better effectiveness, thus can provide an alternative option for SMVT treatment and may be considered as a reliable method in clinical.

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Transition to Ductal Stenting for Single Ventricle Patients Led to Improved Survival: An Institutional Case Series

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/21501351211007808 ◽

2021 ◽

Vol 12 (4) ◽

pp. 518-526 ◽

Cited By ~ 1

Author(s):

Neel K. Prabhu ◽

Alexander Zhu ◽

James M. Meza ◽

Kevin D. Hill ◽

Gregory A. Fleming ◽

...

Keyword(s):

Single Ventricle ◽

Heart Defects ◽

Ductus Arteriosus ◽

Pulmonary Atresia ◽

Case Series ◽

Stage Ii ◽

Shunt Revision ◽

High Morbidity ◽

Mechanical Ventilation Duration ◽

Hospital Morbidity

Background: The use of systemic-to-pulmonary shunts (SPS) in neonates with single ventricle heart defects and ductal-dependent pulmonary blood flow (ddPBF) was historically associated with high morbidity and mortality at our center. As a result, we transitioned to the preferential use of ductus arteriosus stents (DS) when feasible. This report describes our initial results with this strategy. Methods: A single-center study of single ventricle patients that received DS or SPS from 2015 to 2019 was performed to assess whether DS was associated with decreased in-hospital morbidity and increased survival to stage II palliation. Results: A total of 34 patients were included (DS = 11; SPS = 23). Underlying cardiac anomalies were similar between groups and included pulmonary atresia, unbalanced atrioventricular septal defect, and tricuspid atresia. Procedure success was similar between groups (82% vs 83%). Two DS patients were converted to SPS, due to ductal vasospasm or pulmonary artery obstruction, and four SPS patients required surgical shunt revision. In DS patients, postprocedure mechanical ventilation duration was shorter (one vs three days, P = .009) and fewer required postprocedure extracorporeal membrane oxygenation (9% vs 39%, P = .11). A higher proportion of DS patients survived to stage II palliation (100% vs 64%, P = .035), and the probability of one-year survival was higher in DS patients (100% vs 61%, P = .02). Conclusions: At our center, patients with single ventricle heart defects and ddPBF that received DS experienced reduced in-hospital morbidity and increased survival to stage II palliation compared to SPS.

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