RESUMO
The main contents of the Clinical Practice Guidelines on Image-Guided Thermal Ablation (IGTA) of Primary and Metastatic Lung Tumors (2022 Edition) include the following: epidemiology of primary and metastatic lung tumors; the concepts of the IGTA and common technical features; procedures, indications, contraindications, outcomes evaluation, and related complications of IGTA on primary and metastatic lung tumors; and limitations and future development.
Assuntos
Técnicas de Ablação , Ablação por Cateter , Hipertermia Induzida , Neoplasias Pulmonares , Cirurgia Assistida por Computador , Técnicas de Ablação/métodos , Ablação por Cateter/efeitos adversos , Ablação por Cateter/métodos , Humanos , Hipertermia Induzida/métodos , Neoplasias Pulmonares/patologia , Guias de Prática Clínica como Assunto , Cirurgia Assistida por Computador/métodosRESUMO
INTRODUCTION: Functional outcome after rotator cuff reconstruction is influenced by several factors of which re-rupture is probably the most important. AIM: The aim of the study was to evaluate the postoperative outcome including re-rupture rate after arthroscopic rotator cuff reconstruction. METHOD: 23 shoulders of 22 patients were examined prospectively. Physical examination, ultrasound and radiography were performed. Quality of life and functional outcome were evaluated using Constant Score and Visual Analog Scale. RESULTS: Excellent or good results were found in 80% of the patients. The Constant Score has increased from 45 to 79, and the level of pain decreased from 6.6 to 2.5. Full-thickness rotator cuff tear was absent, but partial tear occurred in 7 cases (30%). Average acromiohumeral distance in the operated side was 8.5 mm compared to 9.5 mm measured on the contralateral shoulder. CONCLUSIONS: Arthroscopic rotator cuff repair is a safe and reliable procedure that provides good results.
Assuntos
Artroscopia , Dor/fisiopatologia , Amplitude de Movimento Articular , Manguito Rotador/fisiopatologia , Manguito Rotador/cirurgia , Articulação do Ombro/fisiopatologia , Articulação do Ombro/cirurgia , Adulto , Idoso , Artroscopia/métodos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Medição da Dor , Estudos Prospectivos , Ruptura , Ombro , Resultado do TratamentoRESUMO
We report the first European case of cerebral iodized lipid embolism post transcatheter arterial embolization for hepatocellular carcinoma. Lipiodol emboli and corresponding multifocal brain ischemia were documented with computed tomography (CT) and magnetic resonance (MR) in the acutely symptomatic patient. Transcranial Doppler sonography with contrast indicated a right-to-left shunt, while on a follow-up CT scan lipiodol embolization was detected in both lungs. Dilated pulmonary vessels and thick vascular channels were seen in the vicinity of the right diaphragm suggestive of pulmonary arteriovenous shunt. The patient symptoms regressed with supportive care alone, but he died 5 months later due to hepatic failure unrelated to the procedure.